RT Journal Article
SR Electronic
T1 Etiological features of low respiratory tract infections in the department of pulmonology
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P2710
VO 42
IS Suppl 57
A1 Roman Bontsevich
A1 Galina Tafintseva
A1 Vladimir Kulikovsky
A1 Mikhail Pokrovsky
A1 Tatyana Pokrovskaia
A1 Yury Afanasjev
YR 2013
UL http://erj.ersjournals.com/content/42/Suppl_57/P2710.abstract
AB The purpose of work was to reveal the most typical pathogens of low respiratory tract infections (LRTI) in the department of pulmonology (DP) in Belgorod regional clinical hospital of St. Ioasaf.Material and methods.During 2012 sputum from patients with LRTI such as pneumonia, bronchitis and COPD has been analyzed. 498 samples of biomaterial have been taken and examined with a help of semi-automatic analyzer, growth mediums and tests in bacteriologic laboratory of our clinic.Results.In 97 (19.5%) cases the sputum was regarded as 'low-quality’ (saliva and saprophytes were found in the samples). Among the rest of samples 326 were with positive microbial growth (81.3%) and 75 (18.7%) were without one. 360 strains of LRTI pathogens have been collected. 2 pathogens per sample of sputum were found in 34 cases.The main pathogens included as follows: S. pneumoniae (54 cases, 15 %) and other Streptococcus spp. (71, 19.7 %), S. aureus (56, 15.6 %) and Staphylococcus spp. (47, 13.1 %), Enterobacteriaceae (78, 21.7%), P.aeruginosa (5, 1.4 %), Acinetobacter (4, 1.1%), Candida alb. (71, 19.7%). The sensitivity of these microorganisms has been studied additionally.Conclusions.1. LRTI pathogens most frequently found in the sputum in DP.were the following: Streptococcus spp., Enterobacteriaceae, and Candida alb. with high level of S. pneumoniae and S. aureus.2. Samples without microbial growth collected in the research could be caused by the atypical microorganism or virus. Therefore the special methods of research should be applied and carried out.3. The great number of low-quality samples have been revealed. Thus there is a necessity to increase the efficiency of sputum sampling in hospitals.