ICU岗前培训-抗生素（英文PPT）Pre-ICU training (Antibiotics)PPT.ppt

Pre-ICU training (Antibiotics);台北院區院內感染常見10種致病菌歷年變化;Incidence Rate (‰);All infections = 1,593;%;台北院區院內感染UTI常見的致病菌（2007年）;台北院區院內感染LRTI常見的致病菌（2007年）;台北院區院內感染SSI常見的致病菌（2007年）;台北院區院內感染BSI常見的致病菌（2007年）;台北院區院內感染SSTI常見的15種致病菌（2007年）;What organisms are most likely?何種致病菌是最可能造成此次感染的致病菌?;If several antibiotics are available, which is best? (This question involves such factors as drugs of choice, pharmacokinetics, toxicology, cost, narrowness of spectrum, and bactericidal compared with bacteriostatic agents.) 對於一個最可能的致病菌，或是已確定的致病菌，可能有多種藥物可用來治療，何者才是最佳的選擇藥物?;Staphylococcus aureus: Antibiotics ;Categories of Susceptibility of S. pneumoniae to Penicillin;Treatment of S. pneumoniae Pneumonia;Treatment of Pneumococcal Meningitis;Streptococcus pneumoniae;Enterococci sp.;Enterococci sp.;健保規範(Linezolid);Klebsiella pneumoniae ;Escherichia coli;Klebsiella sp. Escherichia coli;Citrobacter, Enterobacter, Acinetobacter, Serratia, Providencia Species;Pseudomonas aeruginosa;Pseudomonas aeruginosa; Acinetobacter baumannii ;健保規範(Tigecycline);Stenotrophomonas maltophilia;Is an antibiotic combination appropriate?是否需要合併使用兩種或以上的抗生素?;Combination Therapy;Gentamicin;The use of monotherapy with antipseudomonal penicillins or cephalopsorins for patient with severe P. aeruginosa infections can lead to the emergency of antimicrobial-resistant strain. Combination of 2 antipseudomonal ? - lactam antibiotics lacks synergy in animal models in human Combination of an aminoglycosides antipseudomonal ? - lactam antibiotics works synergistically against P. aeruginosa improved clinical outcome. ;Antifungal agents;健保規範(itraconazole);健保規範(caspofungin);健保規範(micafungin);健保規範(voriconazole);;;;AMERICAN THORACIC SOCIETY DOCUMENTS: Guidelines for the Management of Adults with Hospital-acquired, Ventilator-associated, and Healthcare-associated Pneumonia Am. J. Respir. Crit. Care Med. 2005; 171: 388-416 ;Executive Summary Introduction Methodology Used to Prepare the Guideline Epidemiology Incidence Eti