問題詳情

10.梅毒病人若對於penicillins過敏,應使用下列何者做為替代治療?
(A)acyclovir
(B)doxycycline
(C)metronidazole
(D)azithromycin

參考答案

答案:B
難度:困難0.4
書單:沒有書單,新增

用户評論

最後一哩路加油】評論

  梅毒-梅毒螺旋體-Treponema pallidum →無法用革蘭氏檢查診斷           (治療:benzathine/procaine penicillin G  IM或Aqueous penicillin G(水溶性的) IV神經性梅毒           →青黴素過敏考慮Doxycycline ,Ceftriaxone )   淋病-淋病雙球菌-Neisseria gonorrhoeae →可用革蘭氏染色檢查           (治療:1.Ceftriaxone 125mg IM 或 2.Ciprofloxacin 500mg PO、procaine penicillin G  IM           →青黴素過敏病人用Spectinomycin 2g IM)原蟲寄生蟲類   陰道滴蟲症-Trichomonas vaginalis           (治療:Metronidazole 500mg BID PO 療程七天)

吳富豪】評論

Early syphilisPreferred:Penicillin G benzathine 2.4 million units IM onceAlternatives (choose one):Doxycycline 100 mg orally twice daily for 14 daysCeftriaxone 1 g daily IM or IV for 10 to 14 daysLate syphilisPreferred:Penicillin G benzathine 2.4 million units IM once weekly for three weeksAlternatives (choose one):Doxycycline 100 mg orally twice daily for four weeksCeftriaxone 2 g daily IM or IV for 10 to 14 daysNeurosyphilisPreferred:Aqueous penicillin G 3 to 4 million units IV every four hours (or 18 to 24 million units continuous IV infusion) for 10 to 14 daysIf possible, patients allergic to penicillin should be desensitized and treated with IV penicillinAlternatives(choose one):Penicillin G procaine 2.4 million units IM daily plus probenecid 500 mg orally four times daily, both for 10 to 14 daysCeftriaxone 2 g IV daily for 10 to 14 days

IG:Pharmabook】評論

幫忙統整梅毒考點 疾病病原菌治療替代用藥/備註梅毒(syphilis)【1072】梅毒螺旋菌G(-)【1052】( Treponema pallidum )1、2期+早期潛伏Benzathine penicillin G【1051/1072/1121】(2.4 million units IM,single dose)Doxycycline【1122】100mg BIDCeftriaxone 1g IM / IV14天3期+晚期潛伏同上,QW 3周Ceftriaxone 2g IM / IV28天神經性Aqueous crystalline Penicillin G IV Q4H 10-14天【1012】Procaine penicillin G + Probenecid孕婦penicillin使免疫去敏感後,再投予PCN  5.下列何者通常不屬於性傳染病(sexually transmitted diseases)?

dd5252011】評論

type of syphilis治療藥物途徑primary, secondary, latentBenzathine penicillin GIMneurosyphilis,congenital syphilisAqueous crystalline penicillin GIVAqueous procaine penicilline GIMPenicillin-Allergic Patients  primary, secondary, early latentDoxycycline 100mg BIDPO 14dayTetracycline 500mg QIDPO 14dayCeftriaxone 1-2gIM or IV 10-14daylate latentDoxycycline 100mg BIDPO 28dayTetracycline 500mg QIDPO 28day