TY - JOUR AU - Fedorova, О. О. AU - Valigura, O. I. AU - Saliev, A. Yu. AU - Klushnykova, S. V. PY - 2019/03/29 Y2 - 2024/03/28 TI - PECULIARITIES OF THE CLINICAL COURSE OF COMMUNITY ACQUIRED PNEUMONIA IN THE MILITARY PERSONNEL OF THE ARMED FORCES OF UKRAINE - ANTITERRORISTIC OPERATION PARTICIPANTS JF - Ukrainian Journal of Military Medicine JA - UJMM VL - 19 IS - 1 SE - Archive Articles DO - UR - https://ujmm.org.ua/index.php/journal/article/view/145 SP - 34-39 AB - Relevance. In modern medicine, a great interest in the study of the clinical features of community acquired pneumonia (CAP) is remained. This interest is determined by significant prevalence and high mortality of CAP.Material and methods. 150 military personnel of the Military Forces of Ukraine (MFU) with community acquired pneumonia were included in the study, their average age was 36,6 ± 4,7 years. All the examined patients were divided into two groups: the main group and the comparison group. The main group consisted 68 military personnel of the MFU - participants of the ATO, the comparison group - 82 military personnel of the MFU constant contingent. Patients underwent a comprehensive examination according to modern standards for the diagnosis of CAP. The presence of exogenous and endogenous risk factors for CAP, localization of infiltrative changes in the lungs, and compliations of CAP were analyzed. To evaluate the severity of the CAP the scale SMRT-CO was used.Results. In patients of the main group, the course of CAP was adversely affected by the conditions of combat activity, the presence of more than three risk factors for developing CAP, a high frequency of smoking, foci of chronic infection, exacerbations of chronic diseases, post-traumatic stress disorders, chest injuries, pneumothorax. The radiological examination of the patients of the main group showed a significantly greater volume of damage to the lung tissue, including polysegmental, partial and bilateral lesions. In the main group of patients, a high frequency of complications was observed (54,4%) versus 26,8% in patients of the comparison group. The evaluation of the severity of the CAP on the SMART-CO scale showed that the average sum of points in the military personnel group of the MFU - participants of the ATO was 1,54 ± 0,12. This index was significantly higher in comparison with the index in the group of the permanent contingent – 0,96 ± 0,14 points (p <0,05).Conclusions. The specific features of the clinical course of CAP in military personnel of MFU - participants of the ATO are: adverse effects of risk factors, a greater number of cases of bilateral and polysegmental lung lesions, frequent development of pulmonary and extrapulmonary complications of CAP,  regardless of the severity of CAP, a high frequency of severe course. ER -