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Introduction. Hospital pneumonia (HP) is one of the most frequent and dangerous complications of severe neurosurgical diseases. The aim of the study was to investigate HP spread in patients of neurosurgical department of Zhytomyr Regional Clinical Hospital, it’s diagnostics and treatment features. Materials and methods. 3234 case-records of patients from neurosurgery department treated in 2009–2011 were analyzed.Results. HP was diagnosed in 60 (1.85%) patients. The analyses of diagnostic criteria and antibacterial therapy in these patients was done.Conclusions. The duration of hospitalization of patients with HP and their lethality increasing were observed. Often antibacterial therapy is ineffective. It’s necessary to aspire to pathogens identification frequency increasing and etiotropic treatment prescribing.