Abstract
The beginning of the COVID-19 pandemic has put practical medicine in critical conditions, exposing the long-overdue problem of the lack of specific care for patients with acute pneumonia (AP). It is possible to foresee in advance that the mention of such concepts as a viral pandemic and AP in one bundle will be perceived by many readers as incorrect and contrary to modern scientific ideas in the section of lung diseases. However, the paradox and one of the main reasons for this situation is precisely the distortion of scientific concepts of AP, which differ from well-known facts and do not take into account the fundamental materials of medical science. As a result, today practical medicine in patients with viral lung damage does not have effective means of providing assistance, being limited to symptomatic medications and auxiliary resuscitation methods.
Highlights
Over the past decades, success in the treatment of patients with acute pneumonia (AP) was considered only in terms of the priority of antibacterial therapy
In the vast majority of patients with AP throughout the history of antibacterial therapy, drugs were prescribed empirically, and the true pathogens of the process remained unknown, but the assessment of the collective image of pathogens-microbes gradually transformed into the concept of the sole and main cause of the disease
The modern concept of AP was formed around the dominant role of the microbial factor and considered its suppression as the main therapeutic goal
Summary
Success in the treatment of patients with AP was considered only in terms of the priority of antibacterial therapy. The obvious individual features of the development of an inflammatory reaction were not properly evaluated in bacterial forms of AP, so inattention to this factor is a continuation of the ideas about the absolute role of the pathogen in the process.
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