FAN-ASSOCIATED PNEUMONIA: DIAGNOSTICS, PREVENTION, TREATMENT (literature report)
FAN-associated pneumonia is one of the pathologies of patients in the intensive care unit. Most often, it occurs in patients with prolonged mechanical ventilation of the lungs in critical condition, in the process of intensive therapy and invasive methods of sanitation of the tracheobronchial tree. The current state of the problem of FAN-associated pneumonia (FAP) and the effectiveness of combating the problem of hospital pneumonia (HP) and FAP depend on a detailed knowledge of the characteristic epidemiological features of this pathology at the level of individual medical units. Methods of prevention and diagnosis, the issues of the etiology and pathogenesis of ventilator-associated pneumonia, and the successes and difficulties of treating this pathology are broadly covered in domestic and foreign literature. Everyday work of the anesthesiologist-resuscitator requires knowledge of the features of the course of FAP, modern diagnosis and prevention, adherence to sanitary and hygiene and anti-epidemic measures in the intensive care unit. Antibacterial therapy is prescribed taking into account the identification of the flora, its sensitivity and hospital infection of this medical institution. Knowledge of the features of the course of VAP, timely prevention of complications of invasive ventilation and modern antibiotic therapy will allow the practicing physician to reduce the lethality and shorten the time of treatment of patients in the intensive care unit.