Abstract

Everyone knows that if treatment does not bring the desired results, and even does not hinder the development of purulent complications, it means that such treatment is inadequate and does not correspond to the nature of the disease, isn't it? It is an axiom of clinical medicine. Community-acquired pneumonia (CAP) is one of the 10 leading causes of death worldwide. Contemporary results of the treatment of acute pneumonia (AP) indicate the need for the revaluation of the help principles in this disease. In this regard, the results, which the author of these lines has reached many years ago, should be of interest to professionals in this section of the medicine. In this report, we are talking only about the impact of intravenous infusion on treatment of acute pneumonia. So here will be presented only the results of a large study that relate to the topic.

Highlights

  • Community-acquired pneumonia (CAP) is one of the 10 leading causes of death worldwide

  • 20% of CAP patients require hospitalisation, 25% of whom are admitted to an intensive care unit (ICU) and have a mortality rate of 30% to 50% [1]

  • “The rates of parapneumonic effusion have been increasing in the USA and Europe over recent years, and it is encountered in approximately 40% of all patients with bacterial pneumonias” [3]

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Summary

Introduction

Community-acquired pneumonia (CAP) is one of the 10 leading causes of death worldwide. 20% of CAP patients require hospitalisation, 25% of whom are admitted to an intensive care unit (ICU) and have a mortality rate of 30% to 50% [1]. “Pneumonia is a leading cause of hospitalization among children in the USA, with medical costs estimated at almost $1 billion in 2009. “The rates of parapneumonic effusion have been increasing in the USA and Europe over recent years, and it is encountered in approximately 40% of all patients with bacterial pneumonias” [3]. “Pediatric pleural empyema has increased substantially over the past 20 years and reasons for this rise remain not fully explained” [4]. The above quotes indicate low efficiency of the modern treatment of AP and the absence of an explanation for this fact

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