Assessment of microbial etiology from sputum culture of diabetic and non-diabetic patients with community acquired pneumonia admitted at a tertiary training institution /  
Gerald Barry G. De Rueda. 
 - Fairview, Quezon City:  Department of Internal Medicine, FEU-NRMF,  2021. 
 - 13 pages:  tables;  (in folder) +  with flash drive (soft copy). 
<br/><br/>Includes bibliographical references. 
<br/><br/> Abstract:  Community acquired pneumonia remains to be the most common cause of morbidity and mortality around the world. This infection is regarded as a health care burden worldwide. The disease is caused by microorganisms which range from fungi, bacteria to viruses. Its is therefore imperative that the causative agent is identified to tailor effective treatment and management. In patients with compromised immune system due to underlying conditions such as diabetes mellitus, pneumonia remains to be a threat that needs to be addressed immediately. Patient with diabetes mellitus, compared to their non-DM counterparts, are found to have higher rates of impaired immunity, weakened lung function and an increased risk for potential infection such as pneumonia.  This study aimed to determine the microbial isolates of community acquired pneumonia in diabetic and non-diabetic patients' sputum cultures done in FEU-NRMF Medical Center from December 2018 to January 2020.  Retrospective research design was used in the study. The data were gathered from medical records of patients diagnosed with community acquired pneumonia admitted in FEU-NRMF from December 2018 to January 2020. Stratified random sampling strategy was used wherein charts were dichotomously divided based on the status of the patient: diabetic or non-diabetic. Equal numbers of charts were included in each stratum. Health records and patient's charts were used as the sampling frame where the eligible participants were drawn.  The most common presenting signs and symptoms of community acquired pneumonia were cough, crackles in both lungs, fever, shortness of breath and dyspnea. Most patients with community acquired pneumonia presented bilateral pneumonic infiltrates. The most common microbial isolate was probably viral followed by Candida albicans and Klebsiella pneumoniae. Hospital stay and ICU admission and clinical outcome were not found to be associated with the DM status of patients. The study found that Klebsiella pneumonia was sensitive to piperacillin-Tazobactan. Streptococcus pneumonide was sensitive to Levofloxacin and Pseudomonas aeruginosa was sensitive to Carbapenem. 
<br/><br/> Research - Department of Medicine 
<br/><br/><label>Subjects--Topical Terms: </label><br/>clinical outcome<br/>community acquired pneumonia<br/>diabetes mellitus
<br/><br/><label>LC Class. No.: </label>MED 2021 0004