THE IMPORTANCE OF MODERN DIAGNOSTIC METHODS IN DETECTING AND TREATING MYCOPLASMA PNEUMONIA IN CHILDREN

Abstract

Introduction. Late detection of atypical forms of community-acquired pneumonia is one of the urgent problems and leads to an increase in the duration of treatment. This is due to the late detection of SARS by family clinics, district medical associations, incorrect diagnosis, improper treatment, delay in treatment, late admission of patients to the hospital. Purpose of the study: To correctly conduct treatment tactics by identifying clinical, laboratory, and instrumental features of atypical pneumonia in children. Materials and methods of research. The study was conducted among 160 children aged 3 months to 16 years who applied to the regional children's multidisciplinary center (RCMC) in the autumn-winter period of 2024. At the direction of family polyclinics and district medical associations, 128 children went to the hospital with a diagnosis of Community-acquired pneumonia, 32 sick children received antibiotic therapy against acute respiratory infections at home, after unsuccessful treatment they went to the hospital and were admitted to the pulmonology department on the 7-9 day of illness. The results of the study. The clinical diagnosis of pneumonia was confirmed in 132 (82.5%) of 160 children during an extended examination at the RCMC. Pneumonia was not confirmed in 28 (17.5%) children after X-ray examination. Obstructive bronchitis was confirmed in 12 (42.8%) of them, bronchiolitis in 5 (17.6%), acute respiratory viral infections in 6 (21.4%), and influenza in 5 (17.6%). Of the 132 children diagnosed with BP, 46 were examined using polymerase chain reaction (PCR) and enzyme immunoassay (ELISA), and mycoplasma pneumonia was diagnosed. The results of the study: The clinical diagnosis of pneumonia was confirmed in 132 (82.5%) out of 160 children during an extended examination at RCMC. In 28 (17.5%), pneumonia was not confirmed after X-ray. Obstructive bronchitis was diagnosed in 12 cases (42.8%), bronchiolitis - in 5 cases (17,6%), acute viral respiratory infection - in 6 cases (21,4%), and flu - in 4 cases (5). Of the 130 children diagnosed with pneumonia, 46 underwent polymerase chain reaction (PCR) testing and enzyme immunoassay (ELISA) to confirm mycoplasmal pneumonia. Conclusions.Mycoplasmapneumoniais the mostcommoncausative agent of atypical,which is registeredmainly in preschoolandschool-age children over5years of age.