A contemporary view of the problem of destructive pneumonia in children

The problem of community-acquired pneumonia in children remains relevant at the present time. Complicated forms, which include pleural empyema, abscess, necrotizing pneumonia, bronchopleural fistulas and acute respiratory distress syndrome do not decrease, despite modern antibacterial therapy availability vaccination against pneumococcus. main pathogens associated with lung destruction are S. pneumoniae aureus , often MRSA . role other is much less frequently reported: Streptococcus pyogenes Haemophilus influenzae Pseudomonas aeruginosa Fusobacterium nucleatum Legionella pneumophila Klebsiella anaerobes. However only pathogenic factors pathogen important for development. Often, a viral prodrome, influenza A (H1N1) virus, precedes complicated pneumonia. During epidemic COVID-19, endothelial damage high degree probability was predisposing factor development secondary bacterial infection tissue necrosis. Significant liquefaction may develop adequate antibiotic therapy. Great importance necrosis attached to activation hemostasis thrombus formation vessels lungs. Timely diagnosis difficult due predominance general symptoms over local ones, especially young children. Chest x-ray standard diagnosing. However, diagnostic capabilities this method limited. To assess number parameters state cavity tissue, ultrasound preferred. It necessary analyze current features course clinical guidelines management patients period rehabilitation.