Research Article
Risk Stratification of Patients with Community Acquired Pneumonia Presenting to Emergency Room and Prediction of Mortality Based on Severity Scores
Sonia Devidas Pawaskar,
Rohith Yogish,
Rahul Devidas Pawaskar*
Issue:
Volume 9, Issue 6, November 2023
Pages:
98-107
Received:
6 October 2023
Accepted:
7 November 2023
Published:
17 November 2023
Abstract: Community-acquired pneumonia (CAP) is defined as acute pulmonary infection in a patient, who is not hospitalized or residing in a long-term care facility for 14 or more Days before presentation. CAP is one of the most common infectious diseases addressed by clinicians and is an important cause of mortality and morbidity worldwide Pneumonia is one of the leading causes of death and morbidity, both in developing and developed countries and is the commonest cause (10%) of hospitalization in adult and children. Estimates of the incidence of community-acquired pneumonia range from 4 million to 5 million cases per year, with about 25% requiring hospitalization. Community-acquired pneumonia refers to pneumonia acquired outside of hospitals or extended-care facilities. It is important to risk stratify patients with pneumonia to look for morbidity and mortality. Objectives of study was to risk stratify the patients with community acquired pneumonia in the emergency room using CURB-65 score, SOFA score, QSOFA score, PSI score. All patients with community acquired pneumonia after application of the Inclusion and exclusion criteria were involved in the study. The clinical data with clinical Examination findings, investigations, clinical severity score, treatment, outcome were entered into a structured Performa. The patients were followed up for 28 days from the time of discharge. In our study we found that PSI and QSOFA score predicted mortality with p value of <0.001 which is highly sensitive compared to other scores.
Abstract: Community-acquired pneumonia (CAP) is defined as acute pulmonary infection in a patient, who is not hospitalized or residing in a long-term care facility for 14 or more Days before presentation. CAP is one of the most common infectious diseases addressed by clinicians and is an important cause of mortality and morbidity worldwide Pneumonia is one o...
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Research Article
Evaluation of Risk Factors for Viral Hepatitis C in Chad
Mayanna Habkreo*,
Ali Mahamat Moussa,
Djerabet Franckly,
Gong Zoua,
Tahir Mahamat Saleh,
Maire Dehainssala,
Adama Ngare,
Mahamat Ali Hachim
Issue:
Volume 9, Issue 6, November 2023
Pages:
108-112
Received:
6 November 2023
Accepted:
21 November 2023
Published:
6 December 2023
Abstract: Introduction: infection with the hepatitis C virus is a public health problem that is often underestimated compared with its alter ego, viral hepatitis B, in developing countries. The aim of this study was to assess the risk factors for viral hepatitis C in Chad. Patients and methods: This was a retrospective, descriptive study covering a period of 2 years and 9 months. Patients of all sexes with PCR-confirmed viral hepatitis C were included. The hepatology unit of the day hospital and the gastroenterology department of teaching hospital “Reference Nationale “in N'Djamena served as the setting. Results: A total of 203 patients were included. The sex ratio (M/F) was 1.6, with a mean age of 47 ± 12 years, a median of 46 years and extremes of 20 and 76 years. The 40 to 59 age group was the most represented. The mean APRI score was 0.42±0.29, with extremes of 0.019 and 1.84. Over 80% of the population came from the southern part of the country. In 57.6% of cases, HCV carriage was discovered incidentally during voluntary screening, compared with 42.4% during the course of an illness. In terms of risk factors, mass vaccination was found in 85.7% of cases. Surgery was incriminated in 20.2% of cases. Notification of blood transfusion was found in 14.8% of cases. Conclusion: HCV infection tends to affect the elderly, although all age groups can be affected. The risk factors are multiple and dominated in our context by mass vaccination.
Abstract: Introduction: infection with the hepatitis C virus is a public health problem that is often underestimated compared with its alter ego, viral hepatitis B, in developing countries. The aim of this study was to assess the risk factors for viral hepatitis C in Chad. Patients and methods: This was a retrospective, descriptive study covering a period of...
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