TherapyTherapyТерапия2412-40362713-1823Bionika Media62453710.18565/therapy.2023.6.50–58REVIEWSОБЗОРЫReview ArticleBased on materials of community-acquired pneumonia – an European Federation of internal medicine guideline critical appraisal adaptation for internists: important answers to difficult questionsПо материалам обзора клинических рекомендаций Европейской Федерации внутренней медицины по внебольничной пневмонии: важные ответы на сложные вопросыhttps://orcid.org/0000-0001-8614-6542KokorinValentin A.КокоринВалентин Александрович
Russian Federation

md, associate professor, professor of the department of hospital therapy

д.м.н., доцент, профессор кафедры госпитальной терапии

valentinkokorin@yahoo.comhttps://orcid.org/0000-0001-7825-5597LarinaVera N.ЛаринаВера Николаевна
Russian Federation

md, professor, head of the department of policlinic therapy

д.м.н., доцент, профессор кафедры госпитальной терапии

valentinkokorin@yahoo.comhttps://orcid.org/0000-0001-9002-7749LunevDmitri I.ЛуневВиктор Иванович
Russian Federation

assistant at the department of policlinic therapy

ассистент кафедры поликлинической терапии лечебного факультета

sandvit@ya.ruhttps://orcid.org/0000-0001-5959-6759SuvorovaNatalia A.СувороваНаталья Александровна
Russian Federation

assistant at the department of hospital therapy

ассистент кафедры госпитальной терапии

natalia-suvorova@inbox.ruN.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of RussiaФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России150620239650581312202313122023Copyright ©; 2023, Bionika MediaCopyright ©; 2023, ООО «Бионика Медиа»2023Bionika MediaООО «Бионика Медиа»https://journals.eco-vector.com/2412-4036/article/view/624537

A brief review of the clinical guidelines of the European Federation of Internal Medicine on community-acquired pneumonia (CAP), prepared in the form of answers to unsolved clinical questions in the PICO format (P – patient /I – intervention/ C – comparison/ O – outcomes), regarding the peculiarities of managing patients with multimorbidity is presented. The necessity of identification of respiratory viruses in the initial diagnosis of CAP during respiratory virus season, the use of clinical prediction rule for prognosis as an additional method for decision-making concerning the need and place of hospitalization, and the assessment of drug interactions in multimorbid patients with CAP while choosing antimicrobial therapy (AMT) are discussed. Attention is paid to the factors that should be considered before starting AMT in both outpatient and inpatient settings and biomarkers of infection to manage AMT.

В статье представлен краткий обзор клинических рекомендаций Европейской федерации внутренней медицины по внебольничной пневмонии (ВП), подготовленный в виде ответов на актуальные вопросы в формате PICO (П – пациент/P – patient; В – вмешательство/ I – intervention; С – сравнение/C – comparison; И – исходы/O – outcomes), касательно особенностей ведения пациентов в разных клинических ситуациях. Обсуждается необходимость идентификации респираторных вирусов при первичной диагностике ВП во время сезонных вспышек заболеваемости, применения прогностических шкал в качестве дополнительного метода для принятия решения о необходимости и месте госпитализации, оценки межлекарственных взаимодействий у мультиморбидных пациентов с ВП при выборе антибактериальной терапии (АБТ). Уделяется внимание факторам, которые следует учитывать перед началом АБТ как в амбулаторных, так и госпитальных условиях, а также биомаркерам инфекции для контроля за назначением АБТ.

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