Внебольничная пневмония у пациентов пожилого и старческого возраста


https://doi.org/10.18093/0869-0189-2015-25-3-261-276

Полный текст:


Аннотация

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.


Об авторах

А. А. Бобылев
ГБОУ ВПО «Смоленский государственный медицинский университет» Минздрава России: 214019, Смоленск, ул. Крупской, 28;
Россия

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



С. А. Рачина
Межрегиональная ассоциация по клинической микробиологии и антимикробной химиотерапии: 214019, Смоленск, ул. Кирова, 46а;
Россия

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



С. Н. Авдеев
ФГБУ «НИИ пульмонологии» ФМБА России: 105077, Москва, ул. 11-я Парковая, 32, корп. 4
Россия

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



Р. С. Козлов
ГБОУ ВПО «Смоленский государственный медицинский университет» Минздрава России: 214019, Смоленск, ул. Крупской, 28;
Россия

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



Н. Н. Дехнич
ГБОУ ВПО «Смоленский государственный медицинский университет» Минздрава России: 214019, Смоленск, ул. Крупской, 28;
Россия

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



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Дополнительные файлы

Для цитирования: Бобылев А.А., Рачина С.А., Авдеев С.Н., Козлов Р.С., Дехнич Н.Н. Внебольничная пневмония у пациентов пожилого и старческого возраста.  Пульмонология. 2015;25(3):261-276. https://doi.org/10.18093/0869-0189-2015-25-3-261-276

For citation: Bobylev A.A., Rachina S.A., Avdeev S.N., Kozlov R.S., Dekhnich N.N. Community-acquired pneumonia in elderly and very elderly patients. Russian Pulmonology. 2015;25(3):261-276. (In Russ.) https://doi.org/10.18093/0869-0189-2015-25-3-261-276

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