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Updated: Aug 19, 2026

Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia
Published on: May 6, 2014
[Pneumonia: errors in outpatient diagnosis and treatment]
Aim:
To reveal errors in diagnosis and treatment of pneumonias in outpatients.
Material And Methods:
The analysis of 345 case records of outpatients.
Results:
It is demonstrated that initially most of the patients had no symptoms and physical data pointing to pneumonia. This may be one of the causes of late diagnosis (29.7%). The first visit to the doctor brought out misdiagnosis--acute respiratory viral infection (ARVI)--in 96.6% cases. The choice of starting antibacterial therapy did not correspond to recommendations of the Standards of Diagnosis and Treatment of Patients with Nonspecific Diseases of the Lungs in 22.8% cases. 20.6% patients of this group demanded change of antibiotics. Unnecessary long-term therapy had place in 11.5% patients. 24-h underdose of antibiotic was given in 18.6%, inadequate dose regimen was registered in 5.6%. Instead of 13.3% patients, 51.3% were hospitalized. Control x-ray examination was performed in 75.9%. Lesions in the lungs remained in 36.5% patients.
Conclusion:
Quality of pneumonia diagnosis and treatment in outpatient setting must be updated.
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