COMMUNITY-ACQUIRED PNEUMONIA IN MILITARY PERSONNEL WITH COAL MINING IN ANAMNESIS

Abstract

Study objectives: Diagnostics and treatment of community-acquired pneumonia (CAP) and recovery from it in military personnel having coal mining in anamnesis. Material and methods: All patients examined were divided into two statistically matched study groups, each including 100 CAP patients, the main group with and the control group without coal mining in anamnesis. Results and discussion: Complaints about coughing were reported more frequently in the main group, and fever above 38° C was more frequent in the control group. Auscultation revealed focal pulmonary lesions equally often in both groups. Respiratory failure was more frequent in the main group. The mean in-hospital time was significantly higher, and the mean duration of respiratory failure remissions was lower in the main group. A significant decrease in the adaptation index was found only in the control group. Conclusions: Compromised adaptation to adverse and hazardous conditions of military service is likely to be caused in the main group by the prior occupation associated with alterations in the functions of the cardiovascular system and, probably, of the nervous system. After CAP, such servicemen are in need of rehabilitation with the main objective to ensure their adaptation to the conditions of military service and thus to enhance their workability and optimize their functional conditions.