No abstract

Today is very well known that prostatitis is often a disease in men in the age of 50 and also it makes 1/3 of urological diseases in men over 50 year old, following benign glandular prostatic hyperplasia as well cancer of prostate. Acute bacterial prostatitis: Disturbed disorders are: general weakness, fever, pain or feeling of discomfort between the spine and the scrotum or the end of the colon, and frequent, painful and difficult urination is observed. Acute bacterial prostatitis most commonly occurs in men between the ages of 20 and 40. Disturbed disorders are: general weakness, fever, pain, or feeling of discomfort between the anus and the scrotum or at the end of the colon. In addition to the above symptoms, frequent, painful and difficult wetting occurs, and sometimes urinary incontinence can occur. In case of suspected acute prostatitis, a prostate examination in the finishing section of the colon should be performed. The prostate is extremely painful on the touch, warm and sometimes "wet" consistency. In some cases, manure accumulation can occur within the prostate tissue, which leads to abscess (crowding), which should be surgically opened and emptied of purulent contents. Chronic bacterial prostatitis: Due to the presence of bacteria in the tissue of the prostate, chronic bacterial prostatitis is associated with frequent recurrent acute cystitis, or inflammation of the bladder mucous membrane. In this disease, patients are mostly free from the acute phase of worsening condition.

Sažetak: Teška trauma je vodeći uzrok mortaliteta i teškog stepena invaliditeta. Hitna medicinska pomoć najčešće prva ostvaruje kontakt sa povređenom osobom, tako da od procene težine povrede zavisi dinamika definitivnog zbrinjavanja povređenog. Da bi se procenila težina povrede, neophodna je upotreba adekvatnog Trauma skora (TS). Najčešće korišćeni na prehospitalnom nivou je Revidirani trauma skor (RTS). Pregledom velikih indeksnih baza pronašli smo studije koje se bave upoređivanjem dugo korišćenog RTS skora sa novorazvijenim skorovima MGAP (Mechanism, Glasgow coma scale, Age, and arterial Pressure) i GAP (Glasgow coma scale, Age, and arterial Pressure). Analizom pet pronađenih studija došli smo do zaključka da su novorazvijeni skorovi jednostavniji za upotrebu, a pri tome imaju istu ili bolju trijažnu i prediktivnu vrednost ishoda trauma. Ključne reči: Trauma skor; Revidirani trauma skor; MGAP (Mechanism, Glasgow coma scale, Age, and arterial Pressure) skor; GAP (Glasgow coma scale, Age, and arterial Pressure) skor Summary: Context: Severe trauma is a leading cause of mortality and high-degree invalidity. Emergency Medical Services (EMS) are usually first-line responders to the traumatized persons and the management of traumatism and its dynamics depend on the accurate evaluation by the EMS providers. In order to evaluate the severity of injury, it is necessary to use the adequate trauma score (TS). The aim of this paper is to compare the most common prehospital scoring system RTS (Revised TS) with newly developed MGAP (Mechanism, Glasgow Coma Scale, Age and Arterial Pressure) and GAP (Glasgow Coma Scale, Age and Arterial Pressure), based on the published studies, in order to determine better triage and predictive value, i.e. the highest sensitivity and specificity. Methods: Our search through the large indexical data bases (Web of Science, Scopus, PubMed, Serbian Citation Index), completed on 01 May 2017, discovered numerous articles about trauma scores. Results: Prehospitally, most commonly used score is a RTS. After viewing large indexed data bases, we found studies comparing RTS with newly developed scores, such as MGAP and GAP. MGAP and GAP have better triage and predictive value than RTS. In addition to this, these scores are easier to use and calculate. In most cases, it is possible to calculate them retrospectively, which is not the case with RTS. Its importance is even more prominent in low and middle-income countries, where there are great differences in availability, quality and equipment between medical centres. Conclusions: After analyzing five studies, we concluded that new scores are easier to apply, with equal or improved triage and predictive values regarding the outcome of the trauma.

Enterococci are classified as Streptococcus D group. Genetic studies in the 1980s have led to the conclusion that they have enough distinction to be classified into a particular genus.Enterococci cause: urinary infections, especially in patients with catheter, in immunocompromised individuals, the infections of the biliary tract, soft tissue abscess, and wound infection. It is a relatively common cause of endocarditis, especially in people with damaged or artificial heart valve. Enterococci are the most common cause of urinary tract infections (IUT): about 10% of all and about 16% of intra-hospital IUT. In second place in frequency are intra-abdominal and pancreatic wounds, but these infections often cause multiple causes, so the assessment of the importance of enterococci in them is debatable. In third place is the bacteremia most commonly occurring in hospital conditions in immunocompromised patients who are lying long in hospitals and receiving antibiotics.

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