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-

(Triage and Intensive Care in the Primary are)

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3 :
- 86%
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2007, 4(1): 19-22
- 8 (11 )
, ,
85% ( 37%)
.. , .. . .
2007; 4 (4):16-19
- . 85%
( 2-3 ,
) 7 , 30% - 2 :

..
..,


> 40-50%
(>)
Craig W.A. Diagn Microbiol Infect Dis, 1996

80-100 000 /
45-75 000 /
/2=40

20-30 000 /

1 2 3 4 5 6 7
8 9 10 11

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- ?
()
13 30 /

13 /:

2 /
(. 0,68
+/- 0,86)
30 /:
2 /
(. 4,34 +/- 2,06),
50% 4 /,
.

Harrison C.J..et al. Pediatr. Inf. Dis J. 1998; 17

40 /
> >50%,
> 80%

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: 45 50* // 2
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EC)
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7



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1
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10

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6

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3

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3
3

, 2006 .

(%)
H. influenzae

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2006
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.

, 2010

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.
.. 2006-2009, III

.., 2014

Chow AW et al; IDSA clinical guideline for acute


bacterial rhinosinusitis. Clin Infect Dis. 2012;54:e72e112.
Wald ERet al. Clinical guideline for the acute
bacterial sinusitis in children. Pediatrics.
2013;132:e262-e280.
Daneman N, McGeer A, Green K, Low DE; Toronto
Invasive Bacterial Diseases Network. Macrolide
resistance in bacteremic pneumococcal disease:
implications for patient management. Clin Infect Dis.
2006;43:432-438.
Ovetchkine P, Rieder MJ; Canadian Paediatric
Society. Azithromycin use in paediatrics: a practical
overview. Paediatr Child Health. 2013;18:311-316.
Klugman KP, Lonks JR. Hidden epidemic of
macrolide-resistant pneumococci. Emerg Infect Dis.



S.pneumoniae Hadley J.A., Pfaller M.A. Diagnostic Microbiology and Infectious Disease. 2007; 57: 47S54S .

3 .

%
:

505

67

72

55

45

45


,

29
48
49
2003-2007
26,5%
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S.
pneumoniae
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2011
( , 2
), /, ,

/
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Thorax - October 2011 Volume 66
Supplement 2


1-
90 // / 90
// 2 ( 4 )
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/ / , ..
.

Bradley et al. Clin Infect Dis. 2011 October 1; 53(7):

..,

- 2011
1-
90 // / 90
// 2 ( 4 )
/ /
, .. .

John S. Bradley et al. Executive Summary: The Management of


Community-Acquired Pneumonia in Infants and Children
Older Than 3 Months of Age: Clinical Practice Guidelines by
the Pediatric Infectious Diseases Society and the Infectious
Diseases Society of America. Clin Infect Dis. 2011 October 1;
53(7): 617630.
..,


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: 100 // /, 50 /
/ /. 7-10

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:
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Ingelfinger JR, and Stapleton FB. N Engl J Med 2014 May 4; [e-pub ahead of print].

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55%

,
2009
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,



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