Table 2 Characteristics and management of 70 pneumococcal pneumonia cases diagnosed based on an initial comprehensive assessment at admission
Characteristics | Totala |
|---|---|
N = 70 | |
Radiological characteristics | |
Bilateral infiltrate | 15 (21.4) |
Upper lobe infiltrate | 10 (14.3) |
Pleural effusion | 2 (2.8) |
Microbial characteristics | |
Gram stain | |
GPC dominant (good-quality only)b | 24 (34.3) |
GPC dominant (regardless of quality) | 41 (58.6) |
Not performed | 11 (15.7) |
Urine pneumococcal antigen | 47 (67.1) |
Blood culture | |
Streptococcus pneumoniae | 5 (7.1) |
Streptococcus mitis | 1 (1.4) |
Staphylococcus aureus | 1 (1.4) |
Presumptive etiology | |
Undetermined | 17 (24.3) |
Streptococcus pneumoniae | 46 (65.7) |
Other pathogens | 7 (10.0)c |
Pneumonia severity | |
Pneumonia severity index | |
Total score, median (IQR) | 97.5 (77.3–121.0) |
Class 1 | 5 (7.1) |
Class 2 | 7 (10.0) |
Class 3 | 19 (27.1) |
Class 4 | 26 (37.1) |
Class 5 | 13 (18.6) |
CURB-65 | |
Low risk | 22 (31.4) |
Intermediate risk | 23 (32.9) |
High risk | 25 (35.7) |
Management during hospital stay | |
Penicillin G treatment | |
Continuous infusion | 65 (92.9) |
Duration, day, median (IQR) | 7.0 (4.3–7.0) |
Switch to oral amoxicillin | 10 (14.3) |
Macrolide combination | 0 (0.0) |
Corticosteroid use | 2 (2.9) |
Tracheal intubation | 1 (1.4) |
Vasopressor use | 1 (1.4) |