Prof. dr Đorđe Jevtović
Lekar opšte medicine
Prof. dr Đorđe Jevtović, rođen 1953. godine u Beogradu, lekar-infektolog. Profesor je Medicinskog fakulteta i načelnik centra za HIV na Klinici za infektologiju i tropske bolesti u Beogradu.
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063/687-460O lekaru
Prof. dr Đorđe Jevtović, rođen 1953. godine u Beogradu, lekar-infektolog. Profesor je Medicinskog fakulteta i načelnik centra za HIV na Klinici za infektologiju i tropske bolesti u Beogradu. Dr Jevtović je objavio 208 publikacija kojima su obuhvaćene različite oblasti infektologije.
Prof. dr Đorđe Jevtović je u penziji.
Radno iskustvo
Medicinski fakultet Beograd
Profesor.
Klinika za infektologiju i tropske bolesti u Beogradu
Načelnik centra za HIV.
Obrazovanje
Medicinski fakultet u Beogradu
(1978) Osnovne studije.
Članstva
Podaci o članstvima nisu uneti.
Ocene i iskustva
Još uvek nema ocena.
Najnoviji članci koje je lekar objavio:
Svi odgovori doktora (6238)
verovtno jeste mononukleoza, ništa tako opasno, spontano prolazi, retko ima komplikacije
samo redovne kontrol, u prilogu vodić dobre prakse
mislim da vaaš tegobe nemaju nikakv veze s kandidom, a da li ste konsultovaali dermtovenerologa
tinea corporis;
Treatment of mild-to-moderate lesions is an imidazole, ciclopirox, naftifine, or terbinafine in cream, lotion, or gel. The drug should be rubbed in bid continuing at least 7 to 10 days after lesions disappear, typically at about 2 to 3 wk.
Extensive and resistant lesions occur in patients infected with T. rubrum and in people with debilitating systemic diseases. For such cases, the most effective therapy is oral itraconazole 200 mg once/day or terbinafine 250 mg once/day for 2 to 3 wk.
ako ste preležali kao dete, bezbedni ste i vi i beba, a ako niste, sačekajte inkubaciju do 21 dan,pa ako dobijete dobiće i plod, manje opasno ako je organogeneza završena, u drugom trimestru ( u kom ste), ipka nije sasvm bezopano (iz udžbenika: Because pregnant women are at high risk of varicella complications, some experts recommend oral acyclovir or valacyclovir for pregnant women with varicella. Acyclovir is a pregnancy category B drug. IV acyclovir is recommended for pregnant women with serious varicella disease.
fluconazole 1x150mg nedeljno, više meseci
iz udžbenika.
Treatment
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Topical permethrin or lindane
-
Sometimes oral ivermectin
Primary treatment is topical or oral scabicides (see table Treatment Options for Scabies). Permethrinis the 1st-line topical drug.
Older children and adults should apply permethrin or lindane to the entire body from the neck down and wash it off after 8 to 14 h. Permethrin is often preferred because lindane can be neurotoxic. Treatments should be repeated in 7 days.
For infants and young children, permethrin should be applied to the head and neck, avoiding periorbital and perioral regions. Special attention should be given to intertriginous areas, fingernails, toenails, and the umbilicus. Mittens on infants can keep permethrin out of the mouth. Lindane is not recommended in children < 2 yr and in patients with a seizure disorder because of potential neurotoxicity.
Precipitated sulfur 6 to 10% in petrolatum, applied for 24 h for 3 consecutive days, is safe and effective and usually used in infants < 2 mo of age.
Ivermectin is indicated for patients who do not respond to topical treatment, are unable to adhere to topical regimens, or are immunocompromised with Norwegian scabies. Ivermectin has been used with success in epidemics involving close contacts, such as nursing homes.
Close contacts should also be treated simultaneously, and personal items (eg, towels, clothing, bedding) should be washed in hot water and dried in a hot dryer or isolated (eg, in a closed plastic bag) for at least 3 days.
Pruritus can be treated with corticosteroid ointments and/or oral antihistamines (eg, hydroxyzine 25 mg po qid). Secondary infection should be considered in patients with weeping, yellow-crusted lesions and treated with the appropriate systemic or topical antistaphylococcal or antistreptococcal antibiotic.
Symptoms and lesions take up to 3 wk to resolve despite killing of the mites, making failed treatment due to resistance, poor penetration, incompletely applied therapy, reinfection, or nodular scabies difficult to recognize. Skin scrapings can be done periodically to check for persistent scabies.
Treatment Options for Scabies
| Therapy
|
Instructions
|
Comments
|
| Permethrin* 5% (60 g) cream
|
Apply to whole body; wash off after 8–14 h
Repeat in 1 wk |
1st-line treatment
Can cause stinging and itching |
|
Lindane 1% (60 mL) lotion
|
Apply to whole body; wash off after 8–12 h in adults and 6 h in children
Repeat in 1 wk |
Not recommended for children < 2 yr, pregnant or lactating women, people with extensive dermatitis, people with an uncontrolled seizure disorder, and those with severe skin conditions involving skin barrier compromise
Potentially neurotoxic |
| Ivermectin
|
200 mcg/kg po for 1 dose
Repeat in 7–10 days |
Indicated as a 2nd-line treatment to permethrin
For use in institutional epidemics and immunocompromised patients Caution required when given to elderly patients with hepatic, renal, or cardiac disorders Not recommended for pregnant or lactating women; unproven safety in children < 15 kg or <5 yr May cause tachycardia |
| Crotamiton10% cream/lotion
|
Apply after bath to whole body, apply 2nd dose after 24 h, and bathe 48 h after 2nd dose
Repeat both doses in 7–10 days |
—
|
| Sulfur ointment 6–10%
|
Apply to whole body at bedtime for 3 nights and leave each application on for 24 h
|
Very effective and safe
May be limited by its malodor |
| *Pyrethrins are natural components of chrysanthemum flowers, with strong insecticidal activity; pyrethroids are synthetic and natural relatives of pyrethrin; and permethrin is a commonly used synthetic pyrethroid. Pyrethrins are combined with a piperic acid derivative (piperonyl butoxide) to enhance efficacy.
|
||
Key Points
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Risk factors for scabies include crowded living conditions and immunosuppression; poor hygiene is not a risk factor.
-
Suggestive findings include burrows in characteristic locations, intense itching (particularly at night), and clustering of cases among household contacts.
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Confirm scabies when possible by finding mites, ova, or fecal pellets.
-
Treat scabies usually with topical permethrin or, when necessary, oral ivermectin.
nema lekova za poboljšaanj imuniteta, nebi pomogla depilacija, a osobe s više od 6 epizoda genitalnog herpesa godišnje mogu da uzimaju aciklovir tbl 2x400mg dnevno, tokom više meseci
nema lekova za poboljšane imuniteta, kod onih s viš od 6 epizoda genitlnog herpesa godišnje se prporučuje hemoprofilaksa aciklovirom 2x400mg dnevno, više meseci
nema lekova ja jačanje imuniteta, česte epizode genitalnog herpesa su indikacija da se uzima aciklovir tbl 400mg n 12 h, svakodnevno, više meseci
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