NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG, MỘT SỐ YẾU TỐ LIÊN QUAN CỦA VIÊM PHỔI MẮC PHẢI CỘNG ĐỒNG SAU NHIỄM COVID-19

Abstract

Background: Community acquired pneumonia (CAP) is one of the leading causes of hospitalization, death and the leading medical expense; CAP post COVID-19 is new and has not been researched yet. Objectives: To study clinical and paraclinical manifestation, related factors of CAP post COVID-19. Material and methods: A sectional descriptive study was conducted on 127 patients in Can Tho General hospital from July 2022 to April 2023. Results: The common functional symptoms were 94.5% cough, 93.2% sputum cough, 47.4% dyspnea, fever 66.3%, and 11.7% chest pain. The common physical symptoms were 88.3% fine crackle, 11.8% coarse crackle. Mean white blood cell counts were 13024±59.02/mm3, median CRP=70 mg/L, mean PaO2 80.45±24.5mmHg, ratio PaO₂/FiO₂ 245.31±81.97. On chest X-ray, 79.7% of patients with alveolar lesions, 19.5% of interstitial lesions, and 23.4% fleural effusion. Risk factor of SCAP post COVID-19 were post COVID-19 syndrome. Conclusion: Clinical and paraclinical manifestation of community acquired pneumonia is very diverse, post COVID-19 syndrome was risk factor of SCAP post COVID-19.