Biscevic-Tokic Jasmina, Tokic Nedim, Musanovic Adnan
Institute of Occupational Medicine of Canton Sarajevo, Bosnia and Herzegovina.
Clinic of Urgent Medicine, Clinical Center, University of Sarajevo, Bosnia and Herzegovina.
Med Arch. 2013 Dec;67(6):442-5. doi: 10.5455/medarh.2013.67.442-445. Epub 2013 Dec 28.
Pneumonia is the most serious inflammatory disease of the respiratory system and also the most common infectious disease. Even now, in the 21(st) century, pneumonia occupies a prominent place in clinical medicine and public health. We are confronted daily with the increased number of patients, as well as the constant increase in annual mortality due to this infectious disease.
The goal was to investigate the prevalence and pneumonia characteristics as the most serious lower respiratory tract infection, the incidence of typical and atypical pneumonia, hospitalization duration of the patients at the Clinic of Infectious Diseases, Clinical Center of Sarajevo University CCUS.
From January 2011 until December 2012 the study involved 100 hospitalized patients with infections of the lower respiratory tract at the Clinic of Infectious Diseases CCUS.
Among the most common infections the pneumonia is highly represented. Lung X-Ray in two planes, by all protocols, demonstrated with the auscultatory finding has the highest value in the diagnosis of clinical pneumonieae. A statistically significant difference among our hospitalized patients, compared to typical and atypical pneumonia, is in favor of the first-typical bacterial pneumonia. Hospitalization duration ranges between 7-14 days.
We believe that the introduction of the pneumococcal vaccine (PCV) should reduce the number of pneumonia caused by this bacterium. Recommendations for its use also come from the WHO. Until December 2012, WHO added 86 states in the PCV immunization as a part of their national immunization programs. Pneumococcal conjugate vaccine (PCV) is safe and effective for the reduction in number of patients suffering from pneumonia caused by St. pneumoniae. In particular, the vaccine is a significant protection for children, who due to age and severity of the disease must remain under medical supervision. In elderly vaccine is important and useful as preventive measure, due to their biological characteristics and life circumstances which mark this group as vulnerable population, like the youngest, and can be fatal for them.
肺炎是呼吸系统最严重的炎症性疾病,也是最常见的传染病。即使在21世纪,肺炎在临床医学和公共卫生领域仍占据重要地位。我们每天面对的肺炎患者数量不断增加,且该传染病的年死亡率也持续上升。
本研究旨在调查作为最严重下呼吸道感染的肺炎的患病率及特征、典型和非典型肺炎的发病率,以及萨拉热窝大学临床中心传染病诊所患者的住院时长。
2011年1月至2012年12月,本研究纳入了萨拉热窝大学临床中心传染病诊所100名下呼吸道感染住院患者。
在最常见的感染中,肺炎占比很高。所有方案的双平面肺部X光检查结合听诊结果,对临床肺炎的诊断价值最高。与典型和非典型肺炎相比,我们的住院患者中,典型细菌性肺炎占比具有统计学显著差异。住院时长为7至14天。
我们认为,引入肺炎球菌疫苗(PCV)应能减少由该细菌引起的肺炎病例数。世界卫生组织(WHO)也给出了使用该疫苗的建议。截至2012年12月,WHO已将86个国家将PCV免疫接种纳入其国家免疫规划。肺炎球菌结合疫苗(PCV)对于减少肺炎链球菌引起的肺炎患者数量是安全有效的。特别是,该疫苗对儿童具有重要保护作用,因为儿童由于年龄和疾病严重程度必须接受医疗监护。对于老年人,由于其生物学特征和生活环境使该群体成为弱势群体,与最年幼者一样易受肺炎影响且可能致命,所以疫苗作为预防措施也很重要且有用。