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Therapeutic solutions for patients with community-acquired pneumonia in Bulgaria

Therapeutic solutions for patients with community-acquired pneumonia in Bulgaria. Yavor Ivanov, Pavlina Nikolova, Tsanya Popova, Plamen Pavlov University Pulmonary Clinic Pleven, Bulgaria. Incidence of CAP in Bulgaria. Incidence of CAP in Bulgaria 1995-2004 ( provided by NCHI ).

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Therapeutic solutions for patients with community-acquired pneumonia in Bulgaria

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  1. Therapeutic solutions for patients with community-acquired pneumonia in Bulgaria Yavor Ivanov, Pavlina Nikolova, Tsanya Popova, Plamen Pavlov University Pulmonary Clinic Pleven, Bulgaria

  2. Incidence of CAP in Bulgaria Incidence of CAP in Bulgaria1995-2004 (provided by NCHI) per 100 000 population years

  3. Mortality from CAP in Bulgaria Mortality from CAP in Bulgaria 1995-2004 (provided by NCHI) per 100 000 population years

  4. Etiology • 4669 patients hospitalized for CAP • 21,5% had positive sputum result

  5. S. pneumoniae resistance

  6. Clinical considerations • Assess the patient • Clinical condition – CRB 65 • As a host of a probable agent • As a social being

  7. Concentration at the site of infection MIC Power The key advice for the prescribing doctor

  8. Number of antibiotics till clinical cure

  9. Bulgarian CAP guidelines

  10. Bulgarian CAP guidelines

  11. Bulgarian CAP guidelines

  12. Bulgarian CAP guidelines

  13. Doctors’ solutions 150 outpatients vs 150 hospitalized patients

  14. Summary – practical solutions • Simple and clear guidelines • Teach the doctors • Inform the regulators • Follow the tendencies • Health outcomes • Drug prescriptions • Microbiological data • Expenses

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