Abstract
Purpose: To investigate the features of the clinical course and treatment tactics for community-acquired pneumonia (CAP) in children with cerebral palsy (CP). Materials and Methods:The analysis of clinical, radiological, laboratory parameters and treatment tactics was carried out in two groups: 56 children with CAP on the background of cerebral palsy and 100 children with CAP without neurological pathology at the age from 0 to 14 years.Results: Children with cerebral palsy were more likely to have recurrent pneumonia.In cerebral palsy, CAP was more often bilateral, proceeded with prolonged manifestations of bronchitis and bronchial obstruction, problems with sputum discharge, more pronounced respiratory failure, which more often required intensive therapy, including artificial ventilation of the lungs, repeated courses of antibiotic therapy, and longer hospitalization.A significant role of Streptococcus pneumoniae in CAP in children with cerebral palsy has been established. Conclusion:The revealed features determine the need to actively use in the treatment of children with cerebral palsy with community-acquired pneumonia (CAP), medication and non-medication methods of sanitation of the bronchial tree and bronchodilators.The tendency to develop community-acquired pneumonia (CAP) and its more severe course confirms the relevance of compulsory pneumococcal vaccination of children with cerebral palsy.