Пневмонии в домах престарелых: современный взгляд на проблему

Клиническая Микробиология и Антимикробная Химиотерапия. 2007; 9(1):4-19

​ Синопальников А.И., Андреева И.В., Стецюк О.У.
пневмония пожилые эпидемиология антибактериальная терапия профилактика
Раздел
Болезни и возбудители
Тип
Журнальная статья
Публикация
Клиническая Микробиология и Антимикробная Химиотерапия. 2007; 9(1):4-19

Аннотация

Пневмонии являются часто встречающимися инфекциями у пациентов, проживающих в домах престарелых и учреждениях длительного ухода, отличаются тяжёлым течением и высокой летальностью. Значительная распространённость этой нозологии, трудности диагностики и неудовлетворительные исходы лечения, наряду с прогнозируемым увеличением численности лиц, проживающих в домах престарелых, диктуют необходимость тщательного изучения данной проблемы для разработки эффективных мер профилактики и лечения. В обзоре представлены имеющиеся на сегодняшний день сведения о эпидемиологии, факторах риска, этиологии, патогенезе, особенностях клинической картины пневмонии у данной категории пациентов. Приведены подходы к диагностике и тактике ведения пожилых пациентов с пневмонией; рассмотрены современные рекомендации по антимикробной терапии; проанализированы подходы к специфической и неспецифической профилактике данной инфекции в домах престарелых и учреждениях длительного ухода.

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