Tình hình điều trị viêm phổi tại Khoa Hồi sức tích cực Bệnh viện Tim mạch An Giang

Pneumonia, encompassing both community-acquired pneumonia (CAP) and hospital-acquired pneumonia (HAP), remains a leading cause of morbidity and mortality, particularly within intensive care units (ICUs) globally. Despite its significant impact, the specific epidemiological and clinical characteristics, as well as treatment outcomes, of pneumonia in regional settings like An Giang, Vietnam, have not been thoroughly documented. This research addresses a critical gap by providing localized data essential for effective clinical management and resource allocation. The study aims to comprehensively describe the clinical and paraclinical features, identify the prevalence of different pneumonia types, and evaluate treatment outcomes among patients admitted to the ICU at An Giang Cardiovascular Hospital.

Healthcare professionals in intensive care, pulmonology, and infectious diseases, particularly in Vietnam, and medical researchers.

This study investigates the characteristics and treatment outcomes of pneumonia, including community-acquired pneumonia and hospital-acquired pneumonia, among patients in the Intensive Care Unit (ICU) at An Giang Cardiovascular Hospital. Utilizing a cross-sectional descriptive design, data from 84 patients admitted between April and September 2024 were analyzed. The findings reveal a high average age of 75.77 years among pneumonia patients, with common clinical presentations including cough (94%) and rales (91.7%), and significant lung damage observed on X-ray (91.7%). Community-acquired pneumonia accounted for 75% of cases, while hospital-acquired pneumonia made up 25%. Microbiological analysis of positive sputum cultures (42.9% of cases) frequently identified Acinetobacter baumannii (36.1%) and Klebsiella pneumoniae (22.2%) as causative agents. Critically, the study highlighted substantial mortality rates: 42.9% for community-acquired pneumonia and a higher 61.9% for hospital-acquired pneumonia, although the statistical significance between these two groups was not reached. These persistently high mortality rates, particularly in the context of hospital-acquired infections, underscore the severe challenges in managing pneumonia in critical care settings. The results emphasize the urgent need for further extensive research with larger sample sizes to enhance the understanding of prognosis and optimize treatment strategies for pneumonia patients in intensive care units, thereby informing local clinical guidelines and improving patient outcomes in regions like An Giang.