抗菌药物临床应用的基本原则6（The basic principle of clinical application of antibacterials 6）.docVIP

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抗菌药物临床应用的基本原则6（The basic principle of clinical application of antibacterials 6）.doc

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抗菌药物临床应用的基本原则6（The basic principle of clinical application of antibacterials 6）

抗菌药物临床应用的基本原则6（The basic principle of clinical application of antibacterials 6） Not really open the maidservant Du long strong measures to deal with? [principles of treatment] 1. the patients who have been diagnosed or diagnosed should be separated from intestinal infectious diseases. After the disappearance of clinical symptoms, fecal specimens should be taken every 5 days for bacterial culture, and 2 times the negative culture can be removed. 2. blood samples or stool or urine samples should be taken for bacterial culture before antimicrobial treatment. Antimicrobial susceptibility tests should be performed after the pathogen is obtained. If necessary, adjust the medication according to the result of drug sensitivity test. The 3. course is usually 10~14 days. The condition is more severe, the course of disease can be given intravenously at the beginning, and can be changed to oral administration after the condition is stable. 4. after the end of the antibacterial treatment, fecal and urine cultures should be followed to remove the bacteria in the presence of bacteria. If it is a carrier, it should be treated. [pathogeny treatment] 1. preferred fluoroquinolones, but not suitable for children and pregnant and lactating patients. 2. ceftriaxone and cefotaxime are suitable for children and pregnant and lactating patients and typhoid fever caused by drug-resistant bacteria. 3. can also use amoxicillin or ampicillin, compound sulfamethoxazole or chloramphenicol. Avoid the use of chloramphenicol in neonates, pregnant women and patients with significant impairment of liver function. The peripheral blood samples should be examined regularly during the use of chloramphenicol to monitor the blood system toxicity. 4. typhoid fever carriers can be treated with amoxicillin or fluoroquinolones orally for 6 weeks. Brucellosis The pathogen is Brucella, and it belongs to B infectious diseases. Once found, should be reported to the relevant departments. [principles of treatment] Ear