Naslov
Respiratory Tract Infections: Treatment Challenges

Autori
Baršić Bruno

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, neobjavljeni rad, ostalo

Skup
Macrolides-Yesterday, Today and Tomorrow Scientific symposium at the 13th ICD

Mjesto i datum
Kuala Lumpur, Malezija, 21.06.2008

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Nije recenziran

Ključne riječi
community-acquired pneumonia; intensive care unit; ventilator-associated pneumonia; nosocomial pneumonia

Sažetak
Severe community-acquired pneumonia (CAP) treated in intensive care units (ICU) represents a great therapeutic challenge. There is growing evidence on the importance of atypical pathogens and combined infections as causes of severe CAP. Data from our single-center study show that Legionella and atypical pathogens are associated with over 20% of CAP. That is why combined ceftriaxone and parenteral azithromycin therapy became a standard treatment in our ICU. This is congruent with majority of contemporary treatment guidelines which recognized the importance of a combined treatment of CAP. Evidences on the role of atypical pathogens, particularly C. pneumoniae, in the etiology of nosocomial pneumonia (NP), including ventilator-associated pneumonia (VAP), are also emerging. These pathogens are not so well recognized as possible pathogens and considered in present treatment guidelines of NP. Further surveillance is needed which might change our initial therapeutic approach in patients with NP.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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