mrjСовременная ревматологияModern Rheumatology Journal1996-70122310-158XIMA-PRESS, LLC10.14412/1996-7012-2018-1-47-54mrj-808Research ArticleОБЗОРЫREVIEWSИнфекции нижних дыхательных путей при ревматических заболеванияхLower respiratory tract infections in rheumatic diseasesБеловБ. С.BelovB. S.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

belovbor@yandex.ruБухановаД. В.BukhanovaD. V.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

ТарасоваГ. М.TarasovaG. M.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»РоссияV.A. Nasonova Research Institute of RheumatologyRussian Federation2018020420181214754Copyright © Белов Б.С., Буханова Д.В., Тарасова Г.М., 20182018Белов Б.С., Буханова Д.В., Тарасова Г.М.Belov B.S., Bukhanova D.V., Tarasova G.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://mrj.ima-press.net/mrj/article/view/808

Инфекции нижних дыхательных путей занимают ведущее место у больных ревматическими заболеваниями (РЗ). Наиболее частым возбудителем пневмоний (Пн) как в общей  популяции, так и при РЗ остается пневмококк (S. pneumoniae). В настоящем обзоре  приведены частота и факторы риска Пн при различных РЗ. Представлены основные  клинические характеристики,  подходы к терапии и профилактике Пн, обусловленных различными (в том числе  оппортунистическими) инфекциями. Проблема Пн у больных с РЗ весьма актуальна и  одновременно крайне мало разработана – в отечественной литературе ей посвящены  единичные публикации. Необходимы дальнейшие исследования ее различных аспектов  (включая эффективность и безопасность вакцинации) на территории России в рамках единой  научной программы, что позволит создать клинические рекомендации по ведению таких пациентов.

Lower respiratory tract infections occupy a leading place in patients with rheumatic diseases (RDs). Pneumococcus (S. pneumoniae) remains the most common causative pathogen of pneumonias in  both the general population and patients with RDs. This review gives the frequency and risk factors of pneumonias in different RDs. It  presents the main clinical characteristics and approaches to treating  and preventing pneumonias due to various (including opportunistic)  infections. The problem of pneumonias is very relevant in patients  with RDs and it has been simultaneously extremely little developed – there are single publications on this problem are available in the  Russian literature. There is a need for further investigations of its  various aspects (including the efficiency of and safety of vaccination) in Russia within the uniform science program, which will make it  possible to develop clinical guidelines for the management of these patients.

ревматические заболеванияинфекции нижних дыхательных путейпневмонииклинические проявлениялечениепрофилактика.rheumatic diseaseslower respiratory tract infectionspneumoniasclinical manifestationstreatmentprevention.ReferencesЗаболеваемость всего населения России в 2016 году. Статистические материалы. Часть I. Москва; 2017. [Zabolevaemost' vsego naseleniya Rossii v 2016 godu. Statisticheskie materialy. Chast' I [The morbidity of Russia's population in 2016. Statistical data. Part I]. Moscow; 2017.].Заболеваемость всего населения России в 2016 году. Статистические материалы. Часть I. Москва; 2017. [Zabolevaemost' vsego naseleniya Rossii v 2016 godu. Statisticheskie materialy. Chast' I [The morbidity of Russia's population in 2016. Statistical data. Part I]. Moscow; 2017.].Зайцев АА. Внебольничная пневмония: «bene dignoscitur, bene curator». Consilium Medicum. 2017;(3):55-60. [Zaitsev AA. Community-acquired pneumonia: «bene dignoscitur, bene curator». Consilium Medicum. 2017;(3):55-60. 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The authors declare that there are no conflicts of interest present.