Author/Editor		Jereb, Matjaž; Karner, Primož
Title		Težka pljučnica
Translated title		Severe pneumonia
Type		članek
Source		In: Bručan A, Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja 8. Zbornik 9. mednarodni simpozij o urgentni medicini; 2002 jun 19-22; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2002
Volume		str. 103-7
Language		slo
Abstract		Approximately 10% of community-acquired pneumonia cases are severe enough to require intensive care or mechanical ventilation. Despite many effective antimicrobial drugs mortality rate between them is still high. The most common way of inoculating infectious pathogens into the terminal airways is by aspiration of bacteria-laden secretions from the upper airway. Respiratory failure, sepsis or septic shock and rapid extension of radiographic infiltrates are clinically useful predictors of pneumonia severity. Severe form of the respiratory disease is associated more frequently with distinct microorganisms , such as Streptococcus pneumoniae and Legionella spp. Community acquired severe pneumonia is usually treated with combination of b-Lactam antibiotic and macrolide or one of the new respiratory tract quinolones.
Descriptors		PNEUMONIA, BACTERIAL COMMUNITY-ACQUIRED INFECTIONS PROGNOSIS HOSPITALIZATION