MODERN APPROACHES TO ANALYSIS OF MORTALITY DUE TO PNEUMONIAS

Abstract

Mortality from pneumonias in Russia stays on high level with periodical increase. In order to study this occurrence is necessary the complex approach with obligatory regards for results of postmortem pathological investigations. In the paper are analyzed 8 lethal outcomes coded as pneumonias and 30 due to influenza with different role of bacterial component. Was demonstrated that death in cases of pneumonia usually occurred in patients with severe background pathology (alcohol abuse, chronic hepatitis etc) and in combination with viral lesions as well. Development of bacterial complications of influenza doesn’t correspond directly neither with the age of the patients, nor the duration of the illness or hospitalization. In Irkutsk were investigated 30 cases with the use of morphological, bacteriological, and PCR. Was proved the high value of information due to PCR which correlated with clinical and pathological data. Importance of pneumococci in etiology of community acquired pneumonia was shown (11 cases versus 1 positive culture). Was assumed that the course of pneumonias depends upon the properties of their pathogen.

Keywords

• пневмонии
• смертность
• анализ аутопсийного материала
• пцр-диагностика