Features of risk factors, clinical course and treatment of chronic pneumonia in the Republic of Tajikistan

N.I. Mustafakulova, D.S. Akhmedova, T.I. Melikova

Chair of Internal Medicine N3 of Avicenna TSMU

The outcomes of examinations 200 patients with community-acquired pneumonia were shown in this research. Of these, 100 were patients with chronic pneumonia (CP) and an equal number of patients had normal course of pneumonia (NCP). In patients with CP to relationship with patients with NCP the risk factors were: age over 50 years (47% vs. 25%), presence of concomitant pathology (93% vs. 9%), cigarette smoking (67% vs. 15%), chewing tobacco (76 % vs. 17%), having many children in family (56% vs. 7%), malnutrition (15% vs. 5%), lack of body weight (37% vs. 7%), climatic conditions: cold (67% vs. 45%) and hot time of the year (37% vs. 23%).

In CP intoxication syndrome was less expressed than in patients with NCP. In patients older than 50 years old with chronic pneumonia (to relation persons under the age of 50 years), core localization of pneumonic focus was noted in 37.0% vs. 5%, whereas in patients with normal course of pneumonia mainly prevailed lower lobe localization of infiltrative focus ( 63% vs. 95%).

Cephalosporin II and III generation are recommended as the drugs of choice for antibiotic treatment of community-acquired pneumonia.

Keywords: chronic pneumonia, community-acquired pneumonia, premorbid background, infiltrative focus, cephalosporins.

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