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教学课件课件PPT医学培训课件教育资源教材讲义
ANTIBIOTICS;CONTENTS;;BIBILOGRAPHY;;MODERN ERA; THIS IS THE MOST DRUGGED GENERATION
THE MYTH
A PILL TO CURE EVERY ILL; RATIONALE OF DRUG USE; PATTERNS OF MISUSE;*Overuse in situations in which pt’s are not at risk for metastatic
infections.
*Treatment of chronic adult periodontitis almost totally amenable
to mechanical therapy.
*Administration instead of mechanical therapy for periodontitis.
* Long term administration in th management of periodontal disease.
*Antibiotic therapy instead of incision drainage.
*Administrations to avoid claims of negligence.
* Administrations in improper situations, dosage duration of therapy. ;DRUG LEGISLATIONS;;;;BACTERIAL GROWTH CURVE;ANTIBIOTIC MECHANISM OF ACTION
;;;;;PRINCIPLES OF ANTIBIOTIC DOSING;MICROBIAL DRUG RESISTANCE;;SULFONAMIDES;ANTI BACTERIAL SPECTRUM
Primarily bacteriostatic agent against many gram+ve gram_ve bacteria.
Organisms still sensitive are St.pyogenes,H.influenzae,H.ducreyi,E.coli,
V.cholera,Chalydiae,Actinomyces,Nocardia Toxoplasma.;USES;ADVERSE EFFECTS;COTRIMOXAZOLE;USES:;ADVERSE EFFECTS:;FLOUROQUINOLONES;FLOUROQUINOLONES;CIPROFLOXACIN;Remarkable microbiological features of ciprofloxacin other FQ’s include
Rapidly bactericidal highly potent.
Relatively long PAE.
Low freq. Of mutational resistance
Protective streptococci anaerobes are spared
Active against B- lactams aminoglycoside resistant bacteria
Less active against acidic pH.
PHARMACOKINETICS:
Rapidly absorbed orally but food delays absorption.
First pass metabolism occurs.
High tissue penetrability.
Excreted primarily in urine.;INTERACTIONS:;ADVERSE EFFECTS:;CEPHALOSPORINS;3rd generation
Cefotaxime
Cefoperaxone
Ceftriaxone
Ceftazidime
Cefixime
Cefdinir;;USES;ADVERSE EFECTS:;CHLORAMPHENICOL;PHARMACOKINETICS;USES;ADVERSE EFFECTS;AMINOGLYCOSIDES;PRECAUTIONS INTERACTIONS;STREPTOMYCIN;USES;MACROLIDES;SPECTRUM;USES;ADVERSE EFFECTS;MISCELLANEOUS
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