"2"^^ . . "Didn\u00B4t we remember in diagnostics and treatment of legionella pneumonia?"@en . "2"^^ . "1336-3859" . "The pneumonias are diseases with high impact on our economy and have big clinical importancy. First draft is empiric usually, but we have to look into the right medication selection as well as in each individual risk. We present a case of one patientan of the studied group, which comprised 12 patients hospitalized in the University Hospital Olomouc for legionella pneumonia detected between 1999 and 2005. Clinical manifestations, laboratory tests, course of disease and therapy were evaluated. Prognosis of the highly lethal disease is essentially dependent on effective anti-legionella antibiotic therapy which should be initiated early, when the disease is firswt suspected."@en . "Pneumonie jsou onemocn\u011Bn\u00EDm masov\u00E9ho v\u00FDskytu s v\u00FDrazn\u00FDm ekonomick\u00FDm dopadem a klinickou z\u00E1va\u017Enost\u00ED. Po\u010D\u00E1te\u010Dn\u00ED l\u00E9\u010Dba je v\u011Bt\u0161inou empirick\u00E1, ale spr\u00E1vn\u011B zvolen\u00FD v\u00FDb\u011Br l\u00E9k\u016F a posouzen\u00ED individu\u00E1ln\u00EDch rizik je z\u00E1sadn\u00ED pro \u00FAsp\u011Bch. V\u017Edy se sna\u017E\u00EDme co nejd\u0159\u00EDve prok\u00E1zat infek\u010Dn\u00ED agens a do t\u00E9 doby podat empiricky co nejrychleji vhodn\u00E9 antibiotikum. Vod\u00EDtkem pro v\u010Dasn\u00E9 nasazen\u00ED efektivn\u00ED terapie jsou klinick\u00E9 p\u0159\u00EDznaky, rozsah n\u00E1lezu na skiagramu hrudn\u00EDku a v\u00FDsledky biochemick\u00FDch vy\u0161et\u0159en\u00ED. N\u00E1\u0161 \u010Dl\u00E1nek by cht\u011Bl upozornit na \u00FAskal\u00ED legionelov\u00E9 pneumonie, jej\u00ED\u017E v\u00FDskyt na na\u0161em \u00FAzem\u00ED nen\u00ED p\u0159esn\u011B zn\u00E1m a zat\u00EDm dostate\u010Dn\u011B sledov\u00E1n, ale jednotliv\u011B popsan\u00E9 p\u0159\u00EDpady dokumentuj\u00ED, \u017Ee existuje aktu\u00E1ln\u00ED riziko tohoto z\u00E1va\u017En\u00E9ho onemocn\u011Bn\u00ED. Legionelov\u00E9 pneumonie ohro\u017Euj\u00ED celou populaci, ale zejm\u00E9na pacienty s oslabenou imunitou, se sou\u010Dasn\u00FDm jin\u00FDm z\u00E1kladn\u00EDm onemocn\u011Bn\u00EDm, pacienty l\u00E9\u010Den\u00E9 kortikoterapi\u00ED, intubovan\u00E9, po alogenn\u00EDch transplantac\u00EDch, star\u0161\u00ED osoby a ku\u0159\u00E1ky. Legionella pneumophila je \u010Dastou p\u0159\u00ED\u010Dinou nozokomi\u00E1ln\u00EDch infe" . . . "11"^^ . "Didn\u00B4t we remember in diagnostics and treatment of legionella pneumonia?"@en . "3" . "19-29" . "RIV/61989592:15110/07:00004158!RIV08-MSM-15110___" . "legionella pneumonia; diagnosis; therapy; epidemiology"@en . . "Pneumonie jsou onemocn\u011Bn\u00EDm masov\u00E9ho v\u00FDskytu s v\u00FDrazn\u00FDm ekonomick\u00FDm dopadem a klinickou z\u00E1va\u017Enost\u00ED. Po\u010D\u00E1te\u010Dn\u00ED l\u00E9\u010Dba je v\u011Bt\u0161inou empirick\u00E1, ale spr\u00E1vn\u011B zvolen\u00FD v\u00FDb\u011Br l\u00E9k\u016F a posouzen\u00ED individu\u00E1ln\u00EDch rizik je z\u00E1sadn\u00ED pro \u00FAsp\u011Bch. V\u017Edy se sna\u017E\u00EDme co nejd\u0159\u00EDve prok\u00E1zat infek\u010Dn\u00ED agens a do t\u00E9 doby podat empiricky co nejrychleji vhodn\u00E9 antibiotikum. Vod\u00EDtkem pro v\u010Dasn\u00E9 nasazen\u00ED efektivn\u00ED terapie jsou klinick\u00E9 p\u0159\u00EDznaky, rozsah n\u00E1lezu na skiagramu hrudn\u00EDku a v\u00FDsledky biochemick\u00FDch vy\u0161et\u0159en\u00ED. N\u00E1\u0161 \u010Dl\u00E1nek by cht\u011Bl upozornit na \u00FAskal\u00ED legionelov\u00E9 pneumonie, jej\u00ED\u017E v\u00FDskyt na na\u0161em \u00FAzem\u00ED nen\u00ED p\u0159esn\u011B zn\u00E1m a zat\u00EDm dostate\u010Dn\u011B sledov\u00E1n, ale jednotliv\u011B popsan\u00E9 p\u0159\u00EDpady dokumentuj\u00ED, \u017Ee existuje aktu\u00E1ln\u00ED riziko tohoto z\u00E1va\u017En\u00E9ho onemocn\u011Bn\u00ED. Legionelov\u00E9 pneumonie ohro\u017Euj\u00ED celou populaci, ale zejm\u00E9na pacienty s oslabenou imunitou, se sou\u010Dasn\u00FDm jin\u00FDm z\u00E1kladn\u00EDm onemocn\u011Bn\u00EDm, pacienty l\u00E9\u010Den\u00E9 kortikoterapi\u00ED, intubovan\u00E9, po alogenn\u00EDch transplantac\u00EDch, star\u0161\u00ED osoby a ku\u0159\u00E1ky. Legionella pneumophila je \u010Dastou p\u0159\u00ED\u010Dinou nozokomi\u00E1ln\u00EDch infe"@cs . "15110" . "437298" . . . "[47C4DC0A0ED2]" . "SK - Slovensk\u00E1 republika" . "Nezapom\u00EDn\u00E1me v diagnostice a l\u00E9\u010Db\u011B pneumoni\u00ED na legionelov\u00E9 pneumonie?" . "6" . . "Nezapom\u00EDn\u00E1me v diagnostice a l\u00E9\u010Db\u011B pneumoni\u00ED na legionelov\u00E9 pneumonie?"@cs . "Nezapom\u00EDn\u00E1me v diagnostice a l\u00E9\u010Db\u011B pneumoni\u00ED na legionelov\u00E9 pneumonie?"@cs . "Nozokomi\u00E1lne n\u00E1kazy" . . . "Nezapom\u00EDn\u00E1me v diagnostice a l\u00E9\u010Db\u011B pneumoni\u00ED na legionelov\u00E9 pneumonie?" . "Kolek, Vit\u011Bzslav" . . "S" . "Hobzov\u00E1, Milada" . . . "RIV/61989592:15110/07:00004158" . . . . .