胆囊炎患者如何选用抗生素（Cholecystitis patients how to choose antibiotics）.docVIP

胆囊炎患者如何选用抗生素（Cholecystitis patients how to choose antibiotics） There are no pathogenic bacteria of biliary tract healthy, asymptomatic patients with chronic cholecystitis bile is sterile, especially the discovery of gallbladder wall thickness, coarse, gallbladder contraction function difference cholecystitis during ultrasound examination of the gallbladder, often without bacteria, for the gallbladder contraction function is reduced, the crystallization of cholesterol, gallbladder wall edema cause, which do not need antibiotics. But the acute exacerbation of chronic cholecystitis, or biliary calculi, biliary ascariasis, acute and chronic intestinal inflammation in patients with bile is a bacterium, which requires antibiotic treatment, such as fever, chills, once jaundice and right upper abdominal pain, or chronic cholecystitis patients with long-term repeated no other causes of increased white blood cells, we should use antibiotics immediately. Then, how should we choose antibiotics correctly? According to the result of bacteriological culture of bile, we should pay attention to the following three aspects in the selection of antibiotics: 1. Possible pathogens. 2, the concentration of drugs in bile. 3, the toxic effects of drugs on the body. The research data shows that the intestinal bacteria are a major source of infection of the gallbladder, bile culture of Escherichia coli, proteus, Escherichia coli, Streptococcus faecalis, Bacillus typhi etc for intestinal flora, so in the choice of drug treatment, should think of the possibility of these bacteria in the first. It is worth noting that when the drug is used, the drug with high sensitivity is not necessarily high in the bile, and the therapeutic effect is not ideal. Such as is the case, all the bacteria in the bile in vitro drug sensitivity test, drug sensitivity of gentamicin was the highest, but because most of the drug excreted from the kidney, small part into the bile, therefore, poor curative effect, cephalot