ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ ĐÁNH GIÁ THANG ĐIỂM CURB-65 Ở BỆNH NHÂN VIÊM PHỔI CỘNG ĐỒNG

Abstract

Background: Community-acquired pneumonia (CAP) is an acute respiratory infection that usually be recovered by the treatment, except significant comorbidities. Clinical manifestations are varied and achieving the effective treatment is necessary to make the right diagnosis and classification of severity. Objectives: Describing the clinical, subclinical features and evaluation of CURB-65 scores of patients with CAP at Can Tho University of Medicine and Pharmacy Hospital. Materials and methods: a cross sectional descriptive study. Convenient sampling method, including 84 patients had diagnosed with CAP from May 2018 to April 2019. Results: Clinical: cough with sputum (79.8%), dyspnea (65.5%), fever (52.4%). Subclinical: Increasing of white blood cells > 10,000/mm3 (67.9%), The average is 12.400/mm3; CRP > 10mg/L (83.3%), The average is 69.3mg/L. Chest radiograph: Having damage on both sides (44%), the measure of damage on the right is higher than the left (23.8%, 10.7%), the most common is alveolar damage (57.6%). CURB65 score: 0 point (14.3%); 1 point (45.2%), 2 points (38.1%), 3 points (2.4%). Conclusion: Common clinical symptoms are cough with sputum, dyspnea, fever. Subclinical: the average of white blood cells is 12.400/mm3; the average of CRP is 69.3mg/L; alveolar damage is the most common symptom on Chest radiograph. The longer period of hospitalization related to the higher the CURB65 score.