Pneumonia in Patients with Chronic Kidney Disease Admitted to Nephrology Department of a Tertiary Care Center: A Descriptive Cross-sectional Study

Introduction: Chronic Kidney Disease is an independent risk factor for pneumonia. The risk of hospitalization, Intensive Care Unit and ventilator requirement, in-hospital death is high in pneumonia patients with chronic kidney disease. This study aims to find the prevalence of pneumonia in patient...

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Autores principales: Abhishek Pant, Astha Prasai, Anmol Kumar Rauniyar, Laxman Adhikary, Krity Basnet, Tunam Khadka
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Publicado: Nepal Medical Association 2021
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spelling oai:doaj.org-article:d52fc51397ec46af8cf844ac65bf09e12021-11-07T19:11:40ZPneumonia in Patients with Chronic Kidney Disease Admitted to Nephrology Department of a Tertiary Care Center: A Descriptive Cross-sectional Study10.31729/jnma.70740028-27151815-672Xhttps://doaj.org/article/d52fc51397ec46af8cf844ac65bf09e12021-10-01T00:00:00Zhttps://www.jnma.com.np/jnma/index.php/jnma/article/view/7074https://doaj.org/toc/0028-2715https://doaj.org/toc/1815-672X Introduction: Chronic Kidney Disease is an independent risk factor for pneumonia. The risk of hospitalization, Intensive Care Unit and ventilator requirement, in-hospital death is high in pneumonia patients with chronic kidney disease. This study aims to find the prevalence of pneumonia in patients with chronic kidney disease admitted to nephrology department of a tertiary care center. Methods: A descriptive cross-sectional study was conducted among all the hospital records of pneumonia patients with Chronic Kidney Disease admitted to the Nephrology department between April 2019 and April 2021. Ethical clearance was obtained from the Institutional Review Committee of same institute (Reference number: 0505202106). Statistical Package for the Social Sciences version 20 was used for analysis. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Of the total 407 patients with Chronic Kidney Disease, 78 (19.1%) (95% Confidence Interval= 15.28-22.92) had pneumonia. Among the 78 pneumonia patients, 17 (21.8%) were Stage 3, 13 (16.7%) Stage 4 and 48 (61.5%) Stage 5 of chronic kidney disease. Forty Seven (60.3%) required Intensive Care Unit (ICU), 19 (24.4%) required ventilator and 22 (28.2%) of the patient expired in hospital. The most commonly isolated organisms were Severe Acute Respiratory Syndrome Coronavirus 2 which was 13 (16.6%) followed by Strepotococcus pneumoniae which was 8 (10.2%). Conclusions: The prevalence of pneumonia in Chronic Kidney Disease was observed higher in our study compared to other studies. Abhishek PantAstha PrasaiAnmol Kumar RauniyarLaxman AdhikaryKrity BasnetTunam KhadkaNepal Medical AssociationarticleckdpneumoniahemodialysisMedicine (General)R5-920ENJournal of Nepal Medical Association, Vol 59, Iss 242 (2021)
institution DOAJ
collection DOAJ
language EN
topic ckd
pneumonia
hemodialysis
Medicine (General)
R5-920
spellingShingle ckd
pneumonia
hemodialysis
Medicine (General)
R5-920
Abhishek Pant
Astha Prasai
Anmol Kumar Rauniyar
Laxman Adhikary
Krity Basnet
Tunam Khadka
Pneumonia in Patients with Chronic Kidney Disease Admitted to Nephrology Department of a Tertiary Care Center: A Descriptive Cross-sectional Study
description Introduction: Chronic Kidney Disease is an independent risk factor for pneumonia. The risk of hospitalization, Intensive Care Unit and ventilator requirement, in-hospital death is high in pneumonia patients with chronic kidney disease. This study aims to find the prevalence of pneumonia in patients with chronic kidney disease admitted to nephrology department of a tertiary care center. Methods: A descriptive cross-sectional study was conducted among all the hospital records of pneumonia patients with Chronic Kidney Disease admitted to the Nephrology department between April 2019 and April 2021. Ethical clearance was obtained from the Institutional Review Committee of same institute (Reference number: 0505202106). Statistical Package for the Social Sciences version 20 was used for analysis. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Of the total 407 patients with Chronic Kidney Disease, 78 (19.1%) (95% Confidence Interval= 15.28-22.92) had pneumonia. Among the 78 pneumonia patients, 17 (21.8%) were Stage 3, 13 (16.7%) Stage 4 and 48 (61.5%) Stage 5 of chronic kidney disease. Forty Seven (60.3%) required Intensive Care Unit (ICU), 19 (24.4%) required ventilator and 22 (28.2%) of the patient expired in hospital. The most commonly isolated organisms were Severe Acute Respiratory Syndrome Coronavirus 2 which was 13 (16.6%) followed by Strepotococcus pneumoniae which was 8 (10.2%). Conclusions: The prevalence of pneumonia in Chronic Kidney Disease was observed higher in our study compared to other studies.
format article
author Abhishek Pant
Astha Prasai
Anmol Kumar Rauniyar
Laxman Adhikary
Krity Basnet
Tunam Khadka
author_facet Abhishek Pant
Astha Prasai
Anmol Kumar Rauniyar
Laxman Adhikary
Krity Basnet
Tunam Khadka
author_sort Abhishek Pant
title Pneumonia in Patients with Chronic Kidney Disease Admitted to Nephrology Department of a Tertiary Care Center: A Descriptive Cross-sectional Study
title_short Pneumonia in Patients with Chronic Kidney Disease Admitted to Nephrology Department of a Tertiary Care Center: A Descriptive Cross-sectional Study
title_full Pneumonia in Patients with Chronic Kidney Disease Admitted to Nephrology Department of a Tertiary Care Center: A Descriptive Cross-sectional Study
title_fullStr Pneumonia in Patients with Chronic Kidney Disease Admitted to Nephrology Department of a Tertiary Care Center: A Descriptive Cross-sectional Study
title_full_unstemmed Pneumonia in Patients with Chronic Kidney Disease Admitted to Nephrology Department of a Tertiary Care Center: A Descriptive Cross-sectional Study
title_sort pneumonia in patients with chronic kidney disease admitted to nephrology department of a tertiary care center: a descriptive cross-sectional study
publisher Nepal Medical Association
publishDate 2021
url https://doaj.org/article/d52fc51397ec46af8cf844ac65bf09e1
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AT kritybasnet pneumoniainpatientswithchronickidneydiseaseadmittedtonephrologydepartmentofatertiarycarecenteradescriptivecrosssectionalstudy
AT tunamkhadka pneumoniainpatientswithchronickidneydiseaseadmittedtonephrologydepartmentofatertiarycarecenteradescriptivecrosssectionalstudy
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