{"id":102,"date":"2022-11-10T22:36:59","date_gmt":"2022-11-10T20:36:59","guid":{"rendered":"https:\/\/doctorchat.md\/ro\/?p=102"},"modified":"2023-01-09T12:43:33","modified_gmt":"2023-01-09T10:43:33","slug":"aspecte-de-utilizare-a-antibioticelor-la-pacientii-cu-covid-19","status":"publish","type":"post","link":"https:\/\/doctorchat.ro\/aspecte-de-utilizare-a-antibioticelor-la-pacientii-cu-covid-19\/","title":{"rendered":"Aspecte de utilizare a antibioticelor la pacien\u021bii cu COVID-19."},"content":{"rendered":"

Utilizarea preparatelor antibacteriene la pacien\u021bii cu COVID-19 este controversat\u0103 \u0219i necesit\u0103 acumularea de date conving\u0103toare pentru evitarea prescrierilor excesive \u0219i inutile. Tabloul clinic pare a fi prima op\u021biune \u0219i cea mai conving\u0103toare \u00een luarea deciziei de ini\u021biere a antibioticoterapiei, iar datele de laborator (leucocitoza, VSH, limfopenia, proteina C-reactiv\u0103, procalcitonina) \u0219i radiologice pot facilita luarea deciziei prin monitorizarea adecvat\u0103 \u0219i minu\u021bioas\u0103. Beta-lactaminele (penicilinele, cefalosporinele), inclusiv cele protejate, macrolidele \u0219i fluorochinolonele pot fi considerate preparate de prim\u0103 inten\u021bie la pacien\u021bii \u00een stare medie-grav\u0103 interna\u021bi \u00een sec\u021biile de terapie. Durata infec\u021biei cu SARS CoV-2 de la debutul simptomelor p\u00e2n\u0103 la momentul intern\u0103rii pot fi decisive pentru ini\u021bierea tratamentului antibacterian \u00een contextul sesiz\u0103rii \u00eenceputului furtunii citokinice, ce va necesita utilizarea antiinflamatoarelor steroidiene.<\/p>\n

Strategiile de utilizare a preparatelor antimicrobiene \u00een infec\u021bia cu SARS CoV-2 au evaluat odat\u0103 cu pandemia, cunosc\u00e2nd controverse importante \u00een func\u021bie de perioada COVID-19, regiuni \u0219i experien\u021ba acumulat\u0103. \u00cen prima faz\u0103 a pandemiei de coronavirus, majoritatea orient\u0103rilor na\u021bionale \u0219i interna\u021bionale privind managementul COVID-19 au recomandat ca tratamentul empiric cu antibiotice s\u0103 fie luat \u00een considerare la to\u021bi pacien\u021bii cu pneumonie COVID-19 \u00een stare critic\u0103, \u00een baza datelor anterioare ale infec\u021biei severe cu gripa A. Antibioticele au roluri rezonabile \u00een gestionarea COVID-19, \u00een special pentru tratarea co-infec\u021biilor bacteriene suspectate sau confirmate. Organiza\u021bia Mondial\u0103 a S\u0103n\u0103t\u0103\u021bii a recomandat evitarea antibioticelor \u00een scopul tratamentului COVID-19 dec\u00e2t \u00een prezen\u021ba co-infec\u021biilor bacteriene. Cu toate acestea, dovezi \u00een cre\u0219tere sugereaz\u0103 c\u0103 o propor\u021bie foarte mare de pacien\u021bi cu COVID-19 sunt trata\u021bi inutil cu antibiotice. Antibioticele au fost prescrise empiric la 70-98% dintre pacien\u021bi, \u00een pofida confirm\u0103rii reduse a infec\u021biilor bacteriene secundare (7-19%).<\/p>\n","protected":false},"excerpt":{"rendered":"

Utilizarea preparatelor antibacteriene la pacien\u021bii cu COVID-19 este controversat\u0103 \u0219i necesit\u0103 acumularea de date conving\u0103toare pentru evitarea prescrierilor excesive \u0219i inutile. Tabloul clinic pare a fi prima op\u021biune \u0219i cea mai conving\u0103toare \u00een luarea deciziei de ini\u021biere a antibioticoterapiei, iar datele de laborator (leucocitoza, VSH, limfopenia, proteina C-reactiv\u0103, procalcitonina) \u0219i radiologice pot facilita luarea deciziei … Continued<\/a><\/p>\n","protected":false},"author":1,"featured_media":158,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[11],"tags":[],"class_list":["post-102","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pneumologie"],"acf":[],"yoast_head":"\nAspecte de utilizare a antibioticelor la pacien\u021bii cu COVID-19. - Doctorchat Romania<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/doctorchat.ro\/aspecte-de-utilizare-a-antibioticelor-la-pacientii-cu-covid-19\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Aspecte de utilizare a antibioticelor la pacien\u021bii cu COVID-19.\" \/>\n<meta property=\"og:description\" content=\"Utilizarea preparatelor antibacteriene la pacien\u021bii cu COVID-19 este controversat\u0103 \u0219i necesit\u0103 acumularea de date conving\u0103toare pentru evitarea prescrierilor excesive \u0219i inutile. 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