Osobennosti vedeniya bol'nykh vnebol'nichnoy pnevmoniey v Respublike Tatarstan

In the Republic of Tatarstan, a comparative analysis of the provision of medical care to patients with a variety of outcomes of community-acquired pneumonia (CAP) in hospitals in 2009-2011, as well as analysis of changes in the management of these patients during the period from 1999 to 2011, were performed. It has been found that deaths of patients with CAP in the hospitals of Republic of Tatarstan were associated with the presence of HIV infection, infectious and toxic hepatitis, and previous tuberculosis. After excluding these three factors, increased mortality was associated with extremely critical condition at admission, degradation of lung tissue, II-III degree pulmonary insufficiency, increased neutrophils/leukocytes ratio in peripheral blood, and the use of systemic corticosteroids. Factors improving outcomes of CAP in hospital included more complete examination at outpatient stage, hospitalization in pulmonological department, participation of pulmonologist and head of the department in the treatment process. The results of study indicate a decrease of efficiency of III generation cephalosporins, including in combination with macrolides and II generation fluoroquinolones. It was noted that in the Republic of Tatarstan in the period from 1999 to 2011, the providing of medical care to patients with CAP became as close as possible to the requirements of the federal guidelines.

community-acquired pneumonia, treatment, prognosis