[Infectious diseases of the respiratory system in Irkutsk in 2023 according to autopsy data].

Q4 Medicine

Arkhiv patologii Pub Date : 2025-01-01 DOI:10.17116/patol20258702137

V V Svistunov, A E Makarova

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引用次数: 0

Abstract

Objective: To characterize infectious diseases of the respiratory system in Irkutsk based on autopsy data for 2023.

Material and methods: The results of 1166 autopsies of those who died in multidisciplinary hospitals in Irkutsk in 2023 were analyzed. The data of macro- and microscopic, immunohistochemical, bacterioscopic, microbiological studies, and PCR were evaluated.

Results: The total number of deaths from infectious diseases of the respiratory system was 683 - 59% of the total number of autopsies. Of these, acute pneumonia, including secondary, was 557 (48%). The etiology of secondary pneumonia is in most cases associated with Klebsiella pneumoniae, including in various combinations with other pathogens. The largest number of registered secondary pneumonias occurred during the period of increased incidence of acute respiratory viral infections and influenza. Among those who died from tuberculosis, HIV-infected individuals predominated; in 67% of cases, the etiology of the disease was associated with the Beijing genotype.

Conclusions: Infectious diseases of the respiratory system remain one of the most pressing problems in medicine, and acute secondary pneumonia is the most common complication and the most common cause of death of patients in somatic hospitals in Irkutsk.

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[根据尸检数据，2023年伊尔库茨克呼吸系统传染病]。

目的：根据2023年伊尔库茨克地区的尸体解剖资料，分析伊尔库茨克地区呼吸系统传染病的特征。材料与方法：对2023年伊尔库茨克多学科医院死亡的1166例尸体解剖结果进行分析。评估了宏观和微观、免疫组织化学、细菌镜、微生物学研究和PCR的数据。结果：呼吸系统传染病死亡总人数为683人，占死亡总人数的59%。其中，急性肺炎（包括继发性）为557例（48%）。继发性肺炎的病因学在大多数情况下与肺炎克雷伯菌有关，包括与其他病原体的各种组合。在急性呼吸道病毒感染和流感发病率增加期间，继发性肺炎的登记人数最多。在死于肺结核的人中，艾滋病毒感染者占多数；67%的病例病因与北京基因型相关。结论：呼吸系统传染病仍然是医学上最紧迫的问题之一，急性继发性肺炎是伊尔库茨克躯体医院患者最常见的并发症和最常见的死亡原因。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Arkhiv patologii Medicine-Pathology and Forensic Medicine

CiteScore

0.90

自引率

0.00%

发文量

期刊介绍： The journal deals with original investigations on pressing problems of general pathology and pathologic anatomy, newest research methods, major issues of the theory and practice as well as problems of experimental, comparative and geographic pathology. To inform readers latest achievements of Russian and foreign medicine the journal regularly publishes editorial and survey articles, reviews of the most interesting Russian and foreign books on pathologic anatomy, new data on modern methods of investigation (histochemistry, electron microscopy, autoradiography, etc.), about problems of teaching, articles on the history of pathological anatomy development both in Russia and abroad.