PECULIARITIES OF PNEUMOCOCCAL PNEUMONIA COURSE IN MEDICAL PERSONNEL

Abstract

Аim. To detect the clinical peculiarities of pneumococcal pneumonia course among medical personnel. Materials and methods. Over the period of 2001 to 2014, 49 patients diagnosed community-acquired pneumococcal pneumonia were examined on the basis of Perm Regional Clinical Infectious Hospital. Results. Analysis of the clinical course of S. pneumonia -induced community-acquired pneumococcal pneumonia in the group of medical personnel permitted to establish a number of peculiarities, which should be taken into account for diagnosis of these diseases. The disease was characterized by moderate and severe course with extensive pulmonary-tissue damage, clear complains and late response to bacterial inflammation in blood tests. Frequency of antibiotic-resistant S. pneumonia strains causing pulmonary-tissue damage was 16,3 % that exceeds the analogous index in the group of patients who do not belong to medical personnel. Conclusions. Peculiar features including difficulties in diagnosis of S. pneumonia -induced community-acquired pneumococcal pneumonia, severe course, significant number of cephalosporin and fluoroquinolone-resistant pneumococcal strains prove the need for specific prevention of medical personnel from pneumococcal infection.