Ways of optimization of postmortem studies of nosocomial pneumonia at patients with cerebral stroke
Abstract
Ways of optimization of the pathological research in nosocomial pneumonia at patients with brain strokes are presented in this article. In many respects, they are concerned to the development and practical application of new approaches in research methodology of lung tissue in a low-impact autopsy. The improvement of the low-impact technology autopsy, the widespread use of different methods of coloring histological sections, the use of bacteriological, bacterioscopic research methods of lung tissue and cerebrospinal fluid are considered of great importance. If there is a mobile X-ray installation in the postmortem department the plan radiography of the chest is supposed. For a more detailed study of the ventricular system, vascular network, location and size of the pathological process in the body for justified reasons the brain CT is carried out. The development of the mortem examination at nosocomial pneumonia caused by cerebral strokes is associated with lifetime analysis of clinical, laboratory, functional, instrumental data correlated to the autopsy results.
About the Authors
T. I. MustafinRussian Federation
Tagir I. Mustafin - doctor of medical Sciences, Professor, head of Department of pathological anatomy of the Bashkir State Medical University.
Republic of Bashkortostan, city of Ufa, Lenina street 3
R. R. Kudoyarov
Russian Federation
Rustem R. Kudoyarov - assistant Professor of pathological anatomy of the Bashkir State Medical University.
Republic of Bashkortostan, city of Ufa, Lenina street 3
Phone 89373328848
References
1. Avtandilov G.G. Fundamentals of pathology practices / G.G. Avtandilov. - M.: Medicine, 1998. - 324 p.
2. Gelfand B.R. Nosocomial pneumonia associated with mechanical ventilation, surgical patients / B.R. Gelfand, V.A. Gologorsky, B.Z. Belotserkovskii. - M .: Medicine, 2000. - 97 p.
3. Gusev E.I. Epidemiology of stroke in Russia / E.I. Gusev, V.I. Skvortsov, L.V. Stakhovskaya // Journal of Neurology and Psychiatry named after S.S. Korsakov. - 2003. - № 9. - P. 114.
4. Dynamics of Streptococcus pneumoniae resistance to antibiotics in Russia for the period 1999-2009 according to a multicenter prospective study Pegasus / R.S. Kozlov, O.V. Sivaya, O.I. Krechikova [et al.] // Clinical Microbiology and Antimicrobial Chemotherapy. - 2010. - № 12. - P. 329 - 341.
5. Ilkovich M.M. The frequency and nature of pneumonia in elderly and senile patients according to autopsy Hospital for War Veterans / M.M. Ilkovich // Proceedings of the 16th National Congress on respiratory diseases. - SPb., 2006. – P. 130.
6. Trofimova T.N. Using post-mortem magnetic resonance imaging of the brain during post-mortem study / T.N. Trofimova, J.A. Medvedev, N.A. Ananiev, [et al.] // Archives of Pathology. - 2008. - №3. - Р. 23 - 29.
7. Pacherskih F.N. Features viral pneumonia associated with influenza A H1N1 / F.N. Pacherskih, S.A. Baglushkin // Proceedings of the 21th National Congress on respiratory diseases. - Ufa, 2011. – P. 189.
8. Pertseva T.A. Features of etiologic diagnosis and treatment of nosocomial pneumonia / T.A. Pertseva, R.A. Bontsevich // Clinical Surgery. - 2003. - № 4. – P. 31 - 34.
9. Chuchalin A.G. Community-acquired pneumonia in adults: guidelines for diagnosis, treatment and prevention / A.G. Chuchalin, A.I. Sinopalnikov, R.S. Kozlov. - M.: Medicine, 2010. - 7 p.
10. Chuchalin A.G. Diagnosis and treatment of pneumonia from the standpoint of medical evidence / A.G. Chuchalin, A.N. Choi, V.V. Arkhipov // Consilium medicum. - 2002. - № 12. - P. 620 - 644.
11. Chuchalin A.G. Nosocomial pneumonia in adults: guidelines for diagnosis, treatment and prevention / A.G. Chuchalin, A.I. Sinopalnikov, L.S. Stratchounski. - M.: Medicine, 2005. - 94 p.
12. Shulutko B.I. Standards for the diagnosis and treatment of internal diseases / B.I. Shumutko, S.V. Makarenko. - SPb., 2009. - 700 p.
13. Mandell L.A. Guidelines for CAP in adults IDSA/ATS / L.A. Mandell, R.G. Wunderink, A. Anzueto, J.G. Bartlett // Clinical Infectious Diseases. - 2007. - № 44. - Р. 27 – 72.
Review
For citations:
Mustafin T.I., Kudoyarov R.R. Ways of optimization of postmortem studies of nosocomial pneumonia at patients with cerebral stroke. Yakut Medical Journal. 2015;(2):61-63.