[Prognosis of nosocomial pneumonia outcome].
OBJECTIVE
To assess frequency of occurrence of factors registered before or in the course of nosocomial pneumonia (NP) and implications of these factors for the risk of NP lethal outcome.


METHODS
70 NP patients entered the study. They were admitted to hospital with diagnosis of chronic nonspecific pulmonary disease, severe trauma, hemoblastosis, other tumors, etc. 26 of them recovered and were discharged from hospital, 44 patients died.


RESULTS
The risk of lethal outcome in NP was higher in hepatic disturbances, high levels of urea in the blood, hemorrhagic syndrome, antibiotic treatment prior to NP, administration of glucocorticosteroids. St. aureus as the etiologic agent of nosocomial pneumonia was registered more frequently in patients with a lethal outcome.


CONCLUSIONS
Further studies are needed for more precise evaluation of pathophysiological links between NP and lesions of other organs.
Sidorova
L D
LD
Domnikova
N P
NP
D000293:Adolescent; D000328:Adult; D000368:Aged; D003428:Cross Infection / Q000453:epidemiology* / Q000382:microbiology; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D018410:Pneumonia, Bacterial / Q000453:epidemiology* / Q000382:microbiology; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors; D012800:Siberia / Q000453:epidemiology; D013203:Staphylococcal Infections / Q000453:epidemiology / Q000382:microbiology; D013211:Staphylococcus aureus / Q000302:isolation & purification; D015996:Survival Rate