Ivanov V. V. ()
Chumak B. A.Анатольевич (PhD in Medicine, Colonel, Medical Service Corps, Federal State budgetary educational institution of higher professional education "Military medical Academy named after S.M. Kirov" of the Ministry of defence of the Russian Federation)
Kharitonov M. A. (Doctor of Medicine, Professor, Colonel, Medical Service Corps, Federal State budgetary educational institution of higher professional education "Military medical Academy named after S.M. Kirov" of the Ministry of defence of the Russian Federation)
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The problem of community-acquired pneumonias (CAP) is one of the most urgent in military medicine. The importance of CAP is explained by high incidence in conscripts, severe clinical course of the disease, serious complications, prolonged absence from work, the tendency towards epidemiological spread and the risk of fatalities. It is necessary to improve laboratory research methods implementing express-methods of verification of bacterial and viral agents, to determine specific features of clinical manifestations of viral-bacterial pneumonia and to justify the use of antiviral drugs in their scheme of treatment.
As a result of the conducted research, a more extensive complex of microbiological diagnostics of pneumonias was developed which combines the classical method and express-methods (PCR, enzyme immuno-assay (EIA), immunochromatography method), which gave the opportunity to determine not only bacterial agents, but atypical causative agents and viruses within a short time. These methods helped to discover the modern etiological structure of CAP in soldiers, to reveal the predominance of viral-bacterial pneumonias, to establish the dominance of adenoviral infection over other viruses, to show clinical laboratory peculiarities of the disease depending on the causative agents revealed and to justify the feasibility of additional administering of antiviral drugs besides antibiotics in the complex therapy of viral-bacterial pneumonia.
Keywords:community-acquired pneumonia, severe viral-bacterial pneumonia, immunochromatographic assays, enzyme immunoassay, polymerase chain reaction, viruses, antiviral therapy.
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Citation link:
Ivanov V. V., Chumak B. A., Kharitonov M. A. Modern Aspects of Etiological Diagnostics, Clinical Picture and Treatment of Severe Community-Acquired Pneumonia in Soldiers // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2017. -№07-08. -С. 113-122 |
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