Boli infectioase
Boli infectioase
Boli infectioase
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
medular* BGN aminoglicozid<br />
Fluorochinolone inj<br />
4 sapt<br />
trat. po<br />
*Drenaj chirurgical percutan (in caz de esec al terapiei cu antibiotice / abces<br />
mare / urosepsis / uropatie obstructiva )<br />
III. Supravegherea eficientei terapiei<br />
- afebrilitate dupa 48 ore de tratament antibiotic - continua tratamentul<br />
- febra dupa 48 ore de tratament antibiotic - repeta urocultura<br />
+ antibiograma<br />
- ecografie<br />
- consult urologic<br />
- UIV<br />
IV. Tratament asociat in ITU<br />
- hidratare 2-3 l lichide/zi ( solutii cristaloide, solutii macromoleculare<br />
in soc, ser glucozat, saruri de rehidratare orala)<br />
- AINS<br />
- HHC (urosepsis, soc)<br />
- Antiseptice urinare<br />
- Combaterea constipatiei (laxative)<br />
V. Durata spitalizarii<br />
ITU necomplicate = 7-10 zile<br />
ITU complicate = 10 – 21 zile<br />
Diagnostic clinic si paraclinic<br />
SEPSIS<br />
SIRS ( Systemic Inflammatory Response Syndrome)<br />
• Tahicardie ( > 90/min )<br />
• Tahipnee ( >20 resp/min )<br />
• Febra > 38,5 °C sau hipotermie ( 35,5 °C )<br />
• ± leucocitoza<br />
• ± trombocitopenie<br />
SEPSIS = SIRS + dovada clinica / paraclinica a prezentei unei bacterii<br />
SEPSIS SEVER = SEPSIS + o insuficienta de organ / sistem<br />
28
Change language