急腹症中抗生素经历治疗.txt(国外英文资料).docVIP

急腹症中抗生素经验治疗.txt(国外英文资料) Must first find out the location and nature of the infection, on the basis of estimate what is the most possible pathogenic bacteria, which some antimicrobials which category or to its antimicrobial activity, and then according to usual sensitive to different drugs and drug resistance of bacteria, as well as the characteristics of the patient, carefully selected drugs. Secondary peritonitis (perforation, rupture of the digestive tract) : there are many options available. When the stomach and duodenum perforate and rupture, the main control is G - aerobic bacillus. When the lower gi tract is perforated and ruptured, it is necessary to cover both the G and aerobic bacillus and anaerobic bacillus. In the early stage of peritonitis, enterococcus is not a major pathogen, so you dont have to control the enterococcus. Specifically for anaerobic bacteria drugs metronidazole (1.0 g iv q 12 h) and clindamycin (0.3 ~ 0.6 g iv q 8 h), but can not be used alone, because in most cases aerobic bacteria is the main pathogenic bacteria, anaerobic bacteria rarely pathogenic alone. For G - bacillus, had better choose have the activity of green pus bacillus antibiotic resistance as piperacillin (2.0 ~ 4.0 G iv q 6 ~ 8 h), for card at Westwood iv q 6 ~ 8 h (4.0 G), three generations, the fourth generation cephalosporin cefepime, ammonia QuNa, amikacin, gentamicin, nai for m star, ciprofloxacin and ofloxacin. Can cover G sup - / sup enterobacteriaceae and anaerobic bacillus antimicrobials have ampicillin/shu ba temple iv q 6 ~ 8 h (2.25 G), cefoxitin (1.0 ~ 2.0 G iv q 8 h), cephalosporins beauty he alcohol (1.0 ~ 2.0 G iv q 8 h), but they lack of pseudomonas aeruginosa resistant activity. At the same time can cover the intestinal bacteria, anaerobic coli and pseudomonas aeruginosa have a shilling for card/clavulanic acid (3.2 g iv q 8 h), and piperacillin/he azole temple iv q 8 h (4.5 g), imine south, beauty culture in the south, etc. Secondary spectrum bacte