GolniÅ¡ki simpozij 2011 Zbornik povzetkov

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of gram-positive bacteria to macrolides was noted, but also the resistance of gram-negative bacteria to aminoglycosides, penicillins and cephalosporines. Conclusions Since Serbia is not an active member of EARSS (European Antibiotic Resistance Surveillance System), knowing the local resistance can considerably affect a modality of empirical therapy. 38
Pneumococcal bacteriemia in adults with community-acquired pneumonia Katja Adamiœ, Mateja Polajnar, Franc Øifrer, Viktorija Tomiœ University Clinic for Respiratory and Allergic Diseases, Golnik Background Streptococcus pneumoniae (SP) is the most common cause of community-acquired pneumonia (CAP). Complications of CAP are pleural effusion, empyema, lung abscess and metastatic infection in patients with bacteremia. Appropriate antibiotic therapy should be initiated as soon as possible after diagnosis. To establish SP as an aetiologic agent of CAP cultivation and isolation of the bacterium from patients’ blood cultures (BC) and respiratory specimens should be performed. Also detection of the pneumococcal antigen (Ag-SP) in urine samples can be used. Methods We performed a retrospective analysis of hospital records of patients with pneumococcal bacteremia admitted to University Clinic Golnik between January 1, 2003 and December 31, 2009. We collected demographic data, signs and symptoms on admission, laboratory results (C-reactive protein (CRP), white blood count (WBC), urea, creatinine, etc), microbiological testing results, smoking habits, associated diseases, antibiotic therapy, use of steroids, vaccination status. Results Pneumonia with pneumococcal bacteremia was observed in 139 patients (79 men and 60 women), mean age was 66 years (range 19 to 95 years). Seventy-five percent of patients had at least one associated chronic disease, mainly hypertension (43%), diabetes type 2 (24%) and COPD (20%). Eighteen patients had associated malignant diseases and 2 had confirmed HIV infection. Twelve percent were alcohol dependent, 26% active smokers, 22% former smokers. Fourteen percent of patients were receiving inhaled or systemic steroids. No patient had documented information on vaccination against SP, one patient was advised vaccination at discharge. Most commonly reported sings and symptoms at admission were cough, dispnea, chest pain, fever and chills with 8% of patients having haemoptysis. Sixty-three percent of patients were hypoxemic and 25% were hypotensive. Average admission values of laboratory tests were CRP 260mg/L, WBC 14x10 9 /L (less than 4.0x109/L in 12 patients), haemoglobin (Hb) 124g/L, glucose 8.2 mmol/L, urea 11.3 mmol/L, creatinine 125 µmol/L. In 10% of patients SP was isolated from sputum, in 9% urine Ag-SP was positive. In 14% of patients pleural effusion was present (empyema in 5 patients). As empirical antibiotic treatment 51% of patients received amoxicillin with clavulanic acid, 7% received co-amoxiclav and macrolide, 4% penicillin and 17% respiratory quinolones. In 30% of patients the empiric antibiotic treatment was changed to penicillin on account of microbiological results. Twenty-three percent of patients needed haemo- 39
Page 1 and 2: Golnik Symposium 2011 Congress Bled
Page 3 and 4: Content Oral presentations Kadivec
Page 5: Turnøek N, Mohorœiœ K, Neutropen
Page 9 and 10: Coordination of discharge in COPD S
Page 11 and 12: pensing should be undertaken in ord
Page 13 and 14: References 1. Plebani M. Errors in
Page 15 and 16: of lung fibrosis. In more detail, m
Page 17 and 18: Apart from the proliferation of fib
Page 19 and 20: POSTER PRESENTATIONS 19
Page 21 and 22: Licensing of medical laboratories i
Page 23 and 24: The intervention group had a signif
Page 25 and 26: Implementation of a medication reco
Page 27 and 28: Communication in palliative care: c
Page 29 and 30: tients with OHS were treated with C
Page 31 and 32: Videothoracoscopic resection of gia
Page 33 and 34: Electrocardiogram analysis of patie
Page 35 and 36: of COPD but not in the severity of
Page 37: Examination of resistance of bacter
Page 41 and 42: Aspergillosis Tina Jeriœ, Izidor K
Page 43 and 44: Carriage rate of extended-spectrum
Page 45 and 46: Screening of persons after contact
Page 47 and 48: many years correctional facilities
Page 49 and 50: Conclusions The collaboration of di
Page 51 and 52: Conclusions NTM are not very often
Page 53 and 54: more serious measures in pre-analyt
Page 55 and 56: Nation-wide evaluation of three mol
Page 57 and 58: NSE and negative for cytokeratins a
Page 59 and 60: Videothoracoscopic lung lobectomy i
Page 61 and 62: Quantitative Methylation Profiles o
Page 63 and 64: Anti-angiogenic miRNAs let-7b and m
Page 65 and 66: MDR1 polymorphisms G2677T/A and C34
Page 67 and 68: Topoisomerase IIa in small cell lun
Page 69 and 70: tients with FN received antibiotic
Page 71 and 72: ing 45,9%, elevated liver enzymes 5
Page 73 and 74: stress and lipid status showed pote
Page 75 and 76: The significance of PET CT in diagn
Page 77 and 78: Peripheral invariant NKT cells and
Page 79 and 80: Allergy in patients with vocal fold
Page 81 and 82: ORMDL3 gene polymorphism is associa
Page 83 and 84: Baseline serum tryptase is not asso
Page 85 and 86: Rhinitis symptoms caused by grass p
Page 87 and 88: Conclusions We provide a protocol o
Page 89:
Association analysis of polymorphis
Page 92 and 93:
Organizirajoœa pljuœnica - histop
Page 94 and 95:
Organizirajoœa pljuœnica - spekte
Page 96 and 97:
Organizirajoœa pljuœnica - klini
Page 98 and 99:
Notes: 98
Page 100 and 101:
Notes: 100
Page 102 and 103:
Notes: 102
Page 104 and 105:
Notes: 104
Page 106:
PARTNERS Congress was supported by
Page 109:
Najbolj predpisovano zdravilo za vz
Page 112 and 113:
z b f 160 µg/4,5 µg/odmerek
Page 114 and 115:
320 µg/9 µg/odmerek
Page 116 and 117:
SAMO ZA STROKOVNO JAVNOST.
Page 118 and 119:
^AS ZA ŽIVLJENJE. DOKAZANO PODALJ
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GolniÅ¡ki simpozij 2011 Zbornik povzetkov

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