Today pneumonia remains a common and potentially lethal disease. Ukraine has developed modern guidelines for the diagnosis and treatment of this disease, based on the principles of evidence-based medicine. The paper analyzes the implementation of these recommendations in 100 patients hospitalized in therapeutic hospital. It is revealed that the real clinical practice differs significantly from modern national recommendations: all patients hospitalized with community-acquired pneumonia, regardless of severity, too often used in the treatment of III generation cephalosporins and respiratory fluoroquinolones, very rarely used protected aminopenicillins, inflated terms of antibiotic therapy, not the principle of sequential therapy, there is a polypharmacy and use non-antibiotic drugs without evidence of its effectiveness. This indicates a lack of awareness of practitioners about the basic principles of modern clinical practice guidelines on the management of community-acquired pneumonia.