"Difficult" pneumonia
The article considers the issues of therapeutic management of patients with so-called difficult pneumonia, particularly, patients with diagnosed syndrome slowly resolving / nonresolving pneumonia, who do not respond to the treatment. The reasons and significant risk factors potentially affecting the...
Main Authors: | , |
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Format: | Article |
Language: | Russian |
Published: |
"Consilium Medicum" Publishing house
2021-03-01
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Series: | Терапевтический архив |
Subjects: | |
Online Access: | https://ter-arkhiv.ru/0040-3660/article/viewFile/64974/47827 |
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author | Andrey A. Zaicev Alexander I. Sinopalnikov |
author_facet | Andrey A. Zaicev Alexander I. Sinopalnikov |
author_sort | Andrey A. Zaicev |
collection | DOAJ |
description | The article considers the issues of therapeutic management of patients with so-called difficult pneumonia, particularly, patients with diagnosed syndrome slowly resolving / nonresolving pneumonia, who do not respond to the treatment. The reasons and significant risk factors potentially affecting the effectiveness of therapy are analyzed, the therapeutic tactics of managing patients with no response to treatment are considered, the list of necessary diagnostic methods and directions of antibiotic therapy is updated. The article analyses the tactics of managing patients with pneumonia during a pandemic caused by SARS-CoV-2 coronavirus. It also provides directions of diagnostics with priority discussion of biological markers of the inflammatory response as well as antimicrobial therapy strategy. |
first_indexed | 2024-12-21T16:01:11Z |
format | Article |
id | doaj.art-5807774405214fb38e48ac8a036b96c1 |
institution | Directory Open Access Journal |
issn | 0040-3660 2309-5342 |
language | Russian |
last_indexed | 2024-12-21T16:01:11Z |
publishDate | 2021-03-01 |
publisher | "Consilium Medicum" Publishing house |
record_format | Article |
series | Терапевтический архив |
spelling | doaj.art-5807774405214fb38e48ac8a036b96c12022-12-21T18:57:59Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422021-03-0193330031010.26442/00403660.2021.03.20073459399"Difficult" pneumoniaAndrey A. Zaicev0https://orcid.org/0000-0002-0934-7313Alexander I. Sinopalnikov1https://orcid.org/0000-0002-1990-2042Burdenko Main Military Clinical HospitalRussian Medical Academy of Continuous Professional EducationThe article considers the issues of therapeutic management of patients with so-called difficult pneumonia, particularly, patients with diagnosed syndrome slowly resolving / nonresolving pneumonia, who do not respond to the treatment. The reasons and significant risk factors potentially affecting the effectiveness of therapy are analyzed, the therapeutic tactics of managing patients with no response to treatment are considered, the list of necessary diagnostic methods and directions of antibiotic therapy is updated. The article analyses the tactics of managing patients with pneumonia during a pandemic caused by SARS-CoV-2 coronavirus. It also provides directions of diagnostics with priority discussion of biological markers of the inflammatory response as well as antimicrobial therapy strategy.https://ter-arkhiv.ru/0040-3660/article/viewFile/64974/47827community-acquired pneumonia“non-responding” pneumoniaslowly resolving pneumoniaantibiotic therapy |
spellingShingle | Andrey A. Zaicev Alexander I. Sinopalnikov "Difficult" pneumonia Терапевтический архив community-acquired pneumonia “non-responding” pneumonia slowly resolving pneumonia antibiotic therapy |
title | "Difficult" pneumonia |
title_full | "Difficult" pneumonia |
title_fullStr | "Difficult" pneumonia |
title_full_unstemmed | "Difficult" pneumonia |
title_short | "Difficult" pneumonia |
title_sort | difficult pneumonia |
topic | community-acquired pneumonia “non-responding” pneumonia slowly resolving pneumonia antibiotic therapy |
url | https://ter-arkhiv.ru/0040-3660/article/viewFile/64974/47827 |
work_keys_str_mv | AT andreyazaicev difficultpneumonia AT alexanderisinopalnikov difficultpneumonia |