Acil Serviste Aspirasyon Pnömonisi Tanısı Alan Hastaların Sosyodemografik, Klinik Özellikleri ve Tedavi Modaliteleri

Abstract

Nowadays, rise in the population of elderly seeking for health care increased rate of emergency department visits due to aspiration pneumonia (AP). In this study, patients treated by antibiotics for AP were retrospectively analyzed. The socio-demographic and clinical features together with treatment modalities of 115 patients admitted to the emergency department between January 1, 2008 and September 30, 2012 were recorded. 57% of the patients (n:66) were male and average age was 67 years. The most common symptom at the admission was the deterioration of health status with a rate of 44.3%. In 47 % of the patients at least one neurological disease was present at admission. 74.8% of patients had been fed orally before admission. According to the CURB-65 scoring system 37,4% of the patients ranked 3 points. On the other hand, according to the PSI scoring system the 63,5% of the patients were at stage 5 group. According to culture results the most common isolated microorganism was Pseudomonas aeruginosa with a rate of 28%. The most common preferred antibiotics were moxifloxacin (20%) and combination ampicillin-sulbactam+clarithromycin (20%). The length of stay in the emergency department was 13,3 days (1-97) while their total hospitalization period was 17,1 days (1-97) . 51.3% of patients died; there was a strong relationship between CURB-65 & PSI and the mortality rate. There was no relationship between the mortality rate and both the detected microorganism and the antibiotic resistance. We conclude that aspiration pneumonia is a disease with high mortality which is not related to the age of the patient, the isolated organism and the antibiotic resistance.