Shariful Islam Mondol1, Devendra Nath Sarkar2, Zakir Hossain3, Ashraful Haque4, Devavrata Sarkar5, Mokhlesur Rahman Sarker6, Rowshan Alam7, Mofazzal Haider siddique8, Sarmin Sultana9, Syed Nesar Ahmed10

Abstract
Background: Community-acquired pneumonia (CAP) remains a common disease with high morbidity,
mortality and treatment cost. The purpose of the study was to find out the bacterial involvement and
presentation of community acquired pneumonia in northern part of Bangladesh. Methods: This is a Cross
sectional observational study done in the secondary care hospital, Rangpur, Bangladesh from January,
2012 to December, 2012. All adult (>18 years) Patients admitted in hospital with features of CAP evidenced
by 1.Fever Plus one or more of the followings: Cough, Sputum production, Haemoptysis, Pleuritic chest
pain, Dyspnoea, Sign of consolidation 2. Duration of illness should be less than 14 days at admission in
hospital 3. Radiological evidence of pneumonic consolidation were selected. Relevant investigations were
done accordingly. Patients were referred by primary care respiratory physicians. Results: Study patients
were 30. Mean age was 44 years. Male & female were 29(96.7%) and 1(3.3%) respectively. All patients
had fever, chest pain 96.7% and copious productive cough 83.3%. Haemoptysis was 3(10.0%) and (p<0.05).
COPD was 1(3.3%), malignancy 1(3.3%), DM 2(6.7%) and DM with cardiovascular disease 1(3.3%) which
was statistically significant (p<0.05). Mean respiratory rate was 23 breaths/ minute, temparature 102.40 F,
SpO2 98%. Blood culture was positive in 14(46.7%) which was not statistically significant (p>0.05).
Streptococcus was found in 8 (26.7%), Strepto. pneumoniae in 3 (10%) Stepto. viridans in 1 (3.3%),
Staphylococcus epidermidis in 1 (3.3%) and Staphylococus in 1 (3.3%), (p<0.05). Conclusion:
Streptococcus pneumoniae was common organism for CAP identified by blood culture. For CAP associated
with Streptococcus pneumoniae, sensitivity results were in favour of Gentamicin, Ceftriaxone and Imipenem.
Keywords: Pneumonia, Streptococcus pneumoniae, Gentamicin, Ceftriaxone, Imipenem

Download PDF