RESUMO
Late diagnosis of meningococcal disease leads to high mortality. Early diagnosis of its generalized forms plays a crucial role in the pre-hospital phase and mainly based on the clinical picture of the disease. In most cases, pre-hospital typical mistake is late diagnosis of meningococcal disease: We propose an algorithm of early diagnosis of generalized forms of the disease in order to reduce the number of diagnostic errors. Proper and timely diagnosis will enable the physician pre-hospital fully implement measures to provide emergency and urgent care in generalized meningococcal infection, leading to. a more.favourable course and a significant improvement in the outcomes of the disease in the course of further hospital treatment.
Assuntos
Erros de Diagnóstico/prevenção & controle , Serviços Médicos de Emergência/métodos , Infecções Meningocócicas/diagnóstico , Medicina Militar/métodos , Militares , Adolescente , Algoritmos , Tomada de Decisões , Diagnóstico Diferencial , Erros de Diagnóstico/estatística & dados numéricos , Diagnóstico Precoce , Humanos , Masculino , Infecções Meningocócicas/epidemiologia , Infecções Meningocócicas/terapia , Militares/estatística & dados numéricosRESUMO
Adenovirus infections occur in different military groups as acute respiratory diseases combined with backsets and pneumonia. At definition of etiological structure of acute respiratory diseases in 1606 soldiers of 1-2 year of service, placed in the division of infectious diseases of the military medical academy in 2000-2011, dominance of an adenoviral infection (37.4%) was revealed, especially in non-epidemic periods of influenza (77% in 2007-2008). Adenoviral diseases among the hospitalized patients became complicated pneumonia in 17.8% of cases, and the proportion of adenoviral pneumonia in the overall community-acquired pneumonia with acute respiratory disease was 55.2%.