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    The document provides treatment guidelines for bacterial infections, listing recommended combinations of antibiotic classes and specific antibiotics. It begins with first-line and second-line treatment options depending on test results and suspected bacteria. It then categorizes and lists various classes of beta-lactam antibiotics, aminoglycosides, macrolides, and other antibiotic classes along with examples of commonly used drugs.

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    The document provides treatment guidelines for bacterial infections, listing recommended combinations of antibiotic classes and specific antibiotics. It begins with first-line and second-line treatment options depending on test results and suspected bacteria. It then categorizes and lists various classes of beta-lactam antibiotics, aminoglycosides, macrolides, and other antibiotic classes along with examples of commonly used drugs.

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    8 views2 pages

    Viêm PH I

    Uploaded by

    Hung
    The document provides treatment guidelines for bacterial infections, listing recommended combinations of antibiotic classes and specific antibiotics. It begins with first-line and second-line treatment options depending on test results and suspected bacteria. It then categorizes and lists various classes of beta-lactam antibiotics, aminoglycosides, macrolides, and other antibiotic classes along with examples of commonly used drugs.

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    of 2

    (Cefalosporin th3/Piperacillin-tazobactam/Ertapenem) +_ (macrolid/quinolone )

    or (Amox-clavu/ampi-sulbactam)

    Ko đáp ứng sau 48h, cấy (-), vk sinh ESBL->

    (Piperacillin-tazobactam/Ertapenem/cefo-sulbactam) + (Amikacin/netilmicin)

    Ko đáp ứng sau 48h, cấy (-), trực khuẩn mủ xanh/acinetobacter kháng cacbapenem->

    (Meropenem/imipenem/Piperacillin-tazobactam/cefo-sulbactam + amikacin/netilmicin) +-
    (doxycycline) +-(vancomycin/teicoplanin) Colistin tùy

    @Betalactam
    Penicillin
    Phổ hẹp: PenicillinG, PenicillinV
    Phổ hẹp+ tụ cầu: methiclin, oxacilin cloxacilin, dicloxacin, nafcilin
    Phổ trung bình: ampicillin, amoxcilin(Moxacin500mg, Praverix500mg,
    SM.Amoxicillin500mg,250mg)
    Phổ rộng+ trực khuẩn mủ xanh: Carbenicilin,Ticarcilin & Mezlocilin,Piperacilin
    Cephalosporin
    Thế hệ 1: Cefazolin(Zolifast lọ 2g), Cefalexin, Cefadroxil, Cefradil(Doncef, Optixitin)
    Thế hệ 2:Cefoxitin(Optixitin lọ1g), Cefaclor, Cefprozil, Cefuroxim, Cefotetan, Ceforanid,
    Cefamandol(Tenadol lọ 2g)

    Thế hệ 3:Cefotaxim, cefpodoxim, Ceftibuten, Cefdinir(dentimex 125mg/5ml), Cefditoren,


    Ceftizoxim, Ceftriaxon, Cefoperazol(cefopefat lọ1g, Trikapezon lọ2g, Sulraapix lọ
    500mg-sulb500mg), Ceftazidim,Cefixim(Fudcime 200 mg, IMEXIME 50mg)
    Thế hệ 4:Cefepim
    Beta lactam khác
    Carbapenem:Imipenem, Meropenem, Doripenem, Ertapenem
    Monobactam:Aztreonam
    @AMINOGLYCOSID: kanamycin, gentamycin(Gentamicin 40mg/1ml, 80mg/2ml), neltimicin,
    tobramycin(Medphatobra 80mg/2ml), amikacin(Itamekacin1g/4ml, Vinphacine25mg/2ml)

    @MACROLID
    14 nguyên tử carbon: erythromycin, oleandomycin, roxithromycin, clarithromycin, dirithromycin
    15 nguyên tử carbon: azithromycin(Quafa-Azi 500mg)
    16 nguyên tử carbon: spiramycin, josamycin

    @LINCOSAMID lincomycin clindamycin

    @PHENICOL cloramphenicol, thiamphenicol


    @CYCLIN chlortetracyclin, oxytetracyclin, demeclocyclin, methacyclin, doxycyclin, minocyclin

    @PEPTID
    Glycopeptid: vancomycin, teicoplanin
    Polypetid: polymyxin, colistin
    Lipopeptid: daptomycin

    @QUINOLON #ciprofloxacin 200mg/100ml


    Thế hệ 1:Aid Nalidixic, Cinoxacin
    Thế hệ 2: Lomefloxacin,Norfloxacin,Enoxacin & Ofloxacin,Ciprofloxacin(Ciprofloxacin
    Kabi200mg/100ml)
    Thế hệ 3:Levofloxacin(Sunfloxacin 750mg/150ml, LEVODHG 500), Sparfloxacin, Gatifloxacin,
    Moxifloxacin(Moveloxin Injectio400mg/250ml)
    Thế hệ 4:Trovafloxacin
    @Co-trimoxazol: phối hợp sulfamethoxazol & trimethoprim

    @oxazolidinon: linezolid

    @5-nitro-imidazol: metronidazole(250mg,500mg/100ml), tinidazol(Sindazol Intraveno500mg/100ml),


    ornidazol, secnidazol…

    @sulfonamide: Sulfamethoxazol(Ocebiso400mg-trimethoprim80mg)

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