神经内科-细菌性脑膜炎.ppt

抗生素治疗 针对其它特殊病原菌选药 金黄色葡萄球菌：乙氧奈青霉素钠、万古霉素。疗程至少3周 大肠杆菌：氨卞青霉素+氨基糖甙类；头胞噻肟钠，头胞噻肟钠+氨基糖甙类。疗程：3周或更长 B族溶血性链球菌：氨卞青或青霉素G 病原未明：按常见病原菌选药，疗程2-3周 治 疗 Etiology Standard antibiotics of choice Duration of therapy H.influenzae Cefotaxime /Ceftriaxone 7-10days N.meningitidis Cefotaxime /Ceftriaxone 7days S.pneumoniae Cefotaxime /Ceftriaxone 2weeks Staphlococcus aureus Semisynthetic penicillins (Oxacillin sodium, Cloxacillin sodium),Norvancomycin 3weeks E.coli Cefotaxime /Ceftriaxone (or + ampicillin) 3weeks Unknown Cefotaxime/Ceftriaxone + ampicillin 2-3weeks Antibiotic therapy of bacterial meningitis (Pat