Saratov JOURNAL of Medical and Scientific Research

community acquired pneumonia

Community-acquired pneumonia: biomarkers of inflammation and Omega-3 polyunsaturated fatty acids

Year: 2014, volume 10 Issue: №1 Pages: 173-178
Heading: Parmacology Article type: Review
Authors: Burbello A.T., Gaikovaya L.B., Pokladova M.V., Komok M.V., Kostyitsyna M.A.
Organization: North-West State Medical University n.a. I.I. Mechnikov, Department of Neuropathology Assistant Professor, Candidate of Medical Science
Summary:

Based on the published data the role of inflammation in development of pneumonia has been discussed. The role of inflammatory mediators and laboratory markers for diagnostics of community acquired pneumonia is evaluated, as well as prognostic role of different biomarkers of inflammation, available for clinical laboratories, but not widely used in daily clinical practice. Influence of Omega-3 polyunsaturated fatty acids on inflammatory processes and possibilities to use them in the treatment of community acquired pneumonia is also discussed in the study.

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Problems and solutions on issues of medical care quality in community-acquired pneumonia in hospitals of Saratov region

Year: 2011, volume 7 Issue: №2 Pages: 368-372
Heading: Health Service Organization Article type: Original article
Authors: Erugina M.V., Grozdova T.Yu., Savinov V.A. Sazanova G.Yu.,Dolgova E.M., Lotsmanov Yu.F., Ushakov Yu.V.
Organization: Saratov State Medical University
Summary:

Qualitative assessment of diagnostics and treatment of patients with community-acquired pneumonia (CAP) was carried out in ten therapeutic departments of urban and district hospitals of Saratov region, using quality indicators (Qls). Each case of CAP was assessed in expert health care quality (HCQ) card according to the diagnostic and treatment quality federal standards and the basic Ql. The application of Ql in CAP patients allowed revealing the following: low CAP agent isolation rate; late hospitalization of CAP patients; low frequency of sputum bacteriological and bacterioscopic investigations prior to antibiotic therapy; insufficient frequency of step-by-step introduction of antibiotics. Recommendations on CAP patients dispenserization were not properly prescribed; recommendations on vaccination were absent. The basic measures of HCQ improvement are as follows: organizing for each CAP patient therapeutic and diagnostic quality control according to Ql; quick administrative decisions; using of HCQ expertise during the first 2-3 days of treatment to correct diagnosis and treatment; optimizing hospital diagnostic resources (laboratory and instrumental) and rational pharmacotherapy

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Identification of acute lower respiratory tract infections by transresonant functional topography in medical military post

Year: 2011, volume 7 Issue: №1 Pages: 073-076
Heading: Internal Diseases Article type: Original article
Authors: Lebedeva M.N., Streltsova E.V., Terehov I.V., Khatskevich V.L.
Organization: Saratov Military Medical Institute, Medical Unit 21222
Summary:

Community-acquired pneumonia (CAP) is usually characterized by absence of clinical signs. Rapid diagnostic tests with high sensitivity for lower respiratory tract infections (LRTI) could lead to improved patient care. 97 servicemen with LRTI were analyzed to compare radiological, clinical and transresonant functional topography (TRFT) findings in the differential diagnosis of CAP The research data revealed that TRFT findings improve the assessment of pneumonia based on carefully taken case history and physical examination. TRFT data contributed to development of treatment course algorithm in case of acute respiratory tract infection

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EXPERIENCE OF RESPIRATORY FLUOROHINOLONUM LAEVOFLOXACINE APPLICATION («FLORACID®») IN PATIENTS WITH NON-SEVERE COMMUNITY-ACQUIRED PNEUMONIA

Year: 2007, volume 3 Issue: №3 Pages: 65-67
Heading: Internal Diseases Article type: Original article
Authors: A.P. Rebrov, E.Yu. Ponomarеva, I.A. Amirova
Organization: Saratov State Medical University
Summary:

The dynamics of clinical and laboratory parameters in patients with community-acquired pneumonia were studied during the treatment with respiratory fluorohinolonum laevofloxacin «Floracid®». The high efficiency and safety of «Floracid®» were revealed during the research.

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Interferon Tiloron Inductor Usage in Complex Therapy at Patients with Community-Acquired Pneumonia

Year: 2009, volume 5 Issue: №2 Pages: 187-190
Heading: Internal Diseases Article type: Original article
Authors: O.A. Kiseleva, G.N. Shemetova, N.B. Zakharova
Organization: Saratov State Medical University
Summary:

The article presents the research findings concerning the importance of changes of the contents in blood serum of interferon gamma (INF-?), interferon alfa (INF-?), the tumor necrosis factor alfa (TNF-?), interleukin 4 (IL-4), interleukin8 (IL-8) and clinical parameters at patients with community-acquired pneumonia before the end of treatment (basic therapy and with immunomodulator tiloron). Tiloron positive influence on clinical manifestations and immunological parameters (profile of cytokines– IL-4, IL-8, INF-?, INF-? and INF-?) has been detected in patients with slightly complicated community-acquired pneumonia in 95 % of cases.

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DIAGNOSTIC VALUE OF PROCALCITONIN, C-REACTIVE PROTEIN AND TRANS-RESONANT FUNCTIONAL TOPOGRAPHY IN THE COURSE OF COMMUNITY-ACQUIRED PNEUMONIA

Summary:

Comparative assessmentof bloodprocalcitonin and C-reactive protein determination methods in community-acquired pneumonia has been performed. Practical advantage of C-reactive protein determination over procalcitonin one has been demonstrated. The trans-resonant functional topography in comparison with low exposure digital fluorography technique has been carried out.

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RISK FACTORS, REHABILITATION AND CLINICAL EXAMINATION PRINCIPALS OF COMMUNITY ACQUIRED PNEUMONIA IN MILITARY SERVICEMEN

Year: 2009, volume 5 Issue: №1 Pages: 70-72
Heading: Internal Diseases Article type: Original article
Authors: N.M. Redjko, T.G. Shapovalova, V.A. Savinov
Organization: Saratov Military Medical Institute, Saratov State Medical University
Summary:

Clinico-epidemiological analysis has been performed to reveal exogenic and endogenic riskfactors of community acquired pneumonia military servicemen at conscription. Riskfactors of CAP at conscription include smoking, overcooling, chronic infection foci, preceding ARVI, and the first-half-year of service. The residual effects after CAP in military servicemen predominantly are the obstructive disorders of outer respiratory function as well as radiological symptoms as deformity of pulmonary picture and pleural overlay. The educational scheme has been developed for CAP patients. No recurrent infections of the upper and lower respiratory passageways have occurred during the following years of military service in patients under the follow-up care.

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