PT  - JOURNAL ARTICLE
AU  - Galina Tafintseva
AU  - Roman Bontsevich
AU  - Zhanna Chefranova
AU  - Mikhail Pokrovsky
AU  - Tatyana Pokrovskaia
AU  - Natalia Yan'kova
TI  - Etiological features of nosocomial pneumonia in neurosurgical intensive care unit. Update 2013
DP  - 2014 Sep 01
TA  - European Respiratory Journal
PG  - P2520
VI  - 44
IP  - Suppl 58
4099  - http://erj.ersjournals.com/content/44/Suppl_58/P2520.short
4100  - http://erj.ersjournals.com/content/44/Suppl_58/P2520.full
SO  - Eur Respir J2014 Sep 01; 44
AB  - The purpose of work was to reveal the most typical pathogens of nosocomial pneumonia (NP) in neurosurgical intensive care unit (NICU) of Belgorod regional clinical hospital of St. Ioasaf.Material and methods.During 2012-13 sputum from patients with NP from NICU has been analyzed. 355 samples of biomaterial have been taken. Biomaterials of patients have been examined with a help of semi-automatic analyzer, growth mediums and tests in bacteriologic laboratory of our clinic.Results.In 77 (21.7%) cases the sputum was regarded as 'low-quality' (saliva and saprophytes were found in the samples). Among the rest of samples 237 were with positive microbial growth (85.3%) and 41 (14.7%) were without one. 274 strains of NP pathogens have been collected. 2 pathogens per sample of sputum were found in 37 cases (15.6%).The main pathogens included as follows: P.aeruginosa (79 cases, 28.8 %), Kl. pneumoniae (54, 19.7%) and other Enterobacteriaceae (23, 8.4%), S. aureus (22, 8.0%), Acinetobacter (20, 7.3%), Candida alb. (16, 5.8%), Staphylococcus spp. & Streptococcus spp. (at 9, 3.3%). The data on sensitivity of this microorganisms have been studied additionally.Conclusions.1. NP pathogens most frequently found in the sputum in NICU were the following: P.aeruginosa and Kl. pneumoniae.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.4. Up to 15.6% of NP are polymicrobial.