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Treatment of chronic pneumonia

Alexey Portnov, medical expert
Last reviewed: 20.11.2021

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Treatment of chronic pneumonia should be long, stage, individual, depending on the period of the disease, the frequency of exacerbations, the presence of concomitant diseases.

In the period of exacerbation, according to the indications, sanative bronchoscopies are performed with local administration of antibiotics and antiseptic agents.
Of great importance is mucolytic therapy with vibration massage and postural drainage, taking into account the localization of the inflammatory process. It is obligatory to conduct exercise therapy.
It is necessary to treat diseases of the ENT organs, sanation of the oral cavity.
The question of surgical treatment is decided strictly individually depending on the severity of the disease, the effectiveness of conservative therapy, the age of the child and the presence of complications
Bronchiectasis, formed during the course of cystic fibrosis, primary immunodeficiency, Kartagener's syndrome, surgical treatment, as a rule, are not subject.
All children with chronic pneumonia should undergo a sanatorium treatment.

General strengthening therapy:

Vitamins: A, B, C, PP, P, antioxidants A, E, C, B15.

Immunomodulators: reaferon, leukocyte interferon, y-interferon, sodium nucleate, prodigiozan, pentoxyl.

Bacterial lysates: ribomunil, bronchomunal, IRS-19.

Vegetative adaptogenes: ginseng, eleutherococcus, golden root, Chinese magnolia vine.

Apilac - royal jelly.

Sanitation of chronic foci of infection (ENT organs, teeth).

Sanatorium treatment in the period of remission.

Dispensary observation during remission. District pediatrician and pulmonologist. Stage of treatment - specialized hospital - sanatorium of local importance - pulmonology cabinet. Inspections 2-3 times a year. In the presence of bronchiectasis - every 2-3 months. LFK, if necessary - postural drainage, sanation of chronic foci of infection, restorative means. With persistent remission - sanatorium treatment.

Prevention of Chronic Pneumonia:

Adequate therapy of acute pneumonia, prevention of transition to protracted.
Timely diagnosis of prolonged segmental pneumonia and their treatment.
Timely diagnosis of foreign bodies and their removal.
Recognition and persistent treatment of atelectasis of various origin.

Forecast. With age, exacerbations occur less often. Improves HPF. In 85% of children with a lesion of one lobe after 6-12 years, normal ventilatory function of the lungs is observed, and 15% have minimal ventilation disorders. Physical development in most patients is not impaired.

The basis of chronic obstructive pulmonary disease is often the developmental defects of the bronchopulmonary system. Lung development defects are detected in 8-10% of patients with chronic bronchopulmonary lesions.

Clinically congenital malformations of the lungs are manifested, as a rule, after the stratification of the infection.