A CLINICAL CASE OF HOSPITAL-ACQUIRED PNEUMONIA CAUSED BY KLEBSIELLA PNEUMONIA, DUE TO CONTACT WITH A FAMILY MEMBER

The problem of morbidity and mortality due to infectious lesions of the respiratory tract, in particular nosocomial pneumonia, remain one of the most pressing problems of modern medicine. Nosocomial pneumonia ranks 3rd among all infectious diseases that a patient can contract at a medical institutio...

Full description

Saved in:
Bibliographic Details
Main Authors: N.D. Gerasymenko, N.I. Digtiar
Format: Article
Language:English
Published: Poltava State Medical University 2021-12-01
Series:Проблеми екології та медицини
Subjects:
Online Access:https://ecomed-journal.org/index.php/journal/article/view/231
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832549744821403648
author N.D. Gerasymenko
N.I. Digtiar
author_facet N.D. Gerasymenko
N.I. Digtiar
author_sort N.D. Gerasymenko
collection DOAJ
description The problem of morbidity and mortality due to infectious lesions of the respiratory tract, in particular nosocomial pneumonia, remain one of the most pressing problems of modern medicine. Nosocomial pneumonia ranks 3rd among all infectious diseases that a patient can contract at a medical institution after urinary and wound inflammation and it is characterized by high mortality. Nosocomial pneumonia is provoked by antibiotic-resistant microorganisms; in the intensive care patients, it is complicated by the re-aspiration of bacteria that accumulate above the cuff of the intubation tube. Identification of nosocomial and community-acquired pneumonia involves a particular flora of pathogens and, accordingly, involves empiric therapy. Routine analysis of sputum according to Gram gives approximate data, which is a clarification for empiric treatment. We present a clinical case, which demonstrates that infection is also possible due to contact of a family member with another one, working at a medical institution. Therefore, in our clinical case, we emphasize that it is very important to collect a thorough history. Careful collection of medical history can provide additional information: working in a team, being a medical professional, relatives working at a medical institution. It should be noted that in this category of patients, the causative agent of infection, including nosocomial pneumonia, may be the strains of nosocomial microorganisms. Regardless of age, we recommend the use of preventive measures (lifestyle modification, acclimatization training, sports, etc.) to increase the non-specific resistance of the body. As a preventive measure, medical personnel should follow the regimes of ventilation and wet cleaning in the premises, wash their hands and rinse their nasal passages as often as possible with saline solutions, use a mask to protect the respiratory organs, disinfect hands with alcohol.
format Article
id doaj-art-c10beea9be344e6989d2ade624695370
institution Kabale University
issn 2073-4662
2519-2302
language English
publishDate 2021-12-01
publisher Poltava State Medical University
record_format Article
series Проблеми екології та медицини
spelling doaj-art-c10beea9be344e6989d2ade6246953702025-02-03T06:09:48ZengPoltava State Medical UniversityПроблеми екології та медицини2073-46622519-23022021-12-01255-6242710.31718/mep.2021.25.5-6.06231A CLINICAL CASE OF HOSPITAL-ACQUIRED PNEUMONIA CAUSED BY KLEBSIELLA PNEUMONIA, DUE TO CONTACT WITH A FAMILY MEMBERN.D. Gerasymenko0N.I. Digtiar1Полтавський державний медичний університет, м. ПолтаваПолтавський державний медичний університет, м. ПолтаваThe problem of morbidity and mortality due to infectious lesions of the respiratory tract, in particular nosocomial pneumonia, remain one of the most pressing problems of modern medicine. Nosocomial pneumonia ranks 3rd among all infectious diseases that a patient can contract at a medical institution after urinary and wound inflammation and it is characterized by high mortality. Nosocomial pneumonia is provoked by antibiotic-resistant microorganisms; in the intensive care patients, it is complicated by the re-aspiration of bacteria that accumulate above the cuff of the intubation tube. Identification of nosocomial and community-acquired pneumonia involves a particular flora of pathogens and, accordingly, involves empiric therapy. Routine analysis of sputum according to Gram gives approximate data, which is a clarification for empiric treatment. We present a clinical case, which demonstrates that infection is also possible due to contact of a family member with another one, working at a medical institution. Therefore, in our clinical case, we emphasize that it is very important to collect a thorough history. Careful collection of medical history can provide additional information: working in a team, being a medical professional, relatives working at a medical institution. It should be noted that in this category of patients, the causative agent of infection, including nosocomial pneumonia, may be the strains of nosocomial microorganisms. Regardless of age, we recommend the use of preventive measures (lifestyle modification, acclimatization training, sports, etc.) to increase the non-specific resistance of the body. As a preventive measure, medical personnel should follow the regimes of ventilation and wet cleaning in the premises, wash their hands and rinse their nasal passages as often as possible with saline solutions, use a mask to protect the respiratory organs, disinfect hands with alcohol.https://ecomed-journal.org/index.php/journal/article/view/231nosocomial pneumonia, infection, diagnosis, prevention
spellingShingle N.D. Gerasymenko
N.I. Digtiar
A CLINICAL CASE OF HOSPITAL-ACQUIRED PNEUMONIA CAUSED BY KLEBSIELLA PNEUMONIA, DUE TO CONTACT WITH A FAMILY MEMBER
Проблеми екології та медицини
nosocomial pneumonia, infection, diagnosis, prevention
title A CLINICAL CASE OF HOSPITAL-ACQUIRED PNEUMONIA CAUSED BY KLEBSIELLA PNEUMONIA, DUE TO CONTACT WITH A FAMILY MEMBER
title_full A CLINICAL CASE OF HOSPITAL-ACQUIRED PNEUMONIA CAUSED BY KLEBSIELLA PNEUMONIA, DUE TO CONTACT WITH A FAMILY MEMBER
title_fullStr A CLINICAL CASE OF HOSPITAL-ACQUIRED PNEUMONIA CAUSED BY KLEBSIELLA PNEUMONIA, DUE TO CONTACT WITH A FAMILY MEMBER
title_full_unstemmed A CLINICAL CASE OF HOSPITAL-ACQUIRED PNEUMONIA CAUSED BY KLEBSIELLA PNEUMONIA, DUE TO CONTACT WITH A FAMILY MEMBER
title_short A CLINICAL CASE OF HOSPITAL-ACQUIRED PNEUMONIA CAUSED BY KLEBSIELLA PNEUMONIA, DUE TO CONTACT WITH A FAMILY MEMBER
title_sort clinical case of hospital acquired pneumonia caused by klebsiella pneumonia due to contact with a family member
topic nosocomial pneumonia, infection, diagnosis, prevention
url https://ecomed-journal.org/index.php/journal/article/view/231
work_keys_str_mv AT ndgerasymenko aclinicalcaseofhospitalacquiredpneumoniacausedbyklebsiellapneumoniaduetocontactwithafamilymember
AT nidigtiar aclinicalcaseofhospitalacquiredpneumoniacausedbyklebsiellapneumoniaduetocontactwithafamilymember
AT ndgerasymenko clinicalcaseofhospitalacquiredpneumoniacausedbyklebsiellapneumoniaduetocontactwithafamilymember
AT nidigtiar clinicalcaseofhospitalacquiredpneumoniacausedbyklebsiellapneumoniaduetocontactwithafamilymember