pulmoПульмонологияPULMONOLOGIYA0869-01892541-9617Scientific and Practical Journal “PULMONOLOGIYA” LLC10.18093/0869-0189-2015-25-3-261-276pulmo-575Research ArticleПЕРЕДОВАЯ СТАТЬЯEDITORIALВнебольничная пневмония у пациентов пожилого и старческого возрастаCommunity-acquired pneumonia in elderly and very elderly patientsБобылевА. А.BobylevA. A.

к. м. н., ассистент кафедры клинической фармакологии ГБОУ ВПО «Смоленский государственный медицинский университет» Минздрава России; тел.: (4812) 61-13-01;

PhD, Assistant Lecturer at Department of Clinical Pharmacology,  State Institution "Smolensk State Medical University", Healthcare Ministry of Russia; tel.: (4812) 61-13-01;

Andrey.Bobylev@antibiotic.ruРачинаС. А.RachinaS. A.

д. м. н., руководитель отдела фармакоэкономики и фармакоэпидемиологии Межрегиональной ассоциации по клинической микробиологии и антимикробной химиотерапии; тел.: (4812) 45-06-02

MD, Head of Division of Pharmacoeconomics and Pharmacoepidemiology, Interregional Association on Clinical Microbiology and Antimicrobial Chemotherapy; tel.: (4812) 45-06-02

Svetlana.Ratchina@antibiotic.ruАвдеевС. Н.AvdeevS. N.

д. м. н., профессор, руководитель клинического отдела ФГБУ "НИИ пульмонологии" ФМБА России; тел.: (495) 465-52-64;

MD, Professor, Head of Clinical Department, Federal Institution "Pulmonology Research Institute", Federal Medical and Biological Agency of Russia

serg_avdeev@list.ruКозловР. С.KozlovR. S.

д. м. н., профессор, директор НИИ антимикробной химиотерапии ГБОУ ВПО "Смоленский государственный медицинский университет" Минздрава России; тел.: (4812) 45-06-02;

MD, Professor, Director of Scientific and Research Institution of Antimicrobial Chemotherapy, State Institution "Smolensk State Medical University", Healthcare Ministry of Russia; tel.: (4812) 45-06-02;

Roman.Kozlov@antibiotic.ruДехничН. Н.DekhnichN. N.

к. м. н., ассистент кафедры факультетской терапии ГБОУ ВПО "Смоленский государственный медицинский университет" Минздрава России; тел.: (4812) 27-11-06;

PhD, Assistant Lecturer at Department of General Internal Medicine, State Institution "Smolensk State Medical University", Healthcare Ministry of Russia; tel.: тел.: (4812) 27-11-06

n.dekhnich@mail.ruГБОУ ВПО «Смоленский государственный медицинский университет» Минздрава России: 214019, Смоленск, ул. Крупской, 28;РоссияState Institution "Smolensk State Medical University", Healthcare Ministry of Russia: 28, Krupskoy str., Smolensk, 214019, Russia;Russian FederationМежрегиональная ассоциация по клинической микробиологии и антимикробной химиотерапии: 214019, Смоленск, ул. Кирова, 46а;РоссияInterregional Association on Clinical Microbiology and Antimicrobial Chemotherapy: 46a, Kirova str., Smolensk, 214019, Russia;Russian FederationФГБУ «НИИ пульмонологии» ФМБА России: 105077, Москва, ул. 11-я Парковая, 32, корп. 4РоссияFederal Institution "Pulmonology Research Institute", Federal Medical and Biological Agency of Russia: 32, build. 4, 11th Parkovaya str., Moscow, 105077, RussiaRussian Federation201531072015253261276Copyright © Бобылев А.А., Рачина С.А., Авдеев С.Н., Козлов Р.С., Дехнич Н.Н., 20152015Бобылев А.А., Рачина С.А., Авдеев С.Н., Козлов Р.С., Дехнич Н.Н.Bobylev A.A., Rachina S.A., Avdeev S.N., Kozlov R.S., Dekhnich N.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.pulmonology.ru/pulm/article/view/575

Внебольничная пневмония (ВП) – одно из наиболее часто встречающихся инфекционных заболеваний в развитых странах. Хроническая сердечная недостаточность (ХСН) является независимым фактором риска неблагоприятного течения и прогноза при ВП. Необходимость более широкого использования в рутинной практике мультиспиральной компьютерной томографии органов грудной клетки и определения сывороточных биомаркеров воспаления обусловлена объективными трудностями клинической, рентгенологической, лабораторной и микробиологической диагностики ВП у пациентов пожилого и старческого возраста с ХСН. Системная антибактериальная терапия у данной категории больных проводится в соответствии с общепринятыми стандартами. Однако рассматриваемая популяция пациентов является гетерогенной, поэтому при разработке персонализированного подхода к терапии должны учитываться различные факторы риска.

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The authors declare that there are no conflicts of interest present.