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Community-acquired pneumonia in patients admitted to National District Hospital in Bloemfontein: guideline adherence

Thornton Ford, Johané Potgieter, Jana Van der Walt, Monette Van Schalkwyk, Maresa Van Lill, Gina Joubert
South African Family Practice | Vol 60, No 6 : November/December| a4936 | DOI: https://doi.org/10.4102/safp.v60i6.4936 | © 2019 Thornton Ford, Johané Potgieter, Jana Van der Walt, Monette Van Schalkwyk, Maresa Van Lill, Gina Joubert | This work is licensed under CC Attribution 4.0
Submitted: 25 October 2019 | Published: 30 November 2018

About the author(s)

Thornton Ford, University of the Free State, South Africa
Johané Potgieter, University of the Free State, South Africa
Jana Van der Walt, University of the Free State, South Africa
Monette Van Schalkwyk, University of the Free State, South Africa
Maresa Van Lill, University of the Free State, South Africa
Gina Joubert, University of the Free State, South Africa

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Abstract

Background: Patients with suspected community-acquired pneumonia (CAP) are managed according to treatment guidelines. This study aimed to determine the guideline adherence of health professionals at National District Hospital (NDH), Bloemfontein.
Methods: This retrospective descriptive study included a study population of 149 patients admitted to NDH with suspected CAP from January 2015 to September 2016. Information was noted from the patient files and included signs and symptoms, investigations done and medication prescribed.
Results: Most patients (n = 111, 75.0%) presented with a cough, 87 (60.0%) had a sputum test and 125 (83.9%) had a chest X-ray of whom 108 (86.4%) had a consolidation on the X-ray. The CURB-65 score of five (3.4%) patients was mentioned in the files, of which only three patients’ scores were indicated. One patient had a noted CURB-65 score that required admission.
Conclusion: The adherence of health professionals to the treatment guideline for suspected CAP patients is poor.


Keywords

community-acquired infections; guideline adherence; pneumonia; sputum; cough

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