DIAGNOSTICS OF NOSOCOMIAL PNEUMONIA IN THOSE WITH MULTIPLE TRAUMAS (BASING ON DATA OF FOREIGN PUBLICATIONS)
https://doi.org/10.21292/2078-5658-2017-14-2-80-88
Abstract
Trauma is one leading cause of death in young patients under 45 years old and it occupies the third pace among causes of general mortality for the whole population. Nosocomial infections (first of all ventilator-associated pneumonia) account for mortality in this group of patients in 5 days after trauma. The article describes risk factors, causative agents, pathologic physiology and specific features of diagnostics of nosocomial pneumonia in those with multiple traumas. Special attention is paid to immune response of the host to multiple trauma and related issues on using polymorphism of genes controlling production of certain cytokines in order to improve diagnostics and prognosis of the course and outcome of nosocomial pneumonia in this group of patients.
About the Authors
A. V. Prokhorov
S. M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Pulmonologist, Post Graduate Student
Russian Federation
Pulmonologist, Post Graduate Student
Yu. Sh. Khalimov
S. M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Doctor of Medical Sciences, Professor, Head of Field Military Department
Russian Federation
Doctor of Medical Sciences, Professor, Head of Field Military Department
S. V. Gayduk
S. M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Doctor of Medical Sciences, Associate Professor, Deputy Head of Field Military Department
Russian Federation
Doctor of Medical Sciences, Associate Professor, Deputy Head of Field Military Department
S. V. Gavrilin
S. M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Doctor of Medical Sciences, Professor, Professor of Field Military Surgery Department
Russian Federation
Doctor of Medical Sciences, Professor, Professor of Field Military Surgery Department
D. P. Meshakov
S. M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Doctor of Medical Sciences, Anesthesiologist and Emergency Physician
Russian Federation
Doctor of Medical Sciences, Anesthesiologist and Emergency Physician
A. I. Chepel
S. M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Doctor of Medical Sciences, Associate Professor
Russian Federation
Doctor of Medical Sciences, Associate Professor
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Review
For citations:
Prokhorov A.V., Khalimov Yu.Sh., Gayduk S.V., Gavrilin S.V., Meshakov D.P., Chepel A.I. DIAGNOSTICS OF NOSOCOMIAL PNEUMONIA IN THOSE WITH MULTIPLE TRAUMAS (BASING ON DATA OF FOREIGN PUBLICATIONS). Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2017;14(2):80-88. (In Russ.) https://doi.org/10.21292/2078-5658-2017-14-2-80-88
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