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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">ppharm</journal-id><journal-title-group><journal-title xml:lang="ru">Педиатрическая фармакология</journal-title><trans-title-group xml:lang="en"><trans-title>Pediatric pharmacology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1727-5776</issn><issn pub-type="epub">2500-3089</issn><publisher><publisher-name>Издательство «ПедиатрЪ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15690/pf.v20i1.2534</article-id><article-id custom-type="elpub" pub-id-type="custom">ppharm-2260</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL RECOMMENDATIONS</subject></subj-group></article-categories><title-group><article-title>Современные подходы к ведению детей с внебольничной пневмонией</article-title><trans-title-group xml:lang="en"><trans-title>Modern approaches at the management of children with community-acquired pneumonia</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3987-8112</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Баранов</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Baranov</surname><given-names>Aleksander A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8728-1113</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Козлов</surname><given-names>Р. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Kozlov</surname><given-names>Roman S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Саратов</p></bio><bio xml:lang="en"><p>Saratov</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2209-7531</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Намазова-Баранова</surname><given-names>Л. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Namazova-Baranova</surname><given-names>Leyla S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Намазова-Баранова Лейла Сеймуровна, </p><p>руководитель НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»;</p><p>доктор медицинских наук, профессор, академик РАН, заведующая кафедрой факультетской педиатрии педиатрического факультета;</p><p>президент Союза педиатров России, </p><p>119333, Москва, ул. Фотиевой, д. 10</p></bio><bio xml:lang="en"><p>Moscow</p></bio><email xlink:type="simple">lsnamazova@yandex.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7916-1488</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Андреева</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Andreeva</surname><given-names>Irina V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Саратов</p></bio><bio xml:lang="en"><p>Saratov</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6474-6766</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бакрадзе</surname><given-names>М. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Bakradze</surname><given-names>Maiya D.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7398-0562</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вишнёва</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Vishneva</surname><given-names>Elena A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Карасева</surname><given-names>М. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Karaseva</surname><given-names>Mariya S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кузнецова</surname><given-names>Т. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kuznetsova</surname><given-names>Tatiana A.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7447-0625</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Куличенко</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kulichenko</surname><given-names>Tatiana V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лашкова</surname><given-names>Ю. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Lashkova</surname><given-names>Yulia S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лютина</surname><given-names>Е. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Lyutina</surname><given-names>Elena I.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Манеров</surname><given-names>Ф. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Manerov</surname><given-names>Farok K.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8077-5313</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Маянский</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Mayanskiy</surname><given-names>Nikolay A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Платонова</surname><given-names>М. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Platonova</surname><given-names>Mariya M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4655-3375</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Полякова</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Polyakova</surname><given-names>Anastasiya S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3678-7939</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Селимзянова</surname><given-names>Л. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Selimzyanova</surname><given-names>Lilia R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-8"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8085-4513</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Таточенко</surname><given-names>В. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Tatochenko</surname><given-names>Vladimir K.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Старовойтова</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Starovoytova</surname><given-names>Elena V.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7316-9187</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Стецюк</surname><given-names>О. У.</given-names></name><name name-style="western" xml:lang="en"><surname>Stetsiouk</surname><given-names>Olga U.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Саратов</p></bio><bio xml:lang="en"><p>Saratov</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0797-5612</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Федосеенко</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Fedoseenko</surname><given-names>Marina V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чащина</surname><given-names>И. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Chashchina</surname><given-names>Irina L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-9"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Харькин</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kharkin</surname><given-names>Andrey V.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Первый МГМУ им. И.М. Сеченова (Сеченовский Университет);&#13;
НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sechenov First Moscow State Medical University;&#13;
Research Institute of Pediatrics and Children’s Health in Petrovsky National Research Centre of Surgery</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Саратовский ГМУ им. В.И. Разумовского</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.I. Razumovsky Saratov State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»;&#13;
РНИМУ им. Н.И. Пирогова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Institute of Pediatrics and Children’s Health in Petrovsky National Research Centre of Surgery;&#13;
Pirogov Russian National Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Союз педиатров России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>The Union of Pediatricians of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Institute of Pediatrics and Children’s Health in Petrovsky National Research Centre of Surgery</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>РНИМУ им. Н.И. Пирогова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pirogov Russian National Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>РНИМУ им. Н.И. Пирогова;&#13;
НМИЦ здоровья детей</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pirogov Russian National Research Medical University;&#13;
National Medical Research Center of Children’s Health</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-8"><aff xml:lang="ru"><institution>Первый МГМУ им. И.М. Сеченова (Сеченовский Университет);&#13;
НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»;&#13;
РНИМУ им. Н.И. Пирогова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sechenov First Moscow State Medical University;&#13;
Research Institute of Pediatrics and Children’s Health in Petrovsky National Research Centre of Surgery;&#13;
Pirogov Russian National Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-9"><aff xml:lang="ru"><institution>НМИЦ здоровья детей</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Medical Research Center of Children’s Health</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>27</day><month>02</month><year>2023</year></pub-date><volume>20</volume><issue>1</issue><fpage>17</fpage><lpage>41</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Баранов А.А., Козлов Р.С., Намазова-Баранова Л.С., Андреева И.В., Бакрадзе М.Д., Вишнёва Е.А., Карасева М.С., Кузнецова Т.А., Куличенко Т.В., Лашкова Ю.С., Лютина Е.И., Манеров Ф.К., Маянский Н.А., Платонова М.М., Полякова А.С., Селимзянова Л.Р., Таточенко В.К., Старовойтова Е.В., Стецюк О.У., Федосеенко М.В., Чащина И.Л., Харькин А.В., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Баранов А.А., Козлов Р.С., Намазова-Баранова Л.С., Андреева И.В., Бакрадзе М.Д., Вишнёва Е.А., Карасева М.С., Кузнецова Т.А., Куличенко Т.В., Лашкова Ю.С., Лютина Е.И., Манеров Ф.К., Маянский Н.А., Платонова М.М., Полякова А.С., Селимзянова Л.Р., Таточенко В.К., Старовойтова Е.В., Стецюк О.У., Федосеенко М.В., Чащина И.Л., Харькин А.В.</copyright-holder><copyright-holder xml:lang="en">Baranov A.A., Kozlov R.S., Namazova-Baranova L.S., Andreeva I.V., Bakradze M.D., Vishneva E.A., Karaseva M.S., Kuznetsova T.A., Kulichenko T.V., Lashkova Y.S., Lyutina E.I., Manerov F.K., Mayanskiy N.A., Platonova M.M., Polyakova A.S., Selimzyanova L.R., Tatochenko V.K., Starovoytova E.V., Stetsiouk O.U., Fedoseenko M.V., Chashchina I.L., Kharkin A.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.pedpharma.ru/jour/article/view/2260">https://www.pedpharma.ru/jour/article/view/2260</self-uri><abstract><p>Экспертами Союза педиатров России разработаны актуальные клинические рекомендации по оказанию медицинской помощи детям с внебольничными пневмониями, которые были одобрены Научно-практическим советом Минздрава России в январе 2022 г. Особое внимание уделено этиологической структуре, современной классификации, диагностическим исследованиям и основным подходам к антибактериальной терапии внебольничной пневмонии у детей, основанным на принципах доказательной медицины. </p></abstract><trans-abstract xml:lang="en"><p>Experts of The Union of Pediatricians of Russia have developed current clinical guidelines for management of children with community-acquired pneumonia, which were approved by the Scientific and Practice Council of Ministry of Public Health of the Russian Federation in January 2022. Particular attention is paid to the etiological structure, modern classification, diagnostic tests and flagship approaches to antibacterial therapy of community-acquired pneumonia in children based on the principles of evidentiary medicine. </p></trans-abstract><kwd-group xml:lang="ru"><kwd>дети</kwd><kwd>внебольничная пневмония</kwd><kwd>клинические рекомендации</kwd></kwd-group><kwd-group xml:lang="en"><kwd>children</kwd><kwd>community-acquired pneumonia</kwd><kwd>clinical guidelines</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Геппе Н.А., Розинова Н.Н., Волков И.К., Мизерницкий Ю.Л. Рабочая классификация основных клинических форм бронхолегочных заболеваний у детей // Трудный пациент. — 2009. — Т. 7. — № 1-2. — С. 35–39.</mixed-citation><mixed-citation xml:lang="en">Geppe NA, Rozinova NN, Volkov IK, Mizernitskii YuL. 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