問題詳情

11.有關continuous ambulatory peritoneal dialysis引起之腹膜炎,下列敘述何者最不適當?

(A)最常見的相關致病菌是 Staphylococcus epidermidis
(B)若以間歇性方式給藥(intermittent dosing),cefepime的建議劑量是1000 mg per exchange QD
(C)若抗生素治療7天後臨床狀況未改善,應重新培養並評估病人
(D)若為fungal infection時,須立即移除透析導管(catheter)

參考答案

答案:C

統計:A:212,B:258,C:340,D:275,E:0

難度:非常困難

用户評論

Hejun】評論

CAPD引起的腹膜炎:在Staphylococcus species中就屬S. epidermidis最常見;G(-)菌中,屬E. coli最常見

IG:Pharmabook】評論

10th Koda & kimble p.1587 各選項解析+補充間歇性方式給藥 表格(C)選項應改成一般抗生素治療在剛開始的48hr內看見改善,若無應重新培養並評估病人When culture and susceptibility results are available, antibacterial therapy should be adjusted as necessary. With appropriate therapy, a clinical response should be expected within the first 48 hours------------------------------------------------------------------------------------------------------------------------(A)CAPD常見的致病菌分G(+)與G(-)G(+)佔60-80%,最常見Coagulase-negative Staphylococcus species (S. epidermidis)G(-)佔15-30%,最常見E. coliThe most common causative organisms are gram-positive bacteria, accounting for 60% to 80% of isolates. Coagulase-negative Staphylococcus species (S. epidermidis) are the most common causative organisms, followed by Staphylococcus aureus and Streptococcus species. Gram-negative bacilli are isolated in approximately 15% to 30% of cases, with E. coli being the most common------------------------------------------------------------------------------------------------------------------------(B)<擷取自pharmabook 王瑞賢 藥治統整本 11.0>----------------------------------------------------------------------------------------------------------------------------(D)若為fungal infection時,為避免治療失敗,須立即移除透析導管(catheter)Considering the high rate of failure of therapy, CAPD patients with fungal peritonitis should have their catheters removed