不同部位感染的抗生素应用 )（Application of antibiotics in different areas of infection）.docVIP

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不同部位感染的抗生素应用 )（Application of antibiotics in different areas of infection）.doc

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不同部位感染的抗生素应用 )（Application of antibiotics in different areas of infection）

不同部位感染的抗生素应用 )（Application of antibiotics in different areas of infection） Antibiotics used in different areas of infection 1. The selection of antibiotics for respiratory infection 1.1 the upper respiratory tract infection of the upper respiratory tract infection is a general designation, including the common cold, acute sinusitis, pharyngitis, laryngitis, pharyngitis tonsils. The pathogen by more than 90% for the virus, common have nasal virus, adenovirus, influenza, parainfluenza virus, etc. Bacteria account for only about 10% of the total. Most of the clinical manifestations of this type of patient are blood - like and short duration (usually 1 week). Treatment with rest, drinking water and symptomatic treatment, without antibiotics. If symptoms persist for 7 to 10 days, there is no improvement, and fever, leukocyte elevation, or the occurrence of suppurative or non-suppurative complications (rheumatism, glomerulonephritis) can be used with antibiotics. Penicillin G and amoxicillin are the first choice for antibiotics, and one or two generations of cephalospores and large cycloisinoids are also available. The course of general antibiotic is 5 ~ 7 days, with rheumatism, glomerulonephritis 10 ~ 14 days. If there are severe suppurative complications, the course of antibiotics will be prolonged. 1.2 lower respiratory tract infections are the most common infectious diseases. Include acute chronic bronchitis, lung infection and so on. The pathogen bacteria (common gram-positive coccus, such as streptococcus pneumoniae, staphylococcus aureus, gram-negative bacilli, such as with klebsiella pneumoniae, haemophilus influenzae, pseudomonas aeruginosa, escherichia coli and proteus; anaerobic bacteria, such as the corynebacterium, spindle bacillus, etc.), viruses, fungi, protozoa, mycoplasma, chlamydia, etc. Adult bacterial infection rate was 80 % and children 70 %. The proportion of fungal infections in the immunosuppressive state, old age, mass use of hormones, antibiotics