Nosocomial pneumonie in intensive care units: problems and solutions

Nosocomial pneumonia (NP) is a serious problem in healthcare in the world and remains the same, despite the application of new therapies and prevention. Among the infections associated with the provision of healthcare, the state of emergency takes the second - the third place in terms of prevalence and second place in terms of mortality. NP significantly impairs the prognosis of the underlying disease, increases the length of stay of the patient in the hospital and the cost of treatment. Insufficient resolution of issues of prophylaxis, early diagnosis and treatment is the reason that a significant proportion of cases of NP are diagnosed only by the results of autopsy. In recent years, there has been an increase in the number of cases of NP caused by antibiotic-resistant microorganisms, which complicates the implementation of effective empirical antibiotic therapy and disease prevention. The authors propose recommendations that take into account the modern scientific developments of many domestic and foreign researchers on NP issues. The issues of epidemiology, etiology, pathogenesis, clinical classification of the disease are elucidated in detail. Particular attention is paid to surveillance of emergency rooms in intensive care units (ICU).