Severe Community Acquired Pneumonia (SCAP)

Publication date: Available online 15 April 2015 Source:Apollo Medicine Author(s): Ajit Vigg Although there are no large epidemiological studies from India, mortality data on total number of deaths from lower respiratory tract infection are available. Whereas the world wide mortality of CAP in hospitalised patients varies from 14%–50%, the reported mortality in India varies from 3.3% to 40% with higher rates in elderly & in those requiring intensive care unit (ICU) care. Use of clinical scores like CURB-65, & CRB 65 help to stratify risk of severe disease & need for hospitalisation & ICU care. Early initiation of appropriate antibiotic based upon the knowledge of local resistant patterns of existing pathogens is the key for successful treatment. Pneumonia is the seventh leading cause of death in United States. 1 It is estimated that there are 4 million cases of community-acquired pneumonia (CAP)/yr in the United States which result in approximately 10 million physician visits, 1 million hospitalizations, and 45,000 deaths. 2 There are no large studies from India on incidence of CAP 3 ; however, mortality data on total number of deaths are available related to lower respiratory tract infection (LRTI). 4 Number of deaths due to LRTI was 35.1/100,000 population in 2008 compared to 35.8/100,000 population for tuberculosis & deaths related to gastro intestinal infections & parasitic diseases was 194.9/100,000 population. As...
Source: Apollo Medicine - Category: Journals (General) Source Type: research