The Distribution of Clinical Features of Brucellosis Patients at Different Stages

บทคัดย่อ

          The purpose of this research is to study the factors affecting the progression of brucellosis and to provide scientific suggestions for the prevention and treatment of brucellosis. it is a quality research Data Collection by brucellosis patients (symptoms, signs, complications and examination indicators) and follow-up information (general characteristics, medication compliance, behavioral habits, contact with livestock and psychological conditions) were collected from two infectious disease hospitals. Chi-square test was used to find out the factors affecting the progression of brucellosis by orderly multiple classification logistic regression model. and Analytical by using descriptive analysis.
          The research results found that in a study of 569 confirmed brucellosis cases, patients were found in different stages—47.10% in the acute stage, 27.42% in the subacute stage, and 25.48% in the chronic stage. These patients, with a mean age of 57.09 years, predominantly included males (69.95%) and individuals working as farmers or herdsmen (76.45%). Common symptoms observed were fever (79.79%), fatigue (61.69%), and loss of appetite (51.67%), with weight loss being a prominent sign (22.85%). Lab results showed elevated C-reactive protein (70.83%) and erythrocyte sedimentation rate (50.79%). Significant differences were noted in symptoms and lab findings across different stages, with acute cases showing distinct patterns compared to chronic cases. The study concluded that the diagnostic accuracy for brucellosis remains low and emphasized the importance of using specific differential indexes for different stages to improve clinical diagnosis in relevant medical institutions.