Bontsevich R. Diagnostic and Treatment Features of Nosocomial Pneumonias in Surgical Patients

Nosocomial pneumonia (NP). To increase efficiency of diagnostics, treatment and preventive maintenance of NP at patients of surgical departments by developing treatment regimens of antibacterial NP therapy taking into account the sensitivity of agents and introduction in surgical departments of a complex preventive, informational and educational arrangements. Methods of research were the analysis of an epidemiology, anamnesis, clinical investigation, thorax X-Ray examination, an estimation of general clinical analyses, microbiological diagnostics, questioning and carrying out of informational and educational arrangements. For the first time the analysis of NP levels has been accomplished in hospital. Subsequently these NP levels were compared with the levels of protocol data of necropsy. Hypo- and hyperdiagnostics NP levels in hospital were determined. Features of clinical course of NP were also found out. The regimen of microbiological diagnostics of NP agents was developed and applied. The more common NP agents were determined, their sensitivity to basic antibacterial preparations was investigated. Treatment regimens of antibacterial therapy NP were improved. An estimation of their efficiency was carried out. It was the first time when informational and educational arrangements aimed to reducing of NP level, its structure and consequences in hospitals of surgical departments have been developed and applied among medical staff. It were also estimated the arrangements' utility, efficiency and probable influence on the NP level in hospital.