MODERN APPROACHES TO ANALYSIS OF MORTALITY DUE TO PNEUMONIAS

Abstract

Mortality from pneumonias in Russia  stays  on high level with  periodical increase. In order  to study this  occurrence is necessary the  complex approach with  obligatory regards for results  of postmortem pathological investigations. In the paper  are analyzed 8 lethal  outcomes coded as pneumonias and  30 due  to influenza with different role of bacterial component. Was demonstrated that death in cases of pneumonia usually occurred in patients with severe  background pathology (alcohol abuse, chronic hepatitis etc) and in combination with  viral lesions as well. Development of bacterial complications of influenza doesn’t  correspond directly neither with the age of the patients, nor the duration of the illness  or hospitalization. In Irkutsk were  investigated 30 cases  with  the use of morphological, bacteriological, and PCR. Was  proved the  high  value  of information due  to PCR which  correlated with  clinical   and  pathological data.   Importance of  pneumococci in etiology of community acquired pneumonia was shown (11 cases versus 1 positive culture). Was assumed that the  course  of pneumonias depends upon  the  properties of their pathogen.