I Конгресс детских врачей Республики Узбекистан
с международным участием
«Актуальные вопросы практической педиатрии»
312
COMMUNITY PNEUMONIA IN CHILDREN OF EARLY AGE
Turdieva D.E.
Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan
RELEVANCE
Pneumonia is a serious public health problem due to its high prevalence,
especially among young children. The urgency of this problem is also determined
by the constant growth of antibiotic-resistant strains of key pathogens of
community-acquired pneumonia.
PURPOSE OF THE RESEARCH
To study the clinical and etiological picture of community-acquired
pneumonia in young children in order to develop an effective scheme of
antibacterial therapy.
MATERIALS AND METHODS
58 children were totally examined. 26 of them were children from 1 to 3
months and 32 of them were over 3 months. The material for bacteriological
research was a pharyngeal smear and sputum.
THE RESULTS OF THE STUDY
According to the results of etiological monitoring, the leading etiotropic
flora of community-acquired pneumonia from the pharynx was Kl.pneumonia
(24.5%). The high sensitivity of St. pneumonia to ceftriaxone and cefotaxime has
been found. The second most important causative agent was St. aureus (20.7%),
the highest sensitivity of which was detected to gentamicin (83%).
The leading etiotropic flora of community-acquired sputum pneumonia was
St. pneumoniae (46.9%). The high sensitivity of St.pneumoniae to ceftriaxone,
cefotaxime. Cefazolin (42.8%) was prescribed as a starting antibiotic, and
cefotaxime (37.4%) was used as an alternative antibiotic very often. Penicillin and
ampicillin were prescribed less frequently. Combined antibiotic therapy was
carried out in 29.4% of patients. The negative clinical effect of the prescription of
the above antibacterial drugs in 19% of children older than 3 months required
the appointment of a second course of antibiotic therapy. Ceftriaxone was used as
the second course; gentamicin was in the second place. In all observed cases,
clinical recovery was achieved.
CONCLUSIONS
The microflora isolated from the pharynx and sputum, had different
sensitivity to the action of antibacterial drugs. Preparations of choice for
Kl.pneumoniae, St.pneumoniae, St.aureus should be considered ceftriaxone,
cefotaxime, and gentamicin.
I Конгресс детских врачей Республики Узбекистан
с международным участием
«Актуальные вопросы практической педиатрии»
313
REFERENCES:
1.
Исмагулов
,
Ж
., &
Нурмухамедов
,
Х
. (2021).
Критерии безопасности
переливания коллоидных растворов у детей при пневмониях. Перспективы
развития медицины, 1(1), 101
-102.
