CLINICAL AND LABORATORY CHARACTERISTICS AND EVALUATION OF CURB-65 IN RISK STRATIFICATION OF COMMUNITY ACQUIRED PNEUMONIA AT PHU THO GENERAL HOSPITAL

Abstract

Overview: Community Acquired Pneumonia (CAP) had diverse clinical and laboratory manifestations in addition to the emerging of drug resistance made it difficult for the diagnosis and prognosis. There is a nessecity for a simple risk stratification at the initial examination. Objectives: (i) To indentify the clinical and laboratory characteristics of CAP; (ii) To evalutate the risk stratification score CURB-65 in the prognosis of CAP. Subjects and Methods: A retrospective study on medical record of 150 patients visited the Out Patient Department of Phu Tho General Hospital from January to September, 2016. Results: Our results showed that the most common clinical manifestations were productive cough, fever, chest pain and dry cough. Lung infiltration on the right side was more common on the chest X ray, serum urea ≥ 7 mmol/L, CRP > 5mg/dl, BC >10.000 G/L. Majority of patient had CURB-65 of 0-2, whereas, very few patients had CURB-65 of 3 and there was no patient with CURB-65 of 4 to 5. Conclusions: Clinical and laboratory manifestation was typical for CAP. CURB-65 was a simple tool for the risk stratification. Most of our patients was in the low risk groups. Key words: Community Acquired Pneumonia (CAP), CURB-65