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master's thesis
Liječenje izvanbolničkih pneumonija u obiteljskoj medicini
Rijeka: University of Rijeka, Faculty of Medicine, 2021. urn:nbn:hr:184:378745
Nicoletto, Natale
University of Rijeka
Faculty of Medicine
Department of Family Medicine

Institutional repository: Repository of the University of Rijeka, Faculty of Medicine

Cite this document

Nicoletto, N. (2021). Liječenje izvanbolničkih pneumonija u obiteljskoj medicini (Master's thesis). Rijeka: University of Rijeka, Faculty of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:378745

Nicoletto, Natale. "Liječenje izvanbolničkih pneumonija u obiteljskoj medicini." Master's thesis, University of Rijeka, Faculty of Medicine, 2021. https://urn.nsk.hr/urn:nbn:hr:184:378745

Nicoletto, Natale. "Liječenje izvanbolničkih pneumonija u obiteljskoj medicini." Master's thesis, University of Rijeka, Faculty of Medicine, 2021. https://urn.nsk.hr/urn:nbn:hr:184:378745

Nicoletto, N. (2021). 'Liječenje izvanbolničkih pneumonija u obiteljskoj medicini', Master's thesis, University of Rijeka, Faculty of Medicine, accessed 29 April 2024, https://urn.nsk.hr/urn:nbn:hr:184:378745

Nicoletto N. Liječenje izvanbolničkih pneumonija u obiteljskoj medicini [Master's thesis]. Rijeka: University of Rijeka, Faculty of Medicine; 2021 [cited 2024 April 29] Available at: https://urn.nsk.hr/urn:nbn:hr:184:378745

N. Nicoletto, "Liječenje izvanbolničkih pneumonija u obiteljskoj medicini", Master's thesis, University of Rijeka, Faculty of Medicine, Rijeka, 2021. Available at: https://urn.nsk.hr/urn:nbn:hr:184:378745

Metadata
TitleLiječenje izvanbolničkih pneumonija u obiteljskoj medicini
Title (english)Treatment of community-acquired pneumonia in family medicine
AuthorNatale Nicoletto
MentorInes Diminić-Lisica (mentor)
Committee memberBranislava Popović (predsjednik povjerenstva)
Committee memberAleksandar Ljubotina (član povjerenstva)
Committee memberTatjana Čulina (član povjerenstva)
GranterUniversity of Rijeka
Faculty of Medicine
(Department of Family Medicine)
Rijeka
Defense date and country2021-07-16, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Infectology
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Public Health and Health Care
Family Medicine
Abstract
Izvanbolnička pneumonija je česta s incidencijom 1.2-1.8% i s njom se redovito susreću liječnici obiteljske medicine koji postavljaju kliničku dijagnozu koristeći se anamnezom, kliničkim pregledom, laboratorijskim pretragama krvi i urina, mikrobiološkom analizom iskašljaja, urina ili nazofaringealnim brisom. Rendgenska pretraga ostaje zlatni standard, a prema potrebi koriste se i druge slikovne metode. Neophodno je procijeniti težinu kliničke slike te pomoću instrumenata procjene (PSI, CURB-65 ili CRB-65) odlučiti da li će se pacijent liječiti ambulanto ili će biti potrebna hospitalizacija. Preporučena antimikrobna terapija uključuje amoksicilin sa ili bez klavulanske kiseline, makrolide, cefalosporine, doksiciklin ili respiratorne flouronokinolone. Potrebna je također i supportivna terepija. Nakon 48-72 sata neophodno je utvrditi odgovor na terapiju i prema potrebi promijeniti terapiju ili hospitalizati pacijenta u slučaju neuspjeha. Također treba osigurati prevenciju pneumonije kada je to potrebno preporukom promjene životnih navika i cijepljenjem.
Abstract (english)
Community acquired pneumonia is common with incidence of 1.2-1.8% and it is something family practitioners encounter often, and they must determine clinical diagnosis using anamnesis, clinical exam, blood and urine laboratory tests, microbiological analysis of sputum, urine, or nasopharyngeal swab. X-ray remains the gold standard and if required other imaging methods can be used. It is necessary to determine the severity and using prediction tools (PSI, CURB-65, or CRB-65) decide if a patient will be treated as an ambulatory patient or is hospitalization required. Recommended antimicrobial therapy includes amoxicillin with or without clavulanic acid, macrolides, cephalosporins, doxycycline or respiratory fluoroquinolones. Supportive care is also required. After 48-72 hours response to therapy should be assessed and if required therapy should be changed or patient should be hospitalized in case of therapy failure. Also, pneumonia prevention needs to be ensured when it is necessary by recommending lifestyle changes and vaccination.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:184:378745
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2021-07-12 09:38:26