Этиологическая структура внебольничной пневмонии

The results of complex PCR examination of 172 patients with community-acquired pneumonia of varying severity are presented in the article. In 88,5% cases etiology of community-acquired pneumonia was proved. The main causative agents appeared to be Streptococcus pneumoniae and Haemophilus influenzae which were detected in 86,3% and 41,2% cases accordingly. The number of actual causative agents of community-acquired pneumonia included Mycoplasma pneumoniae (23,6%), Adenovirus (14,9%) and more seldom Chlamydophila pneumoniae (6,7%). Specific characteristic of community-acquired pneumonia at the present stage is presence of a great number of association microbes both bacteria and viruses. The role of Moraxella catarrhalis, Legionella pneumophila, Chlamydophila psittaci in etiology of community-acquired pneumonia is insignificant. The authors offer algorithm for detection of atypical microbes poor-cultivated with PCR-method, which allows to increase efficiency of their detection.