"5"^^ . . . . "Acute subglottic laryngitis"@en . . "Postgradu\u00E1ln\u00ED medic\u00EDna" . "[D3250E89D4FD]" . "1212-4184" . . "Acute subglottic laryngitis (the ASL) is an inflammation affecting the larynx and trachea. According to some studies (1) are affected by seasonal viral infections (most of parainfluenza viruses 1 and 3) suffers from October to April to three percent of children under 6 years. In this age group is the narrowest point of subglottic airway space a few millimeters below the vocal ligaments. Inflammation caused by swelling of the lining of trachea here narrows its lumen. Increases resistance to gas flow during breathing. The laminar gas flow becomes a turbulent flow, and may result in failure of gas exchange. A fundamental problem for primary care used to be a differential diagnosis of upper airway obstruction, particularly resolution ASL from acute epiglottitis, invasive bacterial inflammation of the epiglottis caused almost exclusively by Haemophilus influenzae type b (Hib below). Currently, acute epiglottitis, not seen, because the first 7th 2001 is the introduction of regular vaccination of infants against Hib. However, given the fact that we can meet with migrant children (the order of tens of thousands of children), of which a considerable part need not be vaccinated against Hib, still need a differential diagnosis of ARF and acute epiglottitis deal (see Table 1). In primary care as the most important: 1 assessing the seriousness of ASL as a starting point for the process of care for the child, 2 ASL treatment from the first contact, especially regarding the proper choice of corticosteroids."@en . "V" . "CZ - \u010Cesk\u00E1 republika" . "Acute subglottic laryngitis"@en . . . "Akutn\u00ED subglotick\u00E1 laryngitida"@cs . . "2" . "121586" . "Akutn\u00ED subglotick\u00E1 laryngitida" . "Akutn\u00ED subglotick\u00E1 laryngitida (d\u00E1le ASL) je z\u00E1n\u011Bt postihuj\u00EDc\u00ED hrtan a pr\u016Fdu\u0161nici. Podle n\u011Bkter\u00FDch studi\u00ED(1) jsou touto sez\u00F3nn\u00ED virovou infekc\u00ED (nej\u010Dast\u011Bji jde o viry parainfluenzy 1 a 3) posti\u017Eena od \u0159\u00EDjna do dubna a\u017E t\u0159i procenta d\u011Bt\u00ED do 6 let. V tomto v\u011Bkov\u00E9m obdob\u00ED je neju\u017E\u0161\u00EDm m\u00EDstem d\u00FDchac\u00EDch cest subglotick\u00FD prostor n\u011Bkolik milimetr\u016F pod hlasov\u00FDmi vazy. Z\u00E1n\u011Btem vyvolan\u00FD otok sliznice trachey zde zu\u017Euje jej\u00ED lumen. Stoup\u00E1 odpor pro proud\u011Bn\u00ED plyn\u016F b\u011Bhem d\u00FDch\u00E1n\u00ED. Z lamin\u00E1rn\u00EDho proudu plyn\u016F se st\u00E1v\u00E1 proud turbulentn\u00ED a m\u016F\u017Ee nastat porucha plynov\u00E9 v\u00FDm\u011Bny. Z\u00E1sadn\u00EDm probl\u00E9mem pro prim\u00E1rn\u00ED p\u00E9\u010Di b\u00FDvala diferenci\u00E1ln\u00ED diagn\u00F3za obstrukce horn\u00EDch d\u00FDchac\u00EDch cest, p\u0159edev\u0161\u00EDm rozli\u0161en\u00ED ASL od akutn\u00ED epiglotitidy, invaz\u00EDvn\u00EDho bakteri\u00E1ln\u00EDho z\u00E1n\u011Btu epiglottis zp\u016Fsoben\u00E9ho t\u00E9m\u011B\u0159 v\u00FDhradn\u011B Haemophilus influenzae b (d\u00E1le Hib). V sou\u010Dasn\u00E9 dob\u011B akutn\u00ED epiglotitidu nevid\u00EDme, proto\u017Ee od 1. 7. 2001 je zavedeno pravideln\u00E9 o\u010Dkov\u00E1n\u00ED od kojeneck\u00E9ho v\u011Bku proti Hib. Nicm\u00E9n\u011B s ohledem na to, \u017Ee se m\u016F\u017Eeme setkat s d\u011Btmi migrant\u016F (jde o \u0159\u00E1dov\u011B o des\u00EDtky tis\u00EDc d\u011Bt\u00ED), z nich\u017E zna\u010Dn\u00E1 \u010D\u00E1st nemus\u00ED b\u00FDt proti Hib o\u010Dkov\u00E1na, je st\u00E1le t\u0159eba se diferenci\u00E1ln\u00ED diagn\u00F3zou ASL a akutn\u00ED epiglotitidy zab\u00FDvat (Tab. 1). V prim\u00E1rn\u00ED p\u00E9\u010Di pova\u017Euji za nejd\u016Fle\u017Eit\u011Bj\u0161\u00ED: 1. hodnocen\u00ED z\u00E1va\u017Enosti ASL jako v\u00FDchodisko pro postup p\u0159i p\u00E9\u010Di o d\u00EDt\u011B, 2. l\u00E9\u010Dbu ASL od prvn\u00EDho kontaktu, p\u0159edev\u0161\u00EDm pokud jde o spr\u00E1vnou volbu kortikosteroid\u016F." . . . "Nov\u00E1k, Ivan" . "Akutn\u00ED subglotick\u00E1 laryngitida" . "RIV/00064190:_____/12:#0000385" . . . "procedures in primary care; EBM; Evidence Based Medicine; medicine based on facts; corticosteroids"@en . "1"^^ . . "Akutn\u00ED subglotick\u00E1 laryngitida (d\u00E1le ASL) je z\u00E1n\u011Bt postihuj\u00EDc\u00ED hrtan a pr\u016Fdu\u0161nici. Podle n\u011Bkter\u00FDch studi\u00ED(1) jsou touto sez\u00F3nn\u00ED virovou infekc\u00ED (nej\u010Dast\u011Bji jde o viry parainfluenzy 1 a 3) posti\u017Eena od \u0159\u00EDjna do dubna a\u017E t\u0159i procenta d\u011Bt\u00ED do 6 let. V tomto v\u011Bkov\u00E9m obdob\u00ED je neju\u017E\u0161\u00EDm m\u00EDstem d\u00FDchac\u00EDch cest subglotick\u00FD prostor n\u011Bkolik milimetr\u016F pod hlasov\u00FDmi vazy. Z\u00E1n\u011Btem vyvolan\u00FD otok sliznice trachey zde zu\u017Euje jej\u00ED lumen. Stoup\u00E1 odpor pro proud\u011Bn\u00ED plyn\u016F b\u011Bhem d\u00FDch\u00E1n\u00ED. Z lamin\u00E1rn\u00EDho proudu plyn\u016F se st\u00E1v\u00E1 proud turbulentn\u00ED a m\u016F\u017Ee nastat porucha plynov\u00E9 v\u00FDm\u011Bny. Z\u00E1sadn\u00EDm probl\u00E9mem pro prim\u00E1rn\u00ED p\u00E9\u010Di b\u00FDvala diferenci\u00E1ln\u00ED diagn\u00F3za obstrukce horn\u00EDch d\u00FDchac\u00EDch cest, p\u0159edev\u0161\u00EDm rozli\u0161en\u00ED ASL od akutn\u00ED epiglotitidy, invaz\u00EDvn\u00EDho bakteri\u00E1ln\u00EDho z\u00E1n\u011Btu epiglottis zp\u016Fsoben\u00E9ho t\u00E9m\u011B\u0159 v\u00FDhradn\u011B Haemophilus influenzae b (d\u00E1le Hib). V sou\u010Dasn\u00E9 dob\u011B akutn\u00ED epiglotitidu nevid\u00EDme, proto\u017Ee od 1. 7. 2001 je zavedeno pravideln\u00E9 o\u010Dkov\u00E1n\u00ED od kojeneck\u00E9ho v\u011Bku proti Hib. Nicm\u00E9n\u011B s ohledem na to, \u017Ee se m\u016F\u017Eeme setkat s d\u011Btmi migrant\u016F (jde o \u0159\u00E1dov\u011B o des\u00EDtky tis\u00EDc d\u011Bt\u00ED), z nich\u017E zna\u010Dn\u00E1 \u010D\u00E1st nemus\u00ED b\u00FDt proti Hib o\u010Dkov\u00E1na, je st\u00E1le t\u0159eba se diferenci\u00E1ln\u00ED diagn\u00F3zou ASL a akutn\u00ED epiglotitidy zab\u00FDvat (Tab. 1). V prim\u00E1rn\u00ED p\u00E9\u010Di pova\u017Euji za nejd\u016Fle\u017Eit\u011Bj\u0161\u00ED: 1. hodnocen\u00ED z\u00E1va\u017Enosti ASL jako v\u00FDchodisko pro postup p\u0159i p\u00E9\u010Di o d\u00EDt\u011B, 2. l\u00E9\u010Dbu ASL od prvn\u00EDho kontaktu, p\u0159edev\u0161\u00EDm pokud jde o spr\u00E1vnou volbu kortikosteroid\u016F."@cs . "1"^^ . "Akutn\u00ED subglotick\u00E1 laryngitida"@cs . . "14" . . . "RIV/00064190:_____/12:#0000385!RIV13-MZ0-00064190" . .