給ampicillin作痢疾的預防性投藥
全世界只有台灣的公衛是如此作的吧
感染科大老們應該出來說說話吧
可笑的預防性投藥
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thai
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- 文章: 418
- 註冊時間: 週一 9月 11, 2006 5:39 pm
- 來自: 台南市
我來冒充一下大老
USA CDC 網站
How can Shigella infections be treated?
Shigellosis can usually be treated with antibiotics. The antibiotics commonly used for treatment are ampicillin, trimethoprim/sulfamethoxazole (also known as Bactrim* or Septra*), nalidixic acid, or ciprofloxacin. Appropriate treatment kills the Shigella bacteria that might be present in the patient's stools, and shortens the illness. Unfortunately, some Shigella bacteria have become resistant to antibiotics and using antibiotics to treat shigellosis can actually make the germs more resistant in the future. Persons with mild infections will usually recover quickly without antibiotic treatment. Therefore, when many persons in a community are affected by shigellosis, antibiotics are sometimes used selectively to treat only the more severe cases. Antidiarrheal agents such as loperamide (Imodium*) or diphenoxylate with atropine (Lomotil*) are likely to make the illness worse and should be avoided.
嘉義衛生局網站說
桿菌性痢疾（Shigellosis）
特定療法：若患者有水樣便或脫水現象，應即刻給與飲水和補充電解質，抗生素（Co-trimoxazole，口服第三代Cephalosporins和Quinolones）治療可縮短病程及帶菌期；若流行病學調查證明某托兒所或療養院之流行屬實，可採投藥之預防措施。抗藥性試驗報告可幫助醫生正確地使用有效的抗生素。止瀉藥會延長病程，不可使用。
USA CDC 網站
How can Shigella infections be treated?
Shigellosis can usually be treated with antibiotics. The antibiotics commonly used for treatment are ampicillin, trimethoprim/sulfamethoxazole (also known as Bactrim* or Septra*), nalidixic acid, or ciprofloxacin. Appropriate treatment kills the Shigella bacteria that might be present in the patient's stools, and shortens the illness. Unfortunately, some Shigella bacteria have become resistant to antibiotics and using antibiotics to treat shigellosis can actually make the germs more resistant in the future. Persons with mild infections will usually recover quickly without antibiotic treatment. Therefore, when many persons in a community are affected by shigellosis, antibiotics are sometimes used selectively to treat only the more severe cases. Antidiarrheal agents such as loperamide (Imodium*) or diphenoxylate with atropine (Lomotil*) are likely to make the illness worse and should be avoided.
嘉義衛生局網站說
桿菌性痢疾（Shigellosis）
特定療法：若患者有水樣便或脫水現象，應即刻給與飲水和補充電解質，抗生素（Co-trimoxazole，口服第三代Cephalosporins和Quinolones）治療可縮短病程及帶菌期；若流行病學調查證明某托兒所或療養院之流行屬實，可採投藥之預防措施。抗藥性試驗報告可幫助醫生正確地使用有效的抗生素。止瀉藥會延長病程，不可使用。