课件：G 菌感染诊治简介资料.ppt

金黄色葡萄球菌是HAP最常见的致病菌 院内肺炎1 呼吸机相关肺炎2 铜绿假单胞菌 铜绿假单胞菌 金黄色葡萄球菌 金黄色葡萄球菌 不动杆菌属 肠杆菌科 克雷伯杆菌 嗜血杆菌属 肠杆菌属 链球菌属 不动杆菌属 1.胡必杰等.中华结核和呼吸杂志.2005;28(2):112-116 2.Chastre J.et al.Am J Respir. 2002;165:867–903 经验性治疗——多药耐药风险 潜在的病原体 铜绿假单胞菌 鲍曼不动杆菌 耐甲氧西林金葡菌 抗生素耐药（超广谱 β内酰胺酶 包含在内）的G - 肠杆菌 肺炎克雷白杆菌 肠杆菌属 嗜肺军团菌 推荐的治疗方案 头孢吡肟，头孢他啶 亚胺培南，美罗培南 哌拉西林/三唑巴坦 + 氨基糖甙类 环丙沙星，左氧氟沙星 + 利奈唑胺 万古霉素 (大环内酯类，喹诺酮类) 后面内容直接删除就行 资料可以编辑修改使用 资料可以编辑修改使用 主要经营：网络软件设计、图文设计制作、发布广告等 公司秉着以优质的服务对待每一位客户，做到让客户满意！ 致力于数据挖掘，合同简历、论文写作、PPT设计、计划书、策划案、学习课件、各类模板等方方面面，打造全网一站式需求 * * Treating MRSA Infections Key Point: Vancomycin remains the gold standard for MRSA treatment All treatments for MRSA have limitations Supplemental Information: Exposure to vancomycin may affect susceptibility to daptomycin Cell wall changes observed in glycopeptide-intermediate S aureus strains may interfere with daptomycin activity by decreasing the ability of daptomycin to access relevant binding regions on the bacterial cell membrane Reference: Sakoulas G, et al. Antimirob Agents Chemother. 2006;50:1581-1585. * The infectious organisms that are responsible for nosocomial pneumonia are generally different from pathogens associated with community-acquired respiratory infections. Nosocomial pneumonia infections can be caused by a wide variety of pathogens, though the most common are Staphylococcus aureus and the enteric gram-negative bacteria (such as Escherichia coli, Klebsiella pneumoniae and Pseudomonas aeruginosa). However, it has been estimated that up to 50% of infections in mechanically ventilated patients are polymicrobial. This can make choosing targeted antimicrobial therapy difficult even after the pathogens are identified. Thus, broad spectrum antimicrobials and combination antimicrobial therapy are typically used to treat these infections empirically. * * * * * G+细菌的诊治简介 常见的G+球菌 ——葡萄球菌 凝固酶阳性葡萄球菌： 金黄色葡萄球菌 中间葡萄球菌 猪葡萄球菌 凝固酶阴性葡萄球菌 表皮葡萄球菌 溶血葡萄球菌：尿道感染、血流感染 腐生葡萄球菌：尿道感染（女，仅次于大肠杆菌） 瓦氏葡萄球菌： 里昂葡萄球菌： IE、