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Etiology of fatal community-acquired pneumonia in adults

https://doi.org/10.18093/0869-0189-2008-0-6-53-58

Abstract

Pathogens of fatal community-acquired pneumonia have been studied in 63 adult patients from Smolensk city and Yartsevo town of Smolensk region using autopsy material. Pneumonia was confirmed during histological exanimation in 57 (90.5 %) of the patients. Bacterial pathogens were identified in 91.2 % of the confirmed pneumonias, among them one type of pathogens was yielded in 75% and bacterial associations were identified in 25 % of the cases. The most prevalent pathogens were K. pneumoniae, S. aureus, S. pneumoniae and H. influenzae (31.4, 28.6, 12.9 and 11.4 % of all the identified strains, respectively). Comorbidity (alcohol abuse, chronic heart disease, chronic respiratory disease) was an important factor predetermining pathogen spectrum and poor outcome of the disease.

About the Authors

N. V. Ivanchik
ГОУ ВПО "Смоленская государственная медицинская академия"
Russian Federation


S. N. Kozlov
ГОУ ВПО "Смоленская государственная медицинская академия"
Russian Federation


S. A. Rachina
ГОУ ВПО "Смоленская государственная медицинская академия"
Russian Federation


O. I. Krechikova
ГОУ ВПО "Смоленская государственная медицинская академия"
Russian Federation


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For citations:


Ivanchik N.V., Kozlov S.N., Rachina S.A., Krechikova O.I. Etiology of fatal community-acquired pneumonia in adults. PULMONOLOGIYA. 2008;(6):53-58. (In Russ.) https://doi.org/10.18093/0869-0189-2008-0-6-53-58

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ISSN 0869-0189 (Print)
ISSN 2541-9617 (Online)