Guía Terapéutica Antibiótica
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Mayelana nalolu hlelo lokusebenza
Ama-antimicrobial ayiqembu elikhulu kakhulu imithi eminye esebenza ngempumelelo futhi eziyinkimbinkimbi kokuvamile. Kusukela ukutholakala yayo kwengu-70 edlule, azisindise izigidi zabantu futhi bavunyelwe kwentuthuko yezokwelapha, ekubeni esisemqoka nokwelapha izidakamizwa webhaktheriya kakhulu ezithathelwanayo.
Ukuthuthukiswa ukumelana elwa namagciwane, ukuvela ukusabalala kwamagciwane ehlukahlukene nemithi kanye nokuntuleka izindlela abangelashwa ngazo, ungomunye zezinkinga zempilo yomphakathi enkulu namuhla. Nakuba zikhona izici eziningi umusa ukukhethwa kanye nokusabalalisa ngamagciwane amelana nemithi, ukusetshenziswa okungalungile futhi ngokungakhethi wabo ingenye yezinto eziyinhloko ezibangela ukuba nengxenye kule simo.
Ukusetshenziswa kwama-antimicrobial imvelo esibhedlela kuyathuthuka e 30-50% of amacala. Ukuba khona izinto eziphilayo ukumelana kokuhlukana yabo phakathi izibhedlela ngisho phakathi kwezindawo ezehlukene esibhedlela esifanayo ludinga ulwazi ezinhle lwezifo microbial wendawo. Ukukhethwa elikhulu we elwa namagciwane kanye umthamo yayo syndromes ezahlukene ezithathelwanayo futhi zidinga ukuqeqeshwa okuqondile futhi olusha.
Ngenhloso yokugqugquzela ukusebenzisa kangcono antimicrobial iKhomishana Isibhedlela Ukutheleleka Isibhedlela iNdodana Espases (Palma de Mallorca, Spain) ibuyekeziwe nale lwesithathu edition isinyathelo yezifiso e izifo ezithathelwanayo.
Ngohlelo lokusebenza format inhlukano yezifiso sifuna lula yokwanda nokusetshenziswa kwalezi yezifiso, ngibenze kufinyeleleke futhi ukufunda ukuze ziwusizo umkhuba emtholampilo nsuku zonke lula. Ungakwazi futhi ukufinyelela yezifiso nge lwezincwadi ephelele kusuka ikhasi lasekhaya ukuqhuba izifundo.
Isicelo senzelwe wezokwelapha kanye eyenza imithi ejwayelekile kanye encompasses kokubili izici jikelele ukusetshenziswa elwa namagciwane (ukuvimbela ukuthuthukiswa ukumelana, umthamo kwezinso futhi hepatic, sokuphuzisa okhuluphele, pharmacokinetic neziguli pharmacodynamic, njll), njengoba guides ukhonkolo ukwelashwa apharathasi (zokuphefumula, wokugaya ukudla, urinary, njll). Kumele kukhunjulwe ukuthi izincomo zendawo esekelwe ezimweni ezithile isikhungo sethu nolwazi ukuzwela-antibiotic olunikezwa uMnyango Microbiology ka Espases Isibhedlela, ngakho ezinye izincomo kumele uhunyushwe futhi bazivumelanisa indawo umfundi.
Siphinde babefuna ukumsekela ukufinyelela kweminye imithombo enjenge yokubala yezokwelapha, izifundo kanye amacala zokwelapha. Lena incazelo zonke izici isicelo:
- off-line Ukufundwa izici jikelele ukusetshenziswa elwa namagciwane, i-zokwelapha kanye prophylaxis yezifiso.
- Funda off-line bese ulanda yezifiso ephelele With References yabo (PDF).
- Izibali Clinical: BMI, umthamo okhuluphele, umsebenzi kwezinso, CPIS esikalini, isikali ukunqanda-65, isikali Fine (PSI), Ingane-Pugh esikalini, Barthel Inkomba kanye Pfeiffer test.
- Izifundo: Xhumanisa Infectious Diseases izifundo ezifundiswa eminyakeni yamuva.
- Ezimweni Clinical: icala kwenzeka zonke izinsuku ezingu-15 futhi uhlu lwemibuzo olumayelana ikhishwe. Ngemva kwezinsuku ezimbalwa icala futhi uzimisele futhi saxoxa.
- Iziphakamiso: Thumela amazwana wakho, izilungiso noma iziphakamiso ukuthuthukisa isicelo.
Ababhali.
Ukuthuthukiswa ukumelana elwa namagciwane, ukuvela ukusabalala kwamagciwane ehlukahlukene nemithi kanye nokuntuleka izindlela abangelashwa ngazo, ungomunye zezinkinga zempilo yomphakathi enkulu namuhla. Nakuba zikhona izici eziningi umusa ukukhethwa kanye nokusabalalisa ngamagciwane amelana nemithi, ukusetshenziswa okungalungile futhi ngokungakhethi wabo ingenye yezinto eziyinhloko ezibangela ukuba nengxenye kule simo.
Ukusetshenziswa kwama-antimicrobial imvelo esibhedlela kuyathuthuka e 30-50% of amacala. Ukuba khona izinto eziphilayo ukumelana kokuhlukana yabo phakathi izibhedlela ngisho phakathi kwezindawo ezehlukene esibhedlela esifanayo ludinga ulwazi ezinhle lwezifo microbial wendawo. Ukukhethwa elikhulu we elwa namagciwane kanye umthamo yayo syndromes ezahlukene ezithathelwanayo futhi zidinga ukuqeqeshwa okuqondile futhi olusha.
Ngenhloso yokugqugquzela ukusebenzisa kangcono antimicrobial iKhomishana Isibhedlela Ukutheleleka Isibhedlela iNdodana Espases (Palma de Mallorca, Spain) ibuyekeziwe nale lwesithathu edition isinyathelo yezifiso e izifo ezithathelwanayo.
Ngohlelo lokusebenza format inhlukano yezifiso sifuna lula yokwanda nokusetshenziswa kwalezi yezifiso, ngibenze kufinyeleleke futhi ukufunda ukuze ziwusizo umkhuba emtholampilo nsuku zonke lula. Ungakwazi futhi ukufinyelela yezifiso nge lwezincwadi ephelele kusuka ikhasi lasekhaya ukuqhuba izifundo.
Isicelo senzelwe wezokwelapha kanye eyenza imithi ejwayelekile kanye encompasses kokubili izici jikelele ukusetshenziswa elwa namagciwane (ukuvimbela ukuthuthukiswa ukumelana, umthamo kwezinso futhi hepatic, sokuphuzisa okhuluphele, pharmacokinetic neziguli pharmacodynamic, njll), njengoba guides ukhonkolo ukwelashwa apharathasi (zokuphefumula, wokugaya ukudla, urinary, njll). Kumele kukhunjulwe ukuthi izincomo zendawo esekelwe ezimweni ezithile isikhungo sethu nolwazi ukuzwela-antibiotic olunikezwa uMnyango Microbiology ka Espases Isibhedlela, ngakho ezinye izincomo kumele uhunyushwe futhi bazivumelanisa indawo umfundi.
Siphinde babefuna ukumsekela ukufinyelela kweminye imithombo enjenge yokubala yezokwelapha, izifundo kanye amacala zokwelapha. Lena incazelo zonke izici isicelo:
- off-line Ukufundwa izici jikelele ukusetshenziswa elwa namagciwane, i-zokwelapha kanye prophylaxis yezifiso.
- Funda off-line bese ulanda yezifiso ephelele With References yabo (PDF).
- Izibali Clinical: BMI, umthamo okhuluphele, umsebenzi kwezinso, CPIS esikalini, isikali ukunqanda-65, isikali Fine (PSI), Ingane-Pugh esikalini, Barthel Inkomba kanye Pfeiffer test.
- Izifundo: Xhumanisa Infectious Diseases izifundo ezifundiswa eminyakeni yamuva.
- Ezimweni Clinical: icala kwenzeka zonke izinsuku ezingu-15 futhi uhlu lwemibuzo olumayelana ikhishwe. Ngemva kwezinsuku ezimbalwa icala futhi uzimisele futhi saxoxa.
- Iziphakamiso: Thumela amazwana wakho, izilungiso noma iziphakamiso ukuthuthukisa isicelo.
Ababhali.
Kubuyekezwe ngo-
Ukuphepha kuqala ngokuqonda ukuthi onjiniyela baqoqa futhi babelane kanjani ngedatha yakho. Ubumfihlo bedatha nezinqubo zokuphepha zingahluka kuye ngokusebenzisa kwakho, isifunda, nobudala. Unjiniyela unikeze lolu lwazi futhi angalubuyekeza ngokuhamba kwesikhathi.
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