An audit of sputum culture test in patients admitted to a county hospital with community acquired pneumonia

Title: An audit of sputum culture test in patients admitted to a county hospital with community acquired pneumonia
Author(s): MK.Rana,A Rafi,M Muzamil,S.Rizvi
Institution: Mayo University Hospital Castlebar
Poster: Click to view poster
Category: General Respiratory and Sleep
Abstract: The British Thoracic society guidelines suggest that microbiological investigations including blood cultures, sputum cultures, pneumococcal urine antigen and pleural fluid microscopy if present, should be performed in patients with moderately severe community acquired pneumonia.
The aim of the audit was to identify whether sputum culture investigation is being performed as per BTS guidelines in Mayo university hospital Castlebar in patients with community acquired pneumonia.Retrospective data was collected for patients admitted with community acquired pneumonia in October 2019.
Out of 57 patients diagnosed with community acquired pneumonia, 47 had radiological confirmed pneumonia. Sputum culture was sent in 11 patients out of which organisms were isolated in 6 patients. 3 patients were positive for E Coli, 1 for both E Coli and Pseudomonas, 1 for Pseudomonas and 1 patient had positive sputum culture for Citrobacter farmer.
This audit showed poor adherence to BTS guidelines for testing of sputum culture in moderate to severe community acquired pneumonia. All medical teams were updated about BTS guidelines for microbiological investigations needed in the management of moderate to severe community acquired pneumonia and re audit should be performed.