This scientific article examines the clinical, immunological, and anthropological characteristics of pneumonia in children with chronic diseases, including bronchial asthma, cardiovascular diseases, and chronic anemia. The study was conducted during 2024–2025 in the pediatric demonology and cardiology departments of Samarkand State Medical University and was based on clinical observation and analysis of patients hospitalized with a diagnosis of pneumonia. A total of 72 pediatric patients diagnosed with pneumonia were included in the study. The patients were divided into three groups according to their underlying chronic conditions: bronchial asthma, cardiovascular diseases, and chronic anemia.

In each group, the severity of pneumonia, the dynamics of inflammatory markers (C-reactive protein and nonreciprocal), oxygenation parameters, and the microbiological spectrum were compared. Evaluation of treatment effectiveness demonstrated the importance of an individualized therapeutic approach. In particular, optimization of inhalation therapy in the asthma group and adjustment of diuretic, anticoagulant, and metabolic support protocols in patients with underlying cardiovascular pathology resulted in improved clinical outcomes. These findings serve as a scientific basis for the management of co-morbid pneumonia in pediatric and pulmonology practice.

pneumonia, children, chronic diseases, bronchial asthma, cardiovascular diseases, anemia, inflammatory markers, oxygenation, microbiological spectrum, comorbid conditions, clinical course, treatment strategies, pediatrics, pulmonology.

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Ta'lim innovatsiyasi va integratsiyasi. СОВРЕМЕННЫЕ ПОДХОДЫ К ДИАГНОСТИКЕ И ЛЕЧЕНИЮ ПНЕВМОНИИ У ДЕТЕЙ С УЧЕТОМ АНТИБИОТИКОРЕЗИСТЕНТНОСТИ: ВЫЗОВЫ И ПЕРСПЕКТИВЫ. Хайдарова Хадича Рамизовна, ассистент кафедры Педиатрии лечебного факультета СамГМУ.

International Journal of Pediatrics and Genetics. Vol. 3 No. 4 (2025). ISSN: 2995-5483. Congenital Heart Defects in Children: Modern Diagnosis of Tetralogy of Fallot. ¹ Hudoynazarov Fayyozbek; ² Shukurullayev Xurshid; ³ Xaydarova Xadicha Ramizovna.

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Particularly in the development of gastroduodenal pathology among children with perinatal lesions central nervous system. Scientific Supervisor of the Associate Department of Pediatrics Khaydarova X.R.