Naslov
Public health impact of respiratory system infections

Autori
Kuzman, Marina ; Tomic, B ; Kuzman, Ilija

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
4th Croatian Congress on Infectious Diseases with international participation - Abstract Book / Jeren, Tatjana - Zagreb, 2004

Skup
4th Croatian Congress on Infectious Diseases with international participation

Mjesto i datum
Opatija, Hrvatska, 02.10.2004. - 06.10.2004

Vrsta sudjelovanja
Poster

Vrsta recenzije
Nije recenziran

Ključne riječi
Public health; respiratory system infections

Sažetak
In spite of increased medical knowledge and scientific improvement that enabled implementation of preventive measures and vaccination, as well as many effective drugs being available, infectious diseases are still one of the leading cause of death, burden of disease, causing social and economic disadvantages all over the world. Respiratory system infections are the most frequent among infectious diseases. They are massive, globally spread over among all population groups, very contagious, caused by wide range of microorganisms, which are developing increased resistance caused by irrational antibiotic use. According to WHO2002 report, lower respiratory system infections caused death in over 4 million people, mostly in children in developing countries. WHO-HFA database reveals that SDR for respiratory system diseases in Croatia is lower than EU, CSES, CIS and Nordic average, bur SDR for COPD and asthma is higher than EU and CESE average. Among causes of death in Croatia, respiratory system diseases take fifth place, with 4% ratio in the total death toll. In people aged 65 and more (both genders) the most frequent cause of death is pneumonia, followed by COPD, asthma and lung edema. Years of lost life (YLL) because of death caused by respiratory system diseases in 2001 for men was 4, 309 and for women 3, 932. In primary health care respiratory system diseases are 29% of total morbidity, ARI being 74% of registered diagnosis. In early ’ 90s respiratory system diseases were the leading cause of hospital admissions, being since than less and less frequent, and in 2002 at the 6th place. The total number of hospital days was 417.576 (6%), and the average length of stay was 9 days. 9, 407 admissions were due to pneumonia (J12-J18), unspecified pneumonia (J18) being the most frequently reported (6, 994 hospital admissions). Out of total hospital admissions due to unspecified pneumonia, 2, 760 were among people aged 65 or more. To assess the complexity of pneumonia in elderly people, all annual re-admissions for people being 65 or more and in this year at least once hospitalized for unspecified pneumonia were analysed. In total 1, 042 such persons were re-admitted in the same year, being hospitalized 2, 921 times (2.8 times on average). The most frequent cause for re-admission were circulatory diseases (26.5%), and among them heart failure and cerebral infarction. At the second place were respiratory system diseases (20.2%), and among them COPD, than following malignant neoplasms (11.4%), trachea and bronchial cancer being the most frequently registered. In 36 cases pneumonia followed hip fracture. Total number of hospital days for re-admission was 28, 644, meaning the average of 15.2 days (more than average length of stay in acute hospitals). Thus, pneumonia in elderly requires careful assessment because is often connected to other chronic diseases and conditions that can contribute to its severity and outcome, adding to the total burden of respiratory system infections.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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