LRTI-SYSTEMATIC APPROACHES TO DIAGNOSIS AND EFFECTIVE THERAPEUTIC MANAGEMENT

Introduction: Lower Respiratory Tract pulls in air from the upper respiratory tract, absorbs oxygen and release carbon dioxide in exchange, infection to this is known as LRTI. It includes Bronchitis, Bronchiolitis, Influenza, Pneumonia, COPD and Asthma. Patients were treated with many medications like Bronchodilators, antibiotics and antivirals. Objectives: To evaluate treatment assessment of respiratory disease condition in hospital along with monitoring comorbid conditions, diagnosis, risk effecting agents, length of stay, effective treatment. Methodology: This prospective observational study conducted in Mallige Hospital, Bengaluru, India for 6 months from January to June in 2024. Total 316 patients were enrolled, data was collected from ICU, MRD, OPD, Wards from Pulmonology department under guidance of physician. Results: Out of 316 participants 54% were male and 46% were female within majority age group 61-80 years and 48% were overweight. Higher comorbid conditions are hypertension (198) and diabetes mellitus (134). Chief complaints were coughing (74.6%) and breathlessness (74%). In 98% individual ECG was advised. In spirometry analysis 66% subjects had 60% FEV1 and FVC value, 50% had less than that. 49.60% were diagnosed with asthma and COPD. Patients were majorly treated with Mucolytics (92.70%) and corticosteroids (83.80%), with treatment management showing the p –value (p=0.002). Conclusion: The current study reveals the LRTI approaches to diagnose and effective therapeutic management in tertiary care hospital has shown positive outcome.