Abstract
SummaryThe purpose of the work is to determine the clinical, diagnostic and treatmentfeatures of severe community-acquired pneumonia CAP (S CAP) in servicemen ofdifferent age groups.Materials and methods. 74 medical cards of male-patients with a SCAP, who wereexamined and treated in the Pulmonology clinic of the National Military MedicalClinical Center «The Main Military Clinical Hospital» of the Ministry of Defense ofUkraine in 2018–2019, were analyzed. Patients were allocated to three groups235according to their age: 1 group – 17 servicemen, the average age of patients in thisgroup was (41.4±4.2) years; Group 2 – 28 servicemen, whose average age was(31.5±2.9) years; the 3rd group included 29 patients, the average age of patients –(22.1±1.7) years. All patients underwent X-ray examination of the chest in direct andlateral projections and general clinical methods of examination.Results. A high percentage of smokers was found in all groups of patients. Bodymass index in groups 2 and 3 of patients corresponded to normal values. 96.5% ofservicemen of group 1 and 67.9% of servicemen from group 2 were hospitalized within1–2 days from the beginning of the disease. Among concomitant diseases, acute sinusitiswas found in patients of groups 2 and 3 – 21.4% and 48.3%, respectively. Stage Ihypertension was found in 17.6% patients of group 1. Patients in groups 2 and 3 had asignificantly higher proportion of bilateral lesions and multiple pneumonic infiltration,while in group 1 the percentage of patients with unilateral pneumonic infiltrationprevailed – 76.4%.Conclusions. The predominant number of cases of SCAP (82.8%) depends on theseason of the year and is observed in the winter-spring period. Young servicemen(conscripts and under contract) are hospitalized in 96.5% and 67.9%, respectively,within 1–2 days from the onset of the disease. A high frequency of infectious-toxic shock(51.7%) and infectious myocarditis (31.1%) was found in servicemen with an averageage of (22.1±1.7) years, while in the older age group exudative pleurisy prevailed –58.9%.
Published Version
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