medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2014-17-23-27medsovet-769Research ArticleНовостиNews. Findings and eventsВнебольничная пневмония на фоне хронической сердечной недостаточности: особенности диагностики и леченияCommunity-acquired pneumonia against a background of chronic heart failure: diagnosis and treatmentБобылевА. А.BobylevA. A.noemail@neicon.ruРачинаС. А.RachinaS. A.noemail@neicon.ruКозловР. С.KozlovR. S.noemail@neicon.ruДехничН. Н.DekhnichN. N.noemail@neicon.ruСмоленская государственная медицинская академия Минздрава РоссииРоссияSmolensk State Medical Academy, Russia's Ministry of HealthRussian FederationСмоленская государственная медицинская академия Минздрава России; НИИ антимикробной химиотерапии, СмоленскРоссияSmolensk State Medical Academy, Russia's Ministry of Health; Research Institute of Antimicrobial Chemotherapy, SmolenskRussian FederationНИИ антимикробной химиотерапии, Смоленск ; НИИ антимикробной химиотерапии, СмоленскРоссияResearch Institute of Antimicrobial Chemotherapy, SmolenskRussian Federation2014301220140172327Copyright © Бобылев А.А., Рачина С.А., Козлов Р.С., Дехнич Н.Н., 20142014Бобылев А.А., Рачина С.А., Козлов Р.С., Дехнич Н.Н.Bobylev A.A., Rachina S.A., Kozlov R.S., Dekhnich N.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/769

Внебольничная пневмония - одно из наиболее часто встречающихся инфекционных заболеваний в развитых странах. Хроническая сердечная недостаточность является независимым фактором риска неблагоприятного течения и прогноза при внебольничной пневмонии. Объективные трудности клинической, рентгенологической, лабораторной и микробиологической диагностики внебольничной пневмонии у пожилых пациентов с хронической сердечной недостаточностью обусловливают необходимость более широкого использования в рутинной практике определения сывороточных биомаркеров воспаления. Системная антибактериальная терапия у данной категории больных проводится в соответствии с общепринятыми рекомендациями, но должна учитывать некоторые особенности этиологии, влияние сопутствующей функциональной недостаточности систем органов и дополнительной медикаментозной терапии на фармакокинетику антимикробных препаратов, а также возможное потенцирование нежелательных реакций при одновременном назначении некоторых лекарственных средств.

Community-acquired pneumonia is one of the most common infectious diseases in developed countries. Chronic heart failure is an independent risk factor for unfavorable course and prognosis of community-acquired pneumonia. Objective challenges of clinical, radiological, laboratory and microbiological diagnosis of community-acquired pneumonia in elderly patients with chronic heart failure dictate the need for a greater number of physicians to routinely examine for serum biomarkers of inflammation. Systemic antibiotic therapy for the category of patients is carried out in accordance with the standard guidelines and should be based on certain peculiarities of the etiology, impact of concomitant functional impairment of the organ systems and additional medication therapy on the pharmacokinetics of antimicrobial agents, and take into account the risk of potentiation of adverse reactions as a result of administration of drugs.

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The authors declare that there are no conflicts of interest present.