3.若病人對penicillin的過敏是屬於type I反應,則下列何種抗生素可用來治療Streptococcus pneumoniae所引起的中耳炎?
(A)Cefdinir
(B)Cefpodoxime
(C)Cefuroxime
(D)Clarithromycin
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統計: A(39), B(41), C(455), D(1936), E(0) #408107
統計: A(39), B(41), C(455), D(1936), E(0) #408107
詳解 (共 10 筆)
#2304129
對Pn類過敏用Macrolide類
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#972139
第一線以高劑量的amoxicillin(80-90 mg/kg/day) 或用高 劑量的 amoxicillin/clavulanate(80-90 mg/kg/day的amoxicillin)
對penicillin過敏者可選用 clarithomycin 或azithromycin;
為非type I 的過敏反應則可使用 cefdinir, cefuroxime axetil 或 cefpodoxime. 當口服藥無法緩解時,可考慮使用第三代的頭孢菌素針劑ceftriaxone
參考資料
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#1613901
macrolide-->中耳炎 (馬鬃)
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#972137
cefuroxime 2 唯一BBB
cefdinir. 3
cefpodoxime 3
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#2831587
acute otitis\ acute sinusitis : S.pneumonia, H.influenza, virus
1st: Amoxicillin, Augmentin 2nd: FQ 過敏替代:clindamycin, Macrolide
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#829933
Clarithromycin is a macrolide antibiotic used to treat bacterial infections, particularly respiratory infections, skin infections and lyme disease. In addition, it is used to treat Helicobacter pylori, a cause of gastritis,
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