便笺 抗菌方案（Scratch pad antibacterial program）.doc

便笺 抗菌方案（Scratch pad antibacterial program） Antibacterial scheme (1) bacterial classification: I boldly divided the bacteria into the following categories and formulated the principles of drug use: 1, G+: for example, young adults with bacterial pneumonia. The common use of a two generation, Archie can fix. Representatives of the horror bacteria are: MRSA (methicillin resistant Staphylococcus aureus), this is the use of the highest vancomycin, take Latin, linezolid can be done. 2, G- bacteria: for example, hospital acquired pneumonia, intestinal infections, urinary tract infections in women. The common use of the three generation and / or you can fix the quinolone. On behalf of terrorist bacteria: Pseudomonas aeruginosa (drug selection: sulperazone, imipenem, Mei Ping, ciprofloxacin, tazocin, Ma Si Ping), Klebsiella pneumoniae (drug selection: carbapenem: imipenem, Mei Ping), Bauman Acinetobacter (drug selection: imipenem, Mei Ping, or money program try: sulperazone + amikacin). 3, anaerobic bacteria: General digestive tract infection of the biliary tract, Helicobacter pylori infection will be used; gynecological infections are also common. Metronidazole, tinidazole and clindamycin. 4, Mycoplasma: pediatric mycoplasma pneumonia is commonly used: Azithromycin 5 Rickettsia: internal medicine for tsutsugamushi disease is doxycycline (doxycycline). 6, other bacteria: consider quinolone or Archie to solve. (two) classification of antimicrobial agents and their antibacterial spectrum and common drugs: 1, penicillins: (1): G+ and G- of penicillin bacteria bacteria effectively, I feel, now estimated that only acute nephritis, endocarditis, evil acute rheumatic fever, meningitis, syphilis disease will have to use these PG to use it. (2) are valid for G-G+ penbritin: representative drugs: mezlocillin and piperacillin, amoxicillin, such not only effective in G+, the main antibacterial spectrum had significant effect on G-, adding enzyme inhibitor beta in the better: for exampl