Acute bacterial community-acquired pneumonia in intensive care

This was a retrospective descriptive single-center study that included all patients hospitalized in intensive care for bacterial CAP between January 1 2008 and July 31 2015. During the study period 330 patients were diagnosed with bacterial CAP with an overall incidence of 8.6%. The average age was 59 years with a predominance of males. At least one previous medical condition was noted in 84% of patients. A Fine class ≥ IV and a CURB-65 score ≥ 4 were noted in 67% and 30% of patients respectively. Upon admission 73% presented at least one sign of severity. Mechanical ventilation was required on admission in 64% of patients. S. pneumoniae was the most frequently isolated pathogen (30.3%). Empirical antibiotic therapy was dual therapy in 52% of cases. At least one complication was noted in 44% of patients. The mortality rate was 30.6%. The average cost of a patient admitted to intensive care for CAP ranged from 906 to 3596 Tunisian dinars.