"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...

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Main Authors: Andrey A. Zaicev, Alexander I. Sinopalnikov
Format: Article
Language:Russian
Published: "Consilium Medicum" Publishing house 2021-03-01
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
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2309-5342
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last_indexed 2024-12-21T16:01:11Z
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publisher "Consilium Medicum" Publishing house
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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