Characterization of the Microbial Landscape of the Lower Respiratory Tract in Complicated Pneumonia in Young Children

Abstract

In young children with community-acquired pneumonia among complications there is detected the increase in the incidence of toxic syndrome in combination with purulent endobronchitis parallel to the rise of the severity of iron deficiency. In the structure of clinical and radiological forms, bilateral lobular pneumonia (84.2 %) dominates, lobar (9.7 %) and segmental (6.1 %) one are less frequent. Purulent forms of endobronchitis dominated in children in the first year of life (81.2 %), on the second and third year of life they were observed less frequently (30.5 %). From epithelial lining fluid we more often plated Streptococcus pneumoniae (49.2 %), Staphylococcus aureus, particularly in infants (20.3 %), less often — Pseudomonas aeruginosaе (13.5 %), which are sensitive to reserve antibiotics and inhibitor-protected penicillins.

Keywords

• pneumonia
• children
• clinical picture
• diagnosis