DIAGNOSIS AND TREATMENT OF STATIONARY PNEUMONIA IN PATIENTS WITH SEVERE CRANIO-BRAIN INJURY

Severe traumatic brain injury (TBI) in patients often leads to the development of hospital-acquired pneumonia (HAP). This purulent-septic complication is one of the main causes of high mortality. This article discusses the issues of diagnosis and treatment of hospital-acquired pneumonia (HAP). Of the 182 patients with TBI who were hospitalized, 41 developed HAP, requiring prolonged mechanical ventilation. The main pathogens were resistant strains such as Streptococcus pneumoniae, Staphylococcus aureus, and Acinetobacter baumanii. Diagnosis was based on clinical symptoms, radiographic data, and bacteriological analyses. Preventive measures helped reduce complications, shorten the duration of intensive care unit stays, and lower treatment costs. Risk factors included age, prolonged mechanical ventilation, and a comatose state. Optimizing diagnosis and antimicrobial therapy can significantly improve outcomes for these critically ill patients.