[討論] 口服抗生素選擇
遇到一個奇怪的case
裝了PTCD的病人得了BTI
抗生素打一周要出院了 要改口服抗生素門診追蹤
Bile培養結果:
細菌名稱 生長狀態 抹片檢查
========================================================================
1 Acinetobacter sp Moderate -
2 Chryseobacterium indologenes -
(Flav Rare ob.indologenes)
------------------------------------------------------------------------
藥敏試驗______________________ 1( 濃度 ) 2( 濃度 )
Amikacin . S , R ,
Ceftazidime . S , S ,
Ciprofloxacin_________________. R ______, R ______,
Colistin . S , R ,
Doripenem . , R ,
Cefepime______________________. S ______, S ______,
Gentamicin . S , R ,
Imipenem . S , R ,
Levofloxacin__________________. ______, R ______,
Meropenem . S , R ,
Piperacillin . , S ,
Ampicillin-sulbactam__________. S ______, ______,
Tigecycline . S , ,
Piperacillin-tazobactam . S , S ,
看了一看 好像沒有適合的口服抗生素?
不知道要做何解?
會診感染科的建議是 Ciprofloxacin + Metronidazole
但是Cipro藥敏試驗是沒用阿?
--
※ 發信站: 批踢踢實業坊(ptt.cc), 來自: 175.96.99.95
※ 文章網址: http://www.ptt.cc/bbs/medstudent/M.1408635498.A.591.html
→
08/21 23:44, , 1F
08/21 23:44, 1F
→
08/21 23:46, , 2F
08/21 23:46, 2F
推
08/21 23:50, , 3F
08/21 23:50, 3F
推
08/21 23:57, , 4F
08/21 23:57, 4F
推
08/22 08:12, , 5F
08/22 08:12, 5F
推
08/22 09:02, , 6F
08/22 09:02, 6F
推
08/22 17:18, , 7F
08/22 17:18, 7F
→
08/22 17:19, , 8F
08/22 17:19, 8F
→
08/22 19:48, , 9F
08/22 19:48, 9F
推
08/22 19:57, , 10F
08/22 19:57, 10F
推
08/22 21:17, , 11F
08/22 21:17, 11F
→
08/22 21:18, , 12F
08/22 21:18, 12F
推
08/23 21:05, , 13F
08/23 21:05, 13F
medstudent 近期熱門文章
PTT職涯區 即時熱門文章
