Author/Editor     Kotnik-Kevorkijan, Božena; Zamuda, Maja; Baklan, Zvonko
Title     Diagnoza status febrilis
Translated title     Diagnosis status febrilis
Type     članek
Source     74527489
Publication year     2013
Volume     str. 23-29
Language     slv
Abstract     Izhodišča: vročina je pogost bolezenski znak, zato skušamo ugotoviti vzrok vročine in opredeliti vročinsko obolenje ter bolnika usmerjeno zdraviti. Kljub vsem naporom pa to ne uspe vedno in vročina lahko predstavlja glavno odpustno diagnozo. Metode: retrospektivno smo pregledali odpustne diagnoze v Univerzitetnem kliničnem centru Maribor za leto 2012 in prospektivno sledili bolnike, ki so bili napoteni v sprejemno ambulanto Oddelka za nalezljive bolezni in vročinska stanja z diagnozo vročine. Rezultati: V letu 2012 je imelo vročino kot odpustno diagnozo 245 bolnikov, največ na Oddelku za nalezljive bolezni in vročinska stanja. Med bolniki, ki so bili napoteni v sprejemno ambulanto Oddelka za nalezljive bolezni in vročinska stanja zaradi vročine brez določene diagnoze, je imelo 14 od 84 bolnikov (16,7 %) nepojasnjeno vročino tudi po zaključenem postopku obravnave. Zaključki: kljub vsem naporom ostaja del vročinskih stanj neopredeljen. Z dobrim sodelovanjem zdravnika, bolnika in dosegljivostjo diagnostičnih metod na primarnem zdravstvenem nivoju pa bi lahko zmanjšali obiske pri specialistu infektologu zaradi vročine.Background: Fever is a state of elevated body temperature and we try to find the cause of fever in every febrile patient with the intention to cure the patient properly. We are not always successful and fever can be the main diagnosis at a patient's disscharge. Methods: A retrospective analysis of the diagnoses' at discharge from the Univesity Medical Centre Maribor and a prospective follow-up of patients who came for the first time to the Department of Infectious Diseases and Febrile Conditions with diagnosis Fever. Results: In 2012, 245 patients were disscharged with the diagnosis Fever and most of them were hospitalized at the Department of Infectious Diseases and Febrile Conditions. Among the patients who were examined at the department with the diagnosis Fever, 14 out of 84 patients (16.7 %) were diagnosed febrile status also after all diagnostic procedures were completed. Conclusions : Despite all diagnostic methods, some fever cases remain undiagnosed. Good co-operation between a physician and a patient and availability of diagnostic methods on primary health-care level could reduce the number of visits to an infectious diseases specialist by patients with fever.
Keywords     vročina
diagnostika
bolnik
UKC Maribor