Features of diagnosis and treatment of community-acquired pneumonia at the stages of medical evacuation of the military of the Armed Forces of Ukraine who are in military service in the antiterrorist operation area

March 14, 2018
1053
Resume

Community-acquired pneumonia causes significant sanitary losses among military who undergo military service in the antiterrorist operation area. Factors contributing to the incidence of community-acquired pneumonia are unsatisfactory sanitary conditions, general hypothermia, previously and untreated acute respiratory infections. Despite achieved significant success in the medical-evacuation support of the military, with the involvement of the stage of rehabilitation treatment, the incidence rates of community-acquired pneumonia retain its dynamics for growth. It was investigated 227 patients with community-acquired pneumonia who entered a hospital treatment in one of the military mobile hospitals of the area of the antiterrorist operation in the period from April 2015 to December 2016. The diagnosis was captured by existing diagnostic capabilities of military mobile hospital. A significant drawback in the diagnosis of community-acquired pneumonia is an inability to conduct bacteriological and virological diagnosis of the pathogen.

Yu.O. Slesarenko

Key words: medical evacuation support, antiterrorist operation area, community-acquired pneumonia.

Published: 14.03.2018

References:

  • Andronatii V.B., Zhakhovskyi V.O., Bulakh O.Iu., Livinskyi V.H. (2014) Systema medychnoho zabezpechennia Zbroinykh Syl Ukrainy: suchasnyi stan i napriamy rozvytku z ohliadu na tendentsii zmin u poriadku zastosuvannia viisk. Nauka i oborona, 3: 23–29.
  • Vakhnenko A.V., Moisieieva N.V. (2014) Suchasnyi pidkhid do likuvannia nehospitalnoi pnevmonii, uskladnenoi eksudatyvnym plevrytom. Svit medytsyny ta biolohii, 3(45): 25–29.
  • Voronenko V.V., Blyzniuk M.D., Pechyborshch V.P., Shuryhin O.Iu. (2017) Osoblyvosti medychnoho zabezpechennia naselennia ta viisk u zoni ATO. Realii ta perspektyvy stvorennia yedynoho medychnoho prostoru. Ukr. med. chasopys, 4(120): 59–62 (https://www.umj.com.ua/article/113353).
  • Zhakhovskyi V.O., Livinskyi V.H., Kudrenko M.V., Slabkyi H.O. (2015) Antyterorystychna operatsiia v Ukraini: uroky medychnoho zabezpechennia. Zdorovia natsii, 3: 31–35.
  • Kochin I.V. (2015) Osobennosti mediko-sanitarnyih poter i organizatsii ekstrennoy meditsinskoy pomoschi naseleniyu i voennosluzhaschim v zone provedeniya antiterroristicheskoy operatsii. Med. nevidkl. staniv, 6(69): 44–51.
  • Ministerstvo oborony Ukrainy (2008) Nakaz Ministerstva oborony Ukrainy vid 14.08.2008 r. № 402 «Pro zatverdzhennia Polozhennia pro viiskovo-likarsku ekspertyzu v Zbroinykh Sylakh Ukrainy» (http://zakonrada.gov.ua/laws/show/z1109-08).
  • Ministerstvo okhorony zdorovia Ukrainy (2007) Nakaz MOZ Ukrainy vid 19.03.2007 r. № 128 «Pro zatverdzhennia klinichnykh protokoliv nadannia medychnoi dopomohy za spetsialnistiu «Pulmonolohiia» (http://old.moz.gov.ua/ua/portal/dn_20070319_128.html).
  • Mostovoi Yu.M. (2016) Nehospitalna pnevmoniia: kliuchovi polozhennia diahnostyky ta likuvannia. Ukr. med. chasopys, 1(111): 49–51 (https://www.umj.com.ua/article/93893).
  • Nosach E.S., Skryil S.V., Kulakova N.V., Martyinova A.V. (2012) Etiologicheskaya struktura vnebolnichnyih pnemoniy u lits molodogo vozrasta v zakryityih kollektivah. Vest. Ros. akad. med. nauk, 7: 35–38.
  • Pertseva T.O., Popovych Ya.V. (2005) Nehospitalna pnevmoniia. Vyznachennia tiazhkosti perebihu ta faktoriv, shcho spryiaiut hospitalizatsii khvorykh. Med. perspekt., 4: 82–85.
  • Feshchenko Yu.I., Dziublyk O.Ia., Mukhin O.O. (2003) Suchasni pryntsypy diahnostyky ta likuvannia nehospitalnykh pnevmonii. Mystetstvo likuvannia, 5: 12–13.