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32.有關腹膜透析導致之bacterial peritonitis，下列敘述何者..-阿摩線上測驗
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Max 大一下 (2018/07/11)
SBP(Spontaneous Bacterial Peritonitis)原發性腹膜炎(一)診斷:透析液中的PMN>250(二)常見菌種:G(+):S. pneumoniae and other Streptococcus species(20%)G(-):E. coli (most common)、K. pneumoniae、Enterococcus species(5%)(三)經驗性治療:首選:三代Cefa(Cefotaxime or Ceftriaxone) -->較安全也比較有效次之:Ampicillin+Aminoglycoside類-->若病患肝硬化，不可用Aminoglycoside類對β-lactam過敏:Levofloxacin or moxifloxacin-->不建議使用CiprofloxacinContinuous Ambulatory Peritoneal Dialysis(CAPD)–Associated Peritonitis(一)診斷:透析液成混濁狀 WBC>100 Neutrophili... 查看完整內容 | ||
10F yh.h 大一下 (2019/07/18)
補7F 題目的最佳解 9 下列何種療法不適合做為較輕微的社區感染腹膜炎之初始治療？  Yes 小三下 (2016/06/21) 73 第二代cepha：cefoxitin, cefotetan, cefuroxime當中，cefuroxime抗菌範圍不包括厭氧的GNB(gram negative bacilli) [reference：熱病Sanford guide... 查看完整內容 |
11F _han 大一上 (2020/06/17)
想請問根據8F的uptodate提到可以使用ciprofloxacin替代使用，是否跟最佳解有矛盾？ 最新uptodate Other antibiotics — Other antibiotics can be used for the treatment of SBP. Whenever possible, the alternative antibiotic should have been studied for the treatment of SBP. Ciprofloxacin can be used for patients who cannot take a cephalosporin, although it does not penetrate into ascitic fluid to the same extent as cefotaxime. We give ciprofloxacin at a dose of 400 mg intravenously twice daily to patients with normal renal function... 查看完整內容 |
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