ACADEMIC AND RESEARCH PEER-REVIEWED MEDICAL JOURNALISSN 1727-2378 (Print)         ISSN 2713-2994 (Online)
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Errors in the Diagnosis and Treatment of Community-acquired Pneumonia

Bibliography link: Bolotova E. V., Shulzhenko L. V., Porkhanov V. A. Errors in the Diagnosis and Treatment of Community-acquired Pneumonia. Doctor.Ru. 2017. 10(139): 37–39.
20 October 00:00

Study Objective: To analyze errors made by primary-care physicians (PCP) when diagnosing or treating community-acquired pneumonia (CAP) in different districts of Krasnodar Region.

Study Design: This was a retrospective study.

Materials and Methods: The medical charts of 1,500 hospitalized patients and outpatients treated by PCP in Krasnodar and 45 municipal districts of Krasnodar Region were analyzed and reviewed for conformance with the national clinical guidelines on the diagnosis and treatment of CAP. Statistica 7.0 software was used for statistical analysis of the study data.

Two clinical cases have been included to illustrate incorrect management strategies used for patients with CAP.

Study Results: In ambulatory settings, the most common errors in the diagnosis and treatment of CAP included underestimation of pneumonia severity and failure to administer pulse oximetry with the objective of assessing severity of respiratory failure (non-compliance with the national guidelines) (71.3%); and the use of inadequate antibiotic regimens (53.5%). It is noteworthy that 71.4% of the patients were late in seeking a PCP’s attention. In hospital settings the most commonly reported problems were failure to administer pulse oximetry (85.9%), delayed transfer to an intensive care unit (80.0%), and underestimating the severity of the patient’s condition (78.5%).

Conclusion: Strict compliance with the national clinical guidelines on the diagnosis and initial empirical antimicrobial treatment will significantly reduce the number of errors in diagnosing CAP and treating patients with this condition, and will improve their prognosis.

E. V. Bolotova — Kuban State Medical University, Krasnodar. Research Institute, Professor S. V. Ochapovsky Territorial Clinical Hospital No. 1, Krasnodar. E-mail: bolotowa_e@mail.ru

L. V. Shulzhenko — Kuban State Medical University, Krasnodar. Research Institute, Professor S. V. Ochapovsky Territorial Clinical Hospital No. 1, Krasnodar. Е-mail: larisa_shulzhenk@mail.ru

V. A. Porkhanov — Kuban State Medical University, Krasnodar. Research Institute, Professor S. V. Ochapovsky Territorial Clinical Hospital No. 1, Krasnodar. Е-mail: vladimirporhanov@mail.ru

Доктор.ру
20 October 00:00
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