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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">pulmo</journal-id><journal-title-group><journal-title xml:lang="ru">Пульмонология</journal-title><trans-title-group xml:lang="en"><trans-title>PULMONOLOGIYA</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0869-0189</issn><issn pub-type="epub">2541-9617</issn><publisher><publisher-name>Scientific and Practical Journal “PULMONOLOGIYA” LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18093/0869-0189-2005-0-5-53-60</article-id><article-id custom-type="elpub" pub-id-type="custom">pulmo-2110</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ЛЕКЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LECTIONS</subject></subj-group></article-categories><title-group><article-title>Этиология и патогенез внебольничных пневмоний у взрослых</article-title><trans-title-group xml:lang="en"><trans-title>Etiology and pathogenesis of community-acquired pneumonia in adults</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зубков</surname><given-names>М. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Zubkov</surname><given-names>M. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>Городская клиническая больница № 23 им. "Медсантруд"</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2005</year></pub-date><pub-date pub-type="epub"><day>28</day><month>10</month><year>2005</year></pub-date><volume>0</volume><issue>5</issue><fpage>53</fpage><lpage>60</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Зубков М.Н., 2005</copyright-statement><copyright-year>2005</copyright-year><copyright-holder xml:lang="ru">Зубков М.Н.</copyright-holder><copyright-holder xml:lang="en">Zubkov M.N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://journal.pulmonology.ru/pulm/article/view/2110">https://journal.pulmonology.ru/pulm/article/view/2110</self-uri><abstract><p>.</p></abstract><trans-abstract xml:lang="en"><p>.</p></trans-abstract></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">British Thoracic Society. Guidelines for the management of community acquired pneumonia in Adults. Thorax 2001; 56 (suppl. 4): 1–64.</mixed-citation><mixed-citation xml:lang="en">British Thoracic Society. Guidelines for the management of community acquired pneumonia in Adults. Thorax 2001; 56 (suppl. 4): 1–64.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Woodhead M. Community-acquired pneumonia in Europe: causative pathogens and resistance patterns. Eur. Respir. J. 2002; suppl. 36: 20s–27s.</mixed-citation><mixed-citation xml:lang="en">Woodhead M. Community-acquired pneumonia in Europe: causative pathogens and resistance patterns. Eur. Respir. J. 2002; suppl. 36: 20s–27s.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Lim W.S., Macfalane J.T., Boswell T.C. et al. Study of community-acquired pneumonia aetiology (SCAPA) in adults admitted to hospital: implication for management guidelines. Thorax 2001; 56: 296–301.</mixed-citation><mixed-citation xml:lang="en">Lim W.S., Macfalane J.T., Boswell T.C. et al. Study of community-acquired pneumonia aetiology (SCAPA) in adults admitted to hospital: implication for management guidelines. Thorax 2001; 56: 296–301.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Ноников В.Е., Зубков М.Н., Гугуцидзе Е.Н. Пневмококковая пневмония у лиц старше 60 лет: особенности специфического гуморального иммунного ответа. Пульмонология 1991; 1: 15–19.</mixed-citation><mixed-citation xml:lang="en">Ноников В.Е., Зубков М.Н., Гугуцидзе Е.Н. Пневмококковая пневмония у лиц старше 60 лет: особенности специфического гуморального иммунного ответа. Пульмонология 1991; 1: 15–19.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Farr B.M., Kaiser D.L., Harrison B.D.W., Connolli C.K. Prediction of microbial aetiology at admission to hospital for pneumonia from the presenting clinical features. Thorax 1989; 44: 1031–1035.</mixed-citation><mixed-citation xml:lang="en">Farr B.M., Kaiser D.L., Harrison B.D.W., Connolli C.K. Prediction of microbial aetiology at admission to hospital for pneumonia from the presenting clinical features. Thorax 1989; 44: 1031–1035.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Macfarlane J.T., Finch R.G., Ward M.J., Macrae A.D. Hospital study of adult community-acquired pneumonia. Lancet 1982; 2: 255–258.</mixed-citation><mixed-citation xml:lang="en">Macfarlane J.T., Finch R.G., Ward M.J., Macrae A.D. Hospital study of adult community-acquired pneumonia. Lancet 1982; 2: 255–258.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Зубков М.Н., Гугуцидзе Е.Н. Микробиологические аспекты диагностики пневмоний. Пульмонология 1997; 1: 41–45.</mixed-citation><mixed-citation xml:lang="en">Зубков М.Н., Гугуцидзе Е.Н. Микробиологические аспекты диагностики пневмоний. Пульмонология 1997; 1: 41–45.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Bartlett J.G., Dowell S.F., Mandell L.A. et al. Guidelines from the Infection Diseases Society of America. Practice guidelines for the management of community-acquired pneumonia in adults. Clin. Infect. Dis. 2000; 31: 347–382.</mixed-citation><mixed-citation xml:lang="en">Bartlett J.G., Dowell S.F., Mandell L.A. et al. Guidelines from the Infection Diseases Society of America. Practice guidelines for the management of community-acquired pneumonia in adults. Clin. Infect. Dis. 2000; 31: 347–382.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">American Thoracic Society. Guidelines of the management of adults with community-acquired pneumonia. Diagnosis, assessment of severity, antimicrobial therapy, and prevention. Am. J. Respir. Crit. Care Med. 2001; 163: 1730–1754.</mixed-citation><mixed-citation xml:lang="en">American Thoracic Society. Guidelines of the management of adults with community-acquired pneumonia. Diagnosis, assessment of severity, antimicrobial therapy, and prevention. Am. J. Respir. Crit. Care Med. 2001; 163: 1730–1754.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Thorsteinsson S.B., Musher D.M., Fagan T. The diagnostic value of sputum culture in acute pneumonia. J.A.M.A. 1975; 233: 894–895.</mixed-citation><mixed-citation xml:lang="en">Thorsteinsson S.B., Musher D.M., Fagan T. The diagnostic value of sputum culture in acute pneumonia. J.A.M.A. 1975; 233: 894–895.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Boerner D.F. The value of the sputum Gram stain in community-acquired pneumonia. J.A.M.A. 1982; 247: 642–645.</mixed-citation><mixed-citation xml:lang="en">Boerner D.F. The value of the sputum Gram stain in community-acquired pneumonia. J.A.M.A. 1982; 247: 642–645.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Kalin M., Lindberg A.A., Tuneval G. Etiological diagnosis of bacterial pneumonia by Gram stain and quantitative culture of expectorates. Scand. J. Infect. Dis. 1983; 15: 153–160.</mixed-citation><mixed-citation xml:lang="en">Kalin M., Lindberg A.A., Tuneval G. Etiological diagnosis of bacterial pneumonia by Gram stain and quantitative culture of expectorates. Scand. J. Infect. Dis. 1983; 15: 153–160.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Lentino J.R., Lucks D.A. Nonvalue of sputum culture in the management of lower respiratory tract infection. J. Clin. Microbiol. 1987; 25: 758–762.</mixed-citation><mixed-citation xml:lang="en">Lentino J.R., Lucks D.A. Nonvalue of sputum culture in the management of lower respiratory tract infection. J. Clin. Microbiol. 1987; 25: 758–762.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Glaister D. Early detection of lower respiratory tract infection: the value of Gram-stained sputum smear. Med. Lab. Sci. 1991; 48: 175–177.</mixed-citation><mixed-citation xml:lang="en">Glaister D. Early detection of lower respiratory tract infection: the value of Gram-stained sputum smear. Med. Lab. Sci. 1991; 48: 175–177.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Verhelst R., Kaijalainen T., De Baere T. et al. Comparison of five techniques for identification of optochin-resistant pneumococcus-like isolates. J. Clin. Microbiol. 2003; 41: 3521–3525.</mixed-citation><mixed-citation xml:lang="en">Verhelst R., Kaijalainen T., De Baere T. et al. Comparison of five techniques for identification of optochin-resistant pneumococcus-like isolates. J. Clin. Microbiol. 2003; 41: 3521–3525.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Holmberg H., Holme T., Krook A. Detection of C polysaccharide in Streptococcus pneumoniae in the sputa of pneumonia patients by an enzyme-linked immunosorbent assay. J. Clin. Microbiol. 1985; 22: 111–115.</mixed-citation><mixed-citation xml:lang="en">Holmberg H., Holme T., Krook A. Detection of C polysaccharide in Streptococcus pneumoniae in the sputa of pneumonia patients by an enzyme-linked immunosorbent assay. J. Clin. Microbiol. 1985; 22: 111–115.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Holmberg H., Krook A. Comparison of enzyme-linked immunosorbent assay with coagglutination and latex agglutination for rapid diagnosis of pneumococcal pneumonia by detecting antigen in sputa. Eur. J. Clin. Microbiol. 1986; 5: 282–286.</mixed-citation><mixed-citation xml:lang="en">Holmberg H., Krook A. Comparison of enzyme-linked immunosorbent assay with coagglutination and latex agglutination for rapid diagnosis of pneumococcal pneumonia by detecting antigen in sputa. Eur. J. Clin. Microbiol. 1986; 5: 282–286.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Boeresma W.G., Lowenberg A., Lolloway Y. Pneumococcal capsular antigen detections and pneumococcal serology in patients with community-acquired pneumonia. Thorax 1991; 46: 902–906.</mixed-citation><mixed-citation xml:lang="en">Boeresma W.G., Lowenberg A., Lolloway Y. Pneumococcal capsular antigen detections and pneumococcal serology in patients with community-acquired pneumonia. Thorax 1991; 46: 902–906.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Burman L.A., Trollfors B., Andersson B. Diagnosis of pneumonia by cultures, bacterial and viral antigen detection tests and serology with special reference to antibodies against pneumococcal antigen. J. Infect. Dis. 1991; 163: 1087–1095.</mixed-citation><mixed-citation xml:lang="en">Burman L.A., Trollfors B., Andersson B. Diagnosis of pneumonia by cultures, bacterial and viral antigen detection tests and serology with special reference to antibodies against pneumococcal antigen. J. Infect. Dis. 1991; 163: 1087–1095.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Capeding M.R.Z., Nohynek H., Ruutu P. Evaluation of a new tube latex agglutination test for detection of type-specific pneumococcal antigen in urine. J. Clin. Microbiol. 1991; 29: 1818–1821.</mixed-citation><mixed-citation xml:lang="en">Capeding M.R.Z., Nohynek H., Ruutu P. Evaluation of a new tube latex agglutination test for detection of type-specific pneumococcal antigen in urine. J. Clin. Microbiol. 1991; 29: 1818–1821.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Kok T.W., Marmion B.P., Varkanis G. et al. Laboratory diagnosis of M.pneumoniae infection. Detection IgM antibodies to M.pneumoniae to a modified indirect haemagglutination test. Epidemiol. Infect. 1989; 103: 613–623.</mixed-citation><mixed-citation xml:lang="en">Kok T.W., Marmion B.P., Varkanis G. et al. Laboratory diagnosis of M.pneumoniae infection. Detection IgM antibodies to M.pneumoniae to a modified indirect haemagglutination test. Epidemiol. Infect. 1989; 103: 613–623.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Fedorko D.P., Emery D.D., Franklin S.M., Congdon D.D. Evaluation of a rapid enzyme immunoassay system for serological diagnosis of Mycoplasma pneumoniae infection. Diagn. Microbiol. Infect. Dis. 1995; 23: 85–88.</mixed-citation><mixed-citation xml:lang="en">Fedorko D.P., Emery D.D., Franklin S.M., Congdon D.D. Evaluation of a rapid enzyme immunoassay system for serological diagnosis of Mycoplasma pneumoniae infection. Diagn. Microbiol. Infect. Dis. 1995; 23: 85–88.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Verkooyen R.P., Willemse D., Hiep)van Casteren S.C. et al. Evaluation of PCR, culture and serology for diagnosis of Chlamydia pneumoniae respiratory infections. J. Clin. Microbiol. 1998; 36: 2301–2307.</mixed-citation><mixed-citation xml:lang="en">Verkooyen R.P., Willemse D., Hiep)van Casteren S.C. et al. Evaluation of PCR, culture and serology for diagnosis of Chlamydia pneumoniae respiratory infections. J. Clin. Microbiol. 1998; 36: 2301–2307.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Welti M., Jaton K., Altwegg M. et al. Development of a multiplex real-time quantitative PCR assay to detect Chlamydia pneumoniae, Legionella pneumophila and Mycoplasma pneumoniae in respiratory tract secretions. Diagn. Microbiol. Infect. Dis. 2003; 45: 85–95.</mixed-citation><mixed-citation xml:lang="en">Welti M., Jaton K., Altwegg M. et al. Development of a multiplex real-time quantitative PCR assay to detect Chlamydia pneumoniae, Legionella pneumophila and Mycoplasma pneumoniae in respiratory tract secretions. Diagn. Microbiol. Infect. Dis. 2003; 45: 85–95.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Jones M.E., Blosser)Middleton R.S., Critchley I.A. et al. In vitro susceptibility of Streptococcus pneumoniae, Haemophilus influenzae and Moraxella catarrhalis: a European multicenter study during 2000–2001. Clin. Microbiol. Infect. 2003; 9: 590–599.</mixed-citation><mixed-citation xml:lang="en">Jones M.E., Blosser)Middleton R.S., Critchley I.A. et al. In vitro susceptibility of Streptococcus pneumoniae, Haemophilus influenzae and Moraxella catarrhalis: a European multicenter study during 2000–2001. Clin. Microbiol. Infect. 2003; 9: 590–599.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Sahm D.F., Weaver M.K., Flamm R.K. et al. Antimicrobial susceptibility in Streptococcus pneumoniae recovered from sinus specimens: results from 2000–2003 TRUST surveillance studies. In: 43rd ICAAC, Chicago, IL, USA. Sept. 14–17, 2003. Chicago; 2003. Poster C2–924.</mixed-citation><mixed-citation xml:lang="en">Sahm D.F., Weaver M.K., Flamm R.K. et al. Antimicrobial susceptibility in Streptococcus pneumoniae recovered from sinus specimens: results from 2000–2003 TRUST surveillance studies. In: 43rd ICAAC, Chicago, IL, USA. Sept. 14–17, 2003. Chicago; 2003. Poster C2–924.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Grudinina S.A., Filimonova O.Y., Sidorenko S.V. Surveilance of antibacterial resistance in major pathogens of community-acquired respiratory tract infections in Moscow, Russia, 2004. In: 15th ESCMID, Copenhagen, Denmark, April 2–5, 2005. Copenhagen; 2005. Abstr. P1776.</mixed-citation><mixed-citation xml:lang="en">Grudinina S.A., Filimonova O.Y., Sidorenko S.V. Surveilance of antibacterial resistance in major pathogens of community-acquired respiratory tract infections in Moscow, Russia, 2004. In: 15th ESCMID, Copenhagen, Denmark, April 2–5, 2005. Copenhagen; 2005. Abstr. P1776.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Blosser)Middleton R.S., Sahm D.F., Thornsberry C., et al. Antimicrobial susceptibility of 840 clinical isolates of Haemophilus influenzae collected in four European countries in 2000–2001. Clin. Microbiol. Infect. 2003; 9: 431–436.</mixed-citation><mixed-citation xml:lang="en">Blosser)Middleton R.S., Sahm D.F., Thornsberry C., et al. Antimicrobial susceptibility of 840 clinical isolates of Haemophilus influenzae collected in four European countries in 2000–2001. Clin. Microbiol. Infect. 2003; 9: 431–436.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Чучалин А.Г., Синопальников А.И., Яковлев С.В. и др. Внебольничная пневмония у взрослых: практические рекомендации по диагностике, лечению и профилактике (пособие для врачей). Клин. микробиол. и антимикроб. химиотер. 2003; 5 (3): 198–224.</mixed-citation><mixed-citation xml:lang="en">Чучалин А.Г., Синопальников А.И., Яковлев С.В. и др. Внебольничная пневмония у взрослых: практические рекомендации по диагностике, лечению и профилактике (пособие для врачей). Клин. микробиол. и антимикроб. химиотер. 2003; 5 (3): 198–224.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
