Prevalence of Community-Acquired Pneumonia in Diabetic Patients in a Tertiary Care Hospital of Bangladesh

M. Hoshen, Ajm Emrul Kayesh, Masum Ahmed, A. Hossain
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Abstract

Background: For nearly two centuries, pneumonia has been recognized as a frequent and sometimes fatal illness. Community-acquired pneumonia and diabetes mellitus are frequently associated, and this relationship bears the burden of both diseases. Objective: The present study was conducted to access the Prevalence of community acquired pneumonia in diabetic patients in a tertiary care hospital in Bangladesh.Material & Methods:This study was conducted among 110 controlled diabetic and 70 uncontrolled diabetic patients who were admitted to the Department of Medicine of Sher-E-Bangla Medical College Hospital in the period between January 2021 and June 2021. The data were analyzed using the SPSS version 25.0.Results:In this study of 110 controlled diabetic patients, 45% were men and 55 % were women. There were 57 % males and 43 % females among 70 uncontrolled diabetic patients. Controlled diabetic patients were 52% older than 60 years old, while uncontrolled diabetic patients were roughly 50 %older than 60 years old. . CAP associated with uncontrolled DM cases showed significantly more fever, RBS, ESR, pleural effusion and hospitalization days. There was no significant difference between controlled diabetic and uncontrolled diabetic CAP patients regarding cough, fever, chest pain, and pulse. The prevalence of CAP among 70 uncontrolled patients was 48% and among controlled diabetic patients was 45%.Conclusions:Specific care for diabetes patients with community-acquired pneumonia, as well as close monitoring for its control, will result in a reduction in infection exposure and, if any infection occurs, will a milder infection.
孟加拉国某三级医院糖尿病患者社区获得性肺炎患病率
背景:近两个世纪以来,肺炎一直被认为是一种常见的、有时是致命的疾病。社区获得性肺炎和糖尿病经常相关,这种关系承担了这两种疾病的负担。目的:本研究旨在了解孟加拉国一家三级医院糖尿病患者社区获得性肺炎的患病率。材料与方法:本研究选取了2021年1月至2021年6月在孟加拉医学院附属附属医院内科住院的110例糖尿病控制患者和70例非控制糖尿病患者。采用SPSS 25.0版对数据进行分析。结果:110例糖尿病患者中,男性占45%,女性占55%。70例未控制的糖尿病患者中男性占57%,女性占43%。控制的糖尿病患者年龄大于60岁的比例为52%,而未控制的糖尿病患者年龄大于60岁的比例约为50%。CAP与未控制的DM患者相关的发热、RBS、ESR、胸腔积液和住院天数明显增加。糖尿病控制与未控制的糖尿病CAP患者在咳嗽、发热、胸痛和脉搏方面无显著差异。70例非对照糖尿病患者CAP患病率为48%,对照糖尿病患者CAP患病率为45%。结论:对合并社区获得性肺炎的糖尿病患者进行特殊护理,并密切监测其控制,将减少感染暴露,如果发生任何感染,将减轻感染。
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