Puas yog vancomycin kho mob ntsws ntsws?
Puas yog vancomycin kho mob ntsws ntsws?

Video: Puas yog vancomycin kho mob ntsws ntsws?

Video: Puas yog vancomycin kho mob ntsws ntsws?
Video: Tshuaj kho zoo mob siab mob ntsws 2024, Lub Xya hli ntuj
Anonim

Txawm li cas los xij, hauv tsev kho mob-tau txais aspiration mob ntsws tshuaj tua kab mob uas npog cov kab mob gram-negative thiab S. aureus; yog li siv kev sib xyaw ntawm vancomycin tshuaj thiab piperacillin-tazobactam tau siv ntau tshaj plaws.

Ib yam nkaus, tib neeg nug, yam tshuaj tua kab mob zoo tshaj plaws los kho mob ntsws yog dab tsi?

Rau aspiration mob ntsws , Cov Kab Mob Sib Kis Hauv Tebchaws Asmeskas (IDSA) cov lus qhia pom zoo beta-lactam/beta-lactamase inhibitor, clindamycin, lossis carbapenem. Qee qhov piv txwv suav nrog clindamycin 600 mg IV txhua 8 teev (ua raws 300 mg hais lus 4 zaug/hnub) thiab amoxicillin /clavulanate 875 mg IV txhua 12 teev.

Ib tus kuj tseem yuav nug tau, koj yuav kho tus mob ntsws hnoos li cas?

  1. Tshuaj tua kab mob tau muab los kho mob ntsws uas tshwm sim los ntawm cov kab mob. Tej zaum koj yuav tau muab tshuaj tua kab mob ua tshuaj lossis hla koj li IV.
  2. Muab cov tshuaj steroid los txo qhov o hauv koj lub ntsws.
  3. Koj yuav xav tau oxygen ntxiv yog tias koj cov ntshav oxygen qib qis dua qhov nws yuav tsum tau.

Kuj paub, puas yog vancomycin npog lub ntsws?

Vancomycin dosing rau mob ntsws o hauv cov neeg mob raug mob hnyav QHOV TSEEB: Vancomycin tau pom zoo raws li kev kho mob xaiv rau methicillin-resistant Staphylococcus aureus (MRSA) mob ntsws o nrog rau qhov xav tau ntawm qhov siab ntawm 15 txog 20 mg/L.

Koj kho tus mob ntsws ntev npaum li cas?

Nco ntsoov nqa tshuaj tua kab mob rau tag nrho qhov ntev ntawm lub sijhawm sau tshuaj. Lub sijhawm no tau sib txawv ntawm ib mus rau ob lub lis piam. Koj kuj tseem xav tau kev saib xyuas txhawb nqa yog tias aspiration mob ntsws ua rau muaj teeb meem ua pa. Kev kho mob suav nrog cov pa oxygen ntxiv, tshuaj steroids, lossis pab los ntawm lub tshuab ua pa.

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