Bacterial Pneumonia: Comparison between Diabetics and Non-Diabetics

Dr. M. Vamsi Krishna, Dr. G. Swarna Latha Devi, Dr. J. Dattu Raj

Abstract: To determine the causative organisms, anti microbial susceptibility, and outcome of community- and hospital acquired pneumonia in diabetics and to compare this with non-diabetics, sputum cultures done at ASRAM MEDICAL COLLEGE, HOSPITAL, ELURU in the period between OCTOBER 2016 and December 2018 were reviewed. A total of 354 cases were studied, of which 125 (35 %) were diabetics. Diabetic patients were older with a male predominance compared to non-diabetics. H. influenza was the commonest pathogen in community-acquired pneumonia (CAP) in both diabetics and non-diabetics, but there was a predominance of Staphylococcusaureus indiabetics compared to non-diabetics. Gram-negativebacill iwere the commones tpathogens in hospital-acquired pneumonia (HAP) in both diabetics and non-diabetics. Ampicillin, co-amoxyclav, flouroquinolones, second-generation cephalosporins and erythromycin were used empirically in CAP while aminoglycosides, fluoro- quinolones and imipenem were used in HAP in both diabet- ics and non-diabetics. No significant difference in mortality was found between diabetics and nondiabetics, for either CAP or HAP

Keywords: Pneumonia Diabetics Microorganism Mortality Treatment