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Golniški simpozij 2011 Zbornik povzetkov

Golniški simpozij 2011 Zbornik povzetkov

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dynamic support with dopamine, 12% had to be intubated and mechanically ventilated. Average duration<br />

of hospitalization was 15 days with 31% of patients treated in the intensive care unit (ICU) for<br />

an average of 9 days. From 139 patients 15% died during hospitalization, 7% during the first 3 days.<br />

Conclusions<br />

According to the national recommendations for the treatment of patients with CAP, patients with<br />

pneumococcal bacteremia who meet the criteria for severe CAP 1 should be initially treated in ICU.<br />

In our retrospective analysis 31% of patients were treated in ICU. To curb the development of pneumococcal<br />

resistance replacement of empirically introduced antibiotic with penicillin after receiving<br />

the microbiological test results should be encouraged. Patients with certain associated diseases and<br />

clinical conditions 1 should be advised to receive pneumococcal vaccine after they recover from CAP.<br />

Literature:<br />

1. E. Muøiœ, K.Osolnik, V. Tomiœ, R. Eræen, M. Koønik et al: Recommendations for the Management of Community-acquired<br />

Pneumonia in Adults (Updated and revised Edition, 2010), Zdrav Vestn 2010;79: 245–264<br />

40

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