[Community pneumonia in recruits: the algorithm of complex two-staged rehabilitation treatment]

The program of complex recovery therapy and medical rehabilitation (MR) for treating the patients with mild form of community-acquired pneumonia (CAP) is presented. 89 servicemen-recruits with CAP mild form treated during 2003-2005 in the Field Therapy Clinic of Saratov Military Medical Institute were investigated. MR was conducted on the basis of medical station (MS) and lasted for 15 days. Physiological, laboratory and instrumental parameters were evaluated at the day of antibiotic therapy cancel, on discharge from hospital, on the 5-th and 15-th day of MR. The peroxidation activity, intensity of unspecific resistance mechanisms and obstructive impairment of bronchial passages remained during CAP late phases. Only on the 15th day of extensive medical rehabilitation measures in 80,7% of those suffered from CAP the reserve capacity indices of cardiovascular system reached the lower level of the border state of PWC170 test scales, Skibinskiy's and Bogomazov's tests. The proposed two-staged program of medical rehabilitation in CP cases which includes the combined use of actoprotector and antioxidant, restoration of bronchial tree drainage function, early introduction of breathing exercises and cyclotraining allowed achieving the restoration of working and fighting capacity in short terms. The stay in pulmonologic in-patient department became 3 days less.