

Thus, drug users, even without immunedefi-ciency, experience pneumonia of staphylo-coccal etiology, which is characterized by resistance to antibiotic therapy, severe course, rapid progression, frequent complications and high lethality.
#Which is right and left in a chest x ray skin
This can be explained by the fact that 25-40 % of the population is permanent carriers of this bacterium, which is stored on the skin and with intravenous interventions (procedures) the bacteria enters the systemic circulation. In persons who use drugs intravenously, most often an infection is caused by Golden Staph (Staphylococcus aureus). O., 2018Ī rapid spread and deeper penetration of bacterial agents into the human body. With intravenous drug addiction, after nonsterile and usually unsuccessful attempts to gain access to peripheral veins, proximal and central veins are used to inject the drug, which leads to Therefore, particular importance today is given to the problem of so-called «syringe» infections, among which the most frequent infections are HIV, viral hepatitis B and C, bacterial hematogenous infections that cause serious complications: pneumonia, septicemia, bacterial endocarditis. Īccording to the National Report for 2017 on the Drug Situation in Ukraine in 2016, about three million people (about 14 % of the population of Ukraine) are drug addicts. КЛЮЧЕВЫЕ СЛОВА: внебольничная пневмония, инъекционная наркомания, диагностика, тактика веденияĪccording to statistical data, pneumonia ranks first among the causes of death from infectious diseases, the sixth among all causes of death and the fourth among causes of death in patients older than 65 years. KEY WORDS: community-acquired pneumonia, injecting drug use, diagnosis, treatment strategy

The treatment strategy of the patient in the conditions of an ambulatory are described. On an example of a clinical case in a patient with drug addiction, the reviewed clinical and chest X-ray features of community-acquired pneumonia, the diagnostic algorithms and the differential diagnostics are based on the recommendations of the Ukrainian Association of Pulmonology. Karazin Kharkiv National University, Kharkiv, UkraineĢ Kharkiv National Medical University, Kharkiv, Ukraine
