Przegla̧d epidemiologiczny
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Actual criteria for diagnosis and classification of sepsis are presented, and the influence of an ongoing investigation of the pathogenesis of sepsis on the development of new diagnostic and therapeutic tools is discussed. Direct intervention in the innate immunity and systemic inflammatory response mechanisms seems promising therapeutic approach and some potential therapies are under development, including attempts to modulate function of innate immunity Toll-like receptors.
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The International Health Regulations (2005), which entered into force in June 2007, provide guidelines and recommendations to establish core capacities not only in communicable disease surveillance but also in preparedness and response to every, even unpredictable, public health emergencies. The points of entry are the trouble spot in the spread of diseases through international traffic. ⋯ That is why WHO puts an effort to help State-Parties to strengthen their national surveillance systems and develop core capacities in preparedness and response in points of entry. In the article the author gives examples of prophylaxis of communicable diseases in points of entry according to IHR (2005) recommendations.
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Historical Article
[Selected bibliography on National Institute of Hygiene].
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Case Reports
[Encephalomeningitis caused by Listeria monocytogenes in patient infected by TBE virus--case report].
The epidemiology of listeriosis is constantly changing towards higher incidence. The most endangered group of patients are people with immunodeficiency caused by coexisting diseases. In these cases listeriosis may take a very severe course. In this paper we present a case of a 76 year old female who suffered from encephalomeningitis caused by Listeria monocytogenes and additionally was infected by tick borne encephalitis virus and Borrelia burgdorferi.
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Health care institutions generate variable waste, including infectious. Since the microorganism can survive on non alive surfaces for up to dozen or so mouth infectious medical waste can be real health risk for patients and personnel. ⋯ The members of this committee should be representatives from all departments. The plan of management waste from health can institutions include the segregation of waste and management (collecting, storage, transport, neutralization).