CHARACTERISTICS OF PATHOMORPHOLOGY OF VENTILATOR-ASSOCIATED PNEUMONIA IN BRAIN STROKES

Abstract

One of the main risk factors for pneumonia development in people with cerebral stroke is artificial ventilation of the lungs. The paper presents the results of clinical and pathological analysis of 37 cases (the main group) of the organs section in cerebral strokes complicated by ventilator-associated pneumonia. The comparison group included 29 observations, when the post-stroke period was accompanied by the development of nosocomial pneumonia without ventilation. The control group included 17 people who did not develop pneumonia in the postinfarction period against the background of the ventilator. It is revealed that the leading microbial agents, both in monoculture and in the association are representatives of the Enterobacteriaceae family. The mixed nature of flora causes significant pathomorphological changes in the lesion of pulmonary parenchyma, which worsens the prognosis. Preexisting lung pathology refers to the risk factors for hospital pneumonia, and the pathological process in the body is common.