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Profile of bacterial pneumonia during Hajj

BACKGROUND & OBJECTIVES: The congregation of a large number of people during Hajj seasons from different parts of the world in overcrowded conditions within a confined area for a long period of time presents many public health challenges and health risks. One of the main health problems of the c...

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Autores principales: Asghar, Atif H., Ashshi, Ahmad M., Azhar, Esam I., Bukhari, Syed Z., Zafar, Tariq A., Momenah, Aiman M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3121282/
https://www.ncbi.nlm.nih.gov/pubmed/21623036
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author Asghar, Atif H.
Ashshi, Ahmad M.
Azhar, Esam I.
Bukhari, Syed Z.
Zafar, Tariq A.
Momenah, Aiman M.
author_facet Asghar, Atif H.
Ashshi, Ahmad M.
Azhar, Esam I.
Bukhari, Syed Z.
Zafar, Tariq A.
Momenah, Aiman M.
author_sort Asghar, Atif H.
collection PubMed
description BACKGROUND & OBJECTIVES: The congregation of a large number of people during Hajj seasons from different parts of the world in overcrowded conditions within a confined area for a long period of time presents many public health challenges and health risks. One of the main health problems of the crowding is ease transmission of pneumonia by air droplets. This study was aimed to determine the most common causes of bacterial pneumonia during the 2005 Hajj season and to relate the findings with clinical conditions. METHODS: A total of 141 patients with suspected pneumonia from the three main tertiary care hospitals in Makkah, Saudi Arabia, were investigated during Hajj season, 2005. Sputum and serum samples were collected and investigated for the possible presence of typical or atypical causative agents. RESULTS: Of the 141 clinically suspected pneumonia cases, 76 (53.9%) were confirmed positive by microbiological tests. More than 94 per cent of the confirmed cases were in the age group >50 yr, and 56.6 per cent of the cases were men. The most frequent isolates were Candida albicans (28.7%) and Pseudomonas aeruginosa (21.8%), followed by Legionella pneumophila (14.9%) and Klabsiella pneumoniae (9.2%). More than one causative pathogens were isolated in 15 patients (16.3%), and 55 per cent of patients were diabetic. INTERPRETATION & CONCLUSIONS: Clinicians should be aware that typical pneumonia treatment regimens may not work well during the Hajj season due to the wide variety of isolated organisms. This necessitates taking a sputum sample before starting treatment for identification and sensitivity testing. Special precautions need to be taken for >50 yr old patients.
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spelling pubmed-31212822011-07-01 Profile of bacterial pneumonia during Hajj Asghar, Atif H. Ashshi, Ahmad M. Azhar, Esam I. Bukhari, Syed Z. Zafar, Tariq A. Momenah, Aiman M. Indian J Med Res Original Article BACKGROUND & OBJECTIVES: The congregation of a large number of people during Hajj seasons from different parts of the world in overcrowded conditions within a confined area for a long period of time presents many public health challenges and health risks. One of the main health problems of the crowding is ease transmission of pneumonia by air droplets. This study was aimed to determine the most common causes of bacterial pneumonia during the 2005 Hajj season and to relate the findings with clinical conditions. METHODS: A total of 141 patients with suspected pneumonia from the three main tertiary care hospitals in Makkah, Saudi Arabia, were investigated during Hajj season, 2005. Sputum and serum samples were collected and investigated for the possible presence of typical or atypical causative agents. RESULTS: Of the 141 clinically suspected pneumonia cases, 76 (53.9%) were confirmed positive by microbiological tests. More than 94 per cent of the confirmed cases were in the age group >50 yr, and 56.6 per cent of the cases were men. The most frequent isolates were Candida albicans (28.7%) and Pseudomonas aeruginosa (21.8%), followed by Legionella pneumophila (14.9%) and Klabsiella pneumoniae (9.2%). More than one causative pathogens were isolated in 15 patients (16.3%), and 55 per cent of patients were diabetic. INTERPRETATION & CONCLUSIONS: Clinicians should be aware that typical pneumonia treatment regimens may not work well during the Hajj season due to the wide variety of isolated organisms. This necessitates taking a sputum sample before starting treatment for identification and sensitivity testing. Special precautions need to be taken for >50 yr old patients. Medknow Publications 2011-05 /pmc/articles/PMC3121282/ /pubmed/21623036 Text en © The Indian Journal of Medical Research http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Asghar, Atif H.
Ashshi, Ahmad M.
Azhar, Esam I.
Bukhari, Syed Z.
Zafar, Tariq A.
Momenah, Aiman M.
Profile of bacterial pneumonia during Hajj
title Profile of bacterial pneumonia during Hajj
title_full Profile of bacterial pneumonia during Hajj
title_fullStr Profile of bacterial pneumonia during Hajj
title_full_unstemmed Profile of bacterial pneumonia during Hajj
title_short Profile of bacterial pneumonia during Hajj
title_sort profile of bacterial pneumonia during hajj
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3121282/
https://www.ncbi.nlm.nih.gov/pubmed/21623036
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