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To Assess the Clinical Radiological and Microbiological Profile of Patients with Community Acquired Pneumonia in a Tertiary Care Center in North East India and the Factors Predicting Mortality

Background: Pneumonia is an acute inflammation of the pulmonary parenchyma caused by various infective organisms. This study was intended in studying from 14 to 90 years with a mean age of 58.8 ± 15.73 years. Severity assessment is recognised as a pivotal step in the management of CAP. This study was intended in identifying prognostic factors to predict the mortality. The majorities (60%) of the patients were males and 40% were females. Out of 150 patients, 90(60%) were admitted to general wards and 60(40%) were admitted to the ICU. Out of the 60 patients admitted to the ICU, 45(75%) required Mechanical Ventilation. And out of these, 18 patients (12%) died. Conclusion: Demographic factors like male sex and elderly age group, clinical profile of confusion, dyspnea, tachypnea, tachycardia and hypotension, laboratory parameters of hypoalbuminemia, leucopenia, elevated BUN, hyperglycemia, high serum LDH, high CRP, acidosis, hypoxia, hypercapnea, growth of klebsiella and pseudomonas species on sputum culture and multilobar involvement on chest radiology also were associated with higher mortality.