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Evidence-Based Complementary and Alternative Medicine
Volume 2013, Article ID 578274, 16 pages
http://dx.doi.org/10.1155/2013/578274
Research Article

Inpatient Treatment of Community-Acquired Pneumonias with Integrative Medicine

1Department of Homeotherapy, Heidenheim Hospital, Teaching Hospital of The University of Ulm, Schloßhaustraße 100, 89522 Heidenheim, Germany
2Departement of Mathematics, University of Wuppertal, 42119 Wuppertal, Germany
3Departement of CI, University of Ulm, 89081 Ulm, Germany

Received 30 August 2012; Revised 7 February 2013; Accepted 7 March 2013

Academic Editor: Thomas Ostermann

Copyright © 2013 Ulrich Geyer et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. The aim of the presented observational case series was to evaluate the experience in treating patients with community-acquired pneumonia (CAP) within integrative medicine, particularly anthroposophic medicine in a well-experienced and specialized unit. Patients and Methods. Patients with proven CAP were evaluated (CAP-study group) based on a retrospective chart review. To estimate the severity of pneumonia, the pneumonia severity index (PSI) was applied. Treatment efficacy was evaluated regarding body temperature, CRP level, leukocytes blood count, the need to be treated on ICU, and mortality. Results were compared with the inpatient data of the Pneumonia PORT Validation Cohort. Results. 15/18 patients of the CAP-study group belonged to risk class groups I–III (low and moderate risk), 2 patients to risk class IV, and one patient to risk class V (severe pneumonia). 16/18 patients were treated with anthroposophic medicine only and 2/18 got additionally antibiotic therapy (both of risk class IV). A significant reduction of body temperature, CRP level, and leukocytes blood count has been obtained by applying anthroposophic medicine, while neither complications nor pneumonia-related death occurred. Compared with the control group there was no significant difference in mortality rate, whereby no patient had to be treated on the ICU, but the duration of hospital stay was significantly longer in the presented series. Conclusion. Inpatient treatment of CAP with anthroposophic medicine without the use of antibiotics may achieve reasonable results in selected cases. Additional larger sized prospective controlled trials should further clarify the role of AM in the treatment of CAP.