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<creators>
<creator>
<creatorName>Odajiu, O.</creatorName>
<affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation>
</creator>
<creator>
<creatorName>Zubarev, C.</creatorName>
<affiliation>Spitalul Clinic Municipal „Sfânta Treime”, Moldova, Republica</affiliation>
</creator>
<creator>
<creatorName>Gîrbu, L.</creatorName>
<affiliation>Spitalul Clinic Municipal „Sfânta Treime”, Moldova, Republica</affiliation>
</creator>
<creator>
<creatorName>Dumitraş, T.</creatorName>
<affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation>
</creator>
<creator>
<creatorName>Guţu-Bahov, C.</creatorName>
<affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation>
</creator>
<creator>
<creatorName>Cojocaru, V.I.</creatorName>
<affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation>
</creator>
</creators>
<titles>
<title xml:lang='en'>Intensive care in community-acquired pneumonia complicated by acute respiratory distress syndrome (clinical case)</title>
</titles>
<publisher>Instrumentul Bibliometric National</publisher>
<publicationYear>2018</publicationYear>
<relatedIdentifier relatedIdentifierType='ISSN' relationType='IsPartOf'>2537-6373</relatedIdentifier>
<subjects>
<subject>pneumonia</subject>
<subject>respiratory distress</subject>
<subject schemeURI='http://udcdata.info/' subjectScheme='UDC'>616.24-002:616.24-008.44</subject>
</subjects>
<dates>
<date dateType='Issued'>2018-09-30</date>
</dates>
<resourceType resourceTypeGeneral='Text'>Journal article</resourceType>
<descriptions>
<description xml:lang='en' descriptionType='Abstract'><p>Introduction: Severe community-acquired pneumonia (CAP) remains a challenge for intensive care units (ICU), with mortality rates reaching 23-27%. Material and methods: A retrospective analysis of a clinical case of a patient hospitalized with severe CAP in ICU, the management being performed according to SSC-2016 recommendations. Results: A 38-year old male, diagnosed with CAP complicated by acute respiratory distress syndrome, phase II, scored qSOFA 2 points, APACHE 15 points, SOFA 6 points, CURB-65 3 points and PSI 135 points (class IV). Intensive treatment was initiated by ventilatory support (PEEP, Vt, P&Delta;). The guidance of antibacterial therapy and its deescalation using procalcitonin, PICCO monitoring of infusion therapy and vasopressors had a positive role over prognosis, with patient`s survival, clinical cure and radiological resolution of pneumonia. Conclusions: Immediate actions, in the first hour of hospitalization in ICU, by applying SSC-2016 recommendations, allowed severe CAP to be successfully treated, with the patient initially reserved for prognosis.</p></description>
</descriptions>
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