革兰阳性菌所致院内获得性肺炎诊疗进展.pptVIP

革兰阳性菌所致院内获得性肺炎诊疗进展.ppt

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低血压发生后第1h(H1)内接受有效抗生素治疗者: 存活率 79.9% 低血压发生后接受有效抗生素每延误1h:存活率平均降低7.6% 重症感染: 升阶梯疗法导致高死亡率 Clinical Characteristics and Treatment Patterns Among Pats With VAP 斯沃 vs. 万古霉素 疗效及安全性 纳入研究人群的实际情况 临床有效率:斯沃高于万古霉素 细菌清除率:斯沃优于万古霉素 退热时间:斯沃快于万古霉素 治疗前后血液学参数比较 使用斯沃与万古霉素治疗后,血小板计数恢复正常所需时间相当 斯沃的各项特点中,不包括哪项? A.口服的绝对生物利用度为100% B. 必须在餐后服用 C. 体液/组织穿透力强,保证感染部位足够药物治疗浓度 D. 老年患者无须调整剂量 IDSA/ATS 2007 CAP指南, 对于既往健康的门诊CAP患者, 强烈推荐何药物治疗? A.阿奇霉素 B. 呼吸喹诺酮 C. 多西环素 D. 阿莫西林 IJAA杂志9月刚刊载的利奈唑胺中国人群临床试验示:就临床成功和细菌清除而言,利奈唑胺较对照药物更有效,该对照药物为? A.万古霉素 B. 替考拉宁 C. 头孢唑啉 D. 头孢拉定 希舒美主要针对的感染,不包括哪项? A 呼吸道感染 B 泌尿生殖系统感染 C 性传播疾病 D 消化道感染 On the cover: “The Sick Child.” Photograph ? Hamburger Kunsthalle, Hamburg, Germany/Bridgeman Art Library. Reproduced with permission. This painting, titled “The Sick Child,” was made by a French painter named Jean Augustin Franquelin (1798–1839). The anxious mother watching over her ill child is depicted in a rustic setting and wears brightly colored peasant clothes that contrast with her expression of deep concern, verging on despair. The artist has placed a single tear below the mothers left eye. This painting is from the same decade as a work (“The Sick Child”) by the British painter Edward Bird that appeared previously in the 1 January 2005 issue of the journal but is much more stylized in execution. The artist demonstrates his skills in depicting many kinds of textures and surfaces, such as the deteriorating plaster and brick wall, the basketry of the childs crib, the smoke from the lamp behind the mothers head, and the shiny brass kettle. The cloth in the basin is a poultice that the mother has applied to the childs head in an attempt to treat the infection. Genre paintings about intimate, emotional subject matter and using “realistic” technique remained popular throughout the 19th century. The painting is in the collection of the Hamburger Kunsthalle, Hamburg, Germany. (Ann Arvin, Cover Art Editor) Close * * 11. The choice of treatment for resistant staphylococcal infections

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