11. Pljučnice Flashcards

1
Q

Povzročitelji zunajbolnišnične pljučnice

A

Pnevmokok, hemofilus, moraxela, enterobakterije, S. aureus, klamidija, piogenes, mikoplazme, legionele, virusi

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2
Q

Zdravljenje pljučnic

A

Blage - penicilin/amoksicilin
Zmerne - dodamo klaritromicin/azitromicin
Hude - cefalosporini + amoksiklav, ciprofloksacin, azitromicin

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3
Q

Pljučnice pri otrocih

A

Streptokok, virusi, mikoplazma, hemofilus

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4
Q

Povzročitelji atipičnih pljučnic

A

Klamidija, legionela, mikoplazme, rikecije
Glive

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5
Q

Mikoplazma

A

Kapljično
Hemaglutinini
Zdravimo z makrolidi

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6
Q

Inkubacijska doba klamidijske pljučnice

A

21 dni
Dvofazni potek

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7
Q

Zdravljenje klamidijske pljučnice

A

Doksiciklin, azitromicin, klaritromicin, levofloksacin, moksifloksacin

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8
Q

Psitakoza

A

Citoplazmatski vključki v makrofagih, nekroze v vranici in jetrih
KS: hud glavobol

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9
Q

Zdravljenje psitakoze

A

Doksiciklin/tetraciklin

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10
Q

Inkubacija vročice Q

A

2-3 tedne
Coxiella burnetii

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11
Q

Zdravljenje vročice Q

A

Doksiciklin

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12
Q

Zdravljenje legionele

A

Tetraciklini
Fluorokinoloni
Makrolidi

Pri težjih oblikah dodamo rifampicin

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13
Q

Zdravljenje P. jirovecii

A

TMP/SMX, dapson

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14
Q

Povzročitelji bolnišnične pljučnce

A

Novo: S. pneumoniae, H. influenzae
Več kot 5 dni: G- bakterije, S. aureus

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15
Q

Zdravljenje bolnišnične pljučnice

A

Amoksicilin, makrolidi

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16
Q

Povzročitelji aspiracijske pljučnice

A

Prevotela, peptostreptokok, fusobakterije

Gingvitis, slaba ustna higiena

17
Q

Zdravljenje aspiracijske pljučnice

A

Amoksiklav - domača
Cefalosporin3 in klindamicin/metronidazol - bolniščnična