Community-acquired and nosocomial pneumonia: semiotics of lung damage, microbiological spectrum and sensitivity of pathogens to antibiotics.

The localization of pneumonia, the microbiological spectrum and the sensitivity of pathogens to antibiotics in community-acquired and nosocomial pneumonia has been studied. The material for the study served as medical records of patients who were treated in clinics of the S.M.Kirov Military Medical Academy in the period from 2010 to 2017. The data obtained showed that pneumonia is more often localized in the lower lobes of the lungs. The main causative agent of community-acquired pneumonia is Streptococcus pneumoniae, nosocomial pneumonia is Klebsiella pneumoniae. Revealed high antibiotic resistance to pathogens of pneumonia. The causative agent of Klebsiella pneumoniae was resistant to the entire spectrum of antimicrobial agents studied, maintaining sensitivity in some cases only to colistin. Bacteriological analysis of pneumonia pathogens is necessary for subsequent timely targeted antibiotic therapy. Therefore, for effective treatment of pneumonia, it is important to continuously monitor pathogens and their sensitivity to antibiotics.

nosocomial pneumonia, community-acquired pneumonia, microbiological spectrum of pathogens, sensitivity to antibiotics