Tiêu đề HƯỚNG DẪN SỬ DỤNG KHÁNG SINH 2024.pdf ✅

NHl�M KHUAN £>l10'NG HO HAP DllOI 1-Nguy ca thAp 2-Nguy ca trung binh 3-Nguy ca cao Khang sinh kinh nghltm gc;,I y oo KS can hU'6'ng den cac ooCan chi djnh nhOng KS c6 oo Can chi djnh cac KS pho r¢ng c6 hoc;1t VK tll' cong dong nhll ho,;1t tinh tren VK sinh ESBL tinh tren Pseudomonas nhU' beta- beta-lactam/U'c che nhllng khong c6/it ho,;tt tinh lactam/(rc che beta-lactamase c6 ho,;tt betalactamase (nhll tren Pseudomonas nhU' tinh tren Pseudomonas ampicillin/sulbactam, carbapnem nh6m 1 (nhlf piperacillin/tazobactam, amoxicillin/ (ertapenem) cefoperazon/sulbactam) ho�c clavulanat) doong ooBeta-lactam/U'c che beta- carbapenem nh6m II (imipenem, u6ng, cephalosporin lactamase meropenem) the M 1,2, macrolid, (nhll ampicillin/sulbactam, Dem tr/ hO,c phol hVP v6'1 moxifloxacin piperacillin/tazobactam) c6 th� aminoglycosid (gentamicin, amikacin) oo H,;1n ch6 SU' d1,mg KS dU'c;>'C h1a chc;>n thay the trong ho�c fluoroquinolon (ciprofloxacin, phO r¢ng c6 ho,;1t tinh m¢t so tinh huong levofloxacin) tren VK sinh ESBL va ooGlycopeptid (vancomycin, oo Khi nghi ngo VK khang m6 n)ng Pseudomonas aeruginosa teicoplanin) chi dung trong (Enterobacteriaceae khang carbapenem, tru'ong hqp nghi nga ho.Jc Acinetobacter khang carbapenem), can oo Khong Gan SU' d1,mg vung djch te MRSA cao nhac phoi hqp colistin (ke ca d,;tng khi thuoc khang nam coChU'a can SU' d1,mg thuoc dung) khang nam oo Khi nghi n¢ VK Enterobacteriaceae khang carbapenem, can nhflc beta- lactam/U'c che beta-lactamase th6 h� m6'i (nhU' ceftazidim/avibactam, imipenem/cilastatin/relebactam) Khi nghi nga Pseudo�onas khang carbapenem, can nhac beta-lactam/U'c che beta-lactamase the h� m6'i (nhlY ceftolozan/tazobactam, ceftazidirn/avibactam, imipenern/cilastatin/relebactam) Khi nghi nga MRSA dung glycopeptid (vancomycin, teicoplanin). Khi nghi nga Enterococcus khang vancomycin, Staphylococcus aureus khang vancomycin, dung linezolid oo Xem xet chi djnh thu6c khang nllm Chu thfch bang: Tham khao each tinh di�m SOFA: https://www.mdcalc.com/seguential-organ-failure- assessment-sofa-score