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[Infectious diseases of the respiratory system in Irkutsk in 2023 according to autopsy data]
1Irkutsk State Medical University, Irkutsk, Russia.
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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