Antibiotic therapy of lower respiratory tract infections in the pulmonary department of a general hospital
Lower respiratory tract infection is a common cause of hospitalization and it requires antibiotic therapy. The analysis of hospital morbidity showed that on the 1st place among the causes for the last 3 years remained pneumonia, 2 - exacerbation of COPD. For the treatment of pneumonia as the drugs of choice doctors used cephalosporins (51,5 %), macrolides (29,2 %), on the 3rd place - fluoroquinolones (11,6 %), whereas in an exacerbation of COPD - 1 place is occupied by cefolosporin (44,5 %), 2nd by - fluoroquinolones (26,4 %), and macrolides were not used (2,4 %). The percentage of detection of tuberculosis among hospitalized patients reached 4 % in 2010, and 10,6 % of patients needed a consultation of a phthisiatrician. Such extensive use of fluoroquinolones for the treatment of lower respiratory tract infections in the areas with a high incidence of TB can lead to a delayed diagnosis and reduce the effectiveness of treatment of this disease.