The impact of some clinical and anamnestic indicators on the formation and characteristics of risk factors for the development of community-acquired pneumonia in military personnel
Abstract
In order to identify risk factors for the development of the disease and their characteristics in military personnel with community-acquired pneumonia (CAP), medical documentation was analyzed. A total of 627 case histories were analyzed: Group 1 – 517 sick servicemen of the Armed Forces of Azerbaijan (273 people were stationary and 240 were outpatients); Group 2 – 110 civilian patients. The groups are represented by men comparable in age (p> 0.05). Characteristic risk factors for CAP among military personnel were hypothermia, low adaptation capabilities of the organism, the factor of many children, with low and below average social standards of living (59.6% and 31.8%, respectively, groups, p<0.01), rural (village) region of residence, frequent respiratory infections, and a history of smoking. The peak of the incidence of CAP with a significant prevalence among military personnel compared to civilians was at the age of 18-22 years (80% and 62% of cases, respectively, p<0.01). The military personnel of the first 6 months of service showed sharply reduced functional capabilities of the organism with a low degree of adaptation (AP 4.1±0.07 and 3.8±0.05 points, respectively, periods), which contributed to a difficult and long-term adaptation to the military field and barracks conditions and was a stressful risk factor for VP. The most common interim civilian service was observed in the military in the second trimester of military service – 36.4%, i.e. in terms from 3 to 6 months from the beginning of the service.
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