MLSB和M型肺炎引起的儿童非医院性肺炎:临床病例

Наталья Анатольевна Ильенкова, И. Н. Протасова, Е. С. Соколовская
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引用次数: 1

摘要

有效治疗细菌感染的关键是快速和正确选择抗菌药物治疗。世卫组织和儿童基金会制定了《预防和控制肺炎和腹泻全球行动计划》,旨在通过优化诊断和治疗,到2025年消除可预防的儿童死亡原因。主要的肺炎病原体是挑剔的微生物,需要特殊的营养培养基和培养条件,这在许多实验室中是不存在的。由于病因诊断的有效性较低,儿科医生在肺炎抗生素治疗的选择通常是经验性的。本文描述了由多种抗生素耐药的肺炎链球菌菌株引起的儿童社区获得性肺炎的临床病例。以上经验可供儿科医生在日常实践中使用。
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Внебольничная пневмония у детей, вызванная пневмококками MLSB- и M-фенотипа: клинические случаи
The key to effective treatment of a bacterial infection is a rapid and proper selection of antimicrobial therapy. WHO and UNICEF developed the Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea (GAPPD) aimed to elimination of the preventable causes of child death by 2025 by optimizing diagnosis and treatment. The main pneumonia agents are fastidious microorganisms that require special nutrient media and cultivation conditions that are absent in many laboratories. Due to low effectiveness of the etiological diagnosis, the choice of antibiotic therapy for pneumonia in the practice of a pediatrician is usually empirical. The article describes clinical cases of community-acquired pneumonia in children caused by strains of Streptococcus pneumoniae with a multiple antibiotic resistance. The above experience can be used by pediatricians in everyday practice.
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