Diagnosis of community-acquired pneumonia

Diagnosis of community-acquired pneumonia

As part of the school of preventive medicine at the MSE on PVC “Uspen DH” on March 17, 2025, a seminar on the topic “Diagnosis and treatment of community-acquired pneumonia” was held among the medical staff under the guidance of the of head the department of GP, Professor A.A. Dyusupova and academic mentor, PhD, Acting Associate Professor S.M. Adilgozhina. Community-acquired pneumonia (CAP) is an acute infectious disease that develops outside the hospital and causes inflammation of lung tissue. It is most commonly caused by Streptococcus pneumoniae, Haemophilus influenzae, atypical pathogens (Mycoplasma pneumoniae, Chlamydia pneumoniae, Legionella pneumophila), and viruses. Key symptoms include fever, productive cough, shortness of breath, chest pain, and weakness. Diagnosis involves clinical examination, chest X-ray, complete blood count (leukocytosis, elevated CRP), pulse oximetry, sputum microbiological analysis, and in severe cases, chest CT.

Treatment depends on the severity of the disease. Mild cases are managed with oral antibiotics (aminopenicillins, macrolides, respiratory fluoroquinolones), antipyretics, mucolytics, adequate hydration, and bed rest. Moderate to severe cases require hospitalization with intravenous antibiotics (β-lactams + macrolides or respiratory fluoroquinolones), oxygen therapy, and fluid support. In critical cases, intensive care unit admission and mechanical ventilation may be necessary. Early diagnosis, monitoring for complications, and post-recovery rehabilitation are essential.