N.E. AFANASIEV¹, O.Yu. POZDNYAKOVA²

 ¹City Clinical Polyclinic No. 5, Stavropol

²Stavropol State Medical University of the Ministry of Health of the Russian Federation, Stavropol

  Contact details:

Afanasiev N.E. — PhD (medicine), therapist

Address: 15 Zarechniy proezd, Stavropol, Russian Federation, 355026, tel.: +7-928-813-70-88, e-mail: dvamedika03@yandex.ru

A retrospective analysis of medical documentation of 1134 patients with community-acquired pneumonia in round-the-clock hospitals in the Shpakovsky district of Stavropol Territory was carried out. The sensitivity of the main bacterial pathogens of the disease, such as Streptococcus pneumonia, Enterobacteriacea spp., Staphylococcus aureus, Streptococcus spp., Haemophilus influenza, was determined in 65.0% of patients. The search for epidemiologically significant pathogens of the respiratory tract infectious pathology, such as Mycoplasma pneumoniae, Chlamydia pneumoniae, was not carried out during the analyzed period. The wrong choice of starting antibiotic therapy was made in 34% of cases. In half of the hospitalized patients the antibiotic therapy effectiveness was reviewed. Evaluation of the antibacterial therapy results showed a violation of the management tactics in patients with community-acquired pneumonia and its inconsistency with clinical recommendations. The identified problems of therapy in patients with community-acquired pneumonia led to long periods of hospitalization and increased health care costs.

Key words: community-acquired pneumonia, antibacterial therapy, bacteriological examination, resistance.

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