問題詳情

1.王太太42歲，診斷有社區感染性肺炎（community-acquired pneumonia），無其他慢性疾病，近三個月也未曾使用抗生素，治療此次感染最適當的抗生素為：
(A)azithromycin
(B)moxifloxacin
(C)併用azithromycin及moxifloxacin
(D)併用azithromycin、moxifloxacin及ampicillin

參考答案

答案：A
難度：困難0.222222
統計：A(2),B(5),C(1),D(1),E(0)

用户評論

【Siou Yun Hsu】評論

附上Guideline給大家參考，簡單來說，病人若沒有DRSP(抗藥性肺炎鏈球菌)，Macrolide為首選；若是有DRSP，則以Beta-lactam+Azithromycin (Macrolides中優先使用)。

【GE】評論

TABLE 107-8  Evidence-Based Empirical Antimicrobial Therapy fornPneumonia in AdultsOutpatient/Community AcquiredClinicaln SettingUsualn PathogensEmpiricaln TherapyPreviously healthyS. pneumoniae, M. pneumoniae, H. influenzae, C. pneumoniae,n M. catarrhalisMacrolide/azalide, or tetracyclineComorbidities (diabetes, heart/lung/liver/renal disease,n and alcoholism)ViralOseltamivir or zanamivir if <48° from onsetn of symptomsMDR S. pneumoniaeFluoroquinolone orβ-lactam + macrolideElderlyRegions with 25% rate of macrolide-resistantn S. pneumoniaeS. pneumoniae, gram-negative bacilliPi...

【必勝大帥哥】評論

Community-acquired pneumonia 社區型肺炎 常見病原菌&治療抗生素    ^__^Streptococcus pneumoniaPenicillin，Ampicllin ，Amoxicillin 或   Moxifloxacin，LevofloxacinHaemophilus influenzaAmpicillin ，Amoxicillin 或 AzithromycinMycoplamsa pneumonia  (非典型)Macrolid(Azithromycin，Clarithromycin，Erythromycin)Chlamydia pneumonia  (非典型)Tetracyclines