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Sjd antibiotika Study Guide And Answers 100% Verified.

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Bakteriell Meningit (förstahand) - Cefotaxim 3 g x 4 + Doktacillin (ampicillin) 3 g x 4 Bakteriell Meningit (Pc-allergi) - Moxifloxacin (Avelox) + vankomycin + trimetoprim-sulfametoxazol (Eusaprim, Bactrim) Bakteriell Meningit (Alternativ singelbehandling) - Meronem (karbapenem) singelterapi Sepsis (förstahand) Okänt primär fokus (Ej misstanke bukinfektion) - Aminoglykosid iv (ex tobramycin, gentamicin) +Cefotaxim Sepsis (misstänkt bukfokus) - iv meropenem (Meronem) alt imipenem/cilastatin (Tienam) 0,5-1 g x 3-4 alt piperacillin/tazobactam (Tazocin) 4g x 3 +ev aminoglykosid (Gentamicin) Pneumoni (crb-65 0-2) peroral förstahand - PcV 1-3 g x 3 Pneumoni (crb-65 0-2) peroral pc-allergi - Makrolid (Ery-Max) 1g x 3 eller klindamycin (Dalacin) 300 mg x 3 Pneumoni (crb-65 0-2) parenteral förstahand - Bensyl-Pc 1-3 g x 3 Pneumoni (crb-65 0-2) parenteral Pc-allergi - Makrolid (Ery-Max) 1g x 3 eller klindamycin (Dalacin) 600 mg x 3 Pneumoni (crb-65 3-4) parenteral - Bensyl-Pc 3g x 3 +erythromycin (Ery-Max) 1 g x 3 alt. moxifloxacin (Avelox) 400 mg x 1 Pneumoni (crb-65 3-4) parenteral (kritiskt sjuk, eller misstanke atypiskpatogen) - Bensyl-Pc 3 g x 3 + moxifloxacin (Avelox) 400 mg x 1 alt. cefotaxim 1g x 3 + erythromycin (Ery-Max) 1 g x 3 Pneumoni (crb-65 3-4) parenteral (Pc-allergi) - Klindamycin (Dalacin) 600 mg x 3 +ev moxifloxacin (Avelox) 400 mg x 1 Salmonella (typhi eller sepsis) - ciprofloxacin (Ciproxin) 500 mg x 2 alt. Cefotaxim Salmonellaenterit (ej sepsis) - Rehydrering Ej antibiotika Shigella - Ciprofloxacin (Ciproxin) 500 mg x 2 alt. Azitromax (azalid) Spontanläkning men frikostigt med ab pga smittrisk Campylobacter (septikemi) - Erythromycin (Ery-Max) 500 mg x 2 Yersinia (septikemi) - Ciprofloxacin (Ciproxin) 500 mg x 2 EHEC - Ge ej antibiotika! Kan förlänga sjukdomsförlopp Självläker 1 vecka. ETEC - Rehydrering Självläkande 3-4 dgr Kolera - Doxycyklin 100 mg x 1-2 alt. Trim-Sulfa (Bactrim) 2 x 2 Clostridium difficile - Metronidazol (Flagyl) 400 mg x 3 po alt. Vancomycin 125 mg x 4 po (OBS!) alt. feceslavemang Calici - Rehydrering (självläkande 1-3 dgr) Giardiadiarré - Tinidazol 2 g (engångsdos) +Metronidazol (Flagyl) 600 mg x 2 Cryptosporidios diarré - Rehydrering symptomatisk behandl. Amöbiasis - Metronidazol (Flagyl) 5-800 mg x 3 alt. Tinidazol 2 g (engångsdos) +Furamid (licens) 500 mg x 3 Impetigo (allmänpåverkan feber, smärta) förstahand samt vid pc-allergi -

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Sjd antibiotika

Bakteriell Meningit (förstahand) - Cefotaxim 3 g x 4

+ Doktacillin (ampicillin) 3 g x 4



Bakteriell Meningit (Pc-allergi) - Moxifloxacin (Avelox)

+ vankomycin

+ trimetoprim-sulfametoxazol (Eusaprim, Bactrim)



Bakteriell Meningit (Alternativ singelbehandling) - Meronem (karbapenem) singelterapi



Sepsis (förstahand) Okänt primär fokus (Ej misstanke bukinfektion) - Aminoglykosid iv (ex tobramycin,
gentamicin)

+Cefotaxim



Sepsis (misstänkt bukfokus) - iv meropenem (Meronem)

alt imipenem/cilastatin (Tienam) 0,5-1 g x 3-4

alt piperacillin/tazobactam (Tazocin) 4g x 3

+ev aminoglykosid (Gentamicin)



Pneumoni (crb-65 0-2) peroral förstahand - PcV 1-3 g x 3



Pneumoni (crb-65 0-2) peroral pc-allergi - Makrolid (Ery-Max) 1g x 3

eller klindamycin (Dalacin) 300 mg x 3



Pneumoni (crb-65 0-2) parenteral förstahand - Bensyl-Pc 1-3 g x 3



Pneumoni (crb-65 0-2) parenteral Pc-allergi - Makrolid (Ery-Max) 1g x 3

, eller klindamycin (Dalacin) 600 mg x 3



Pneumoni (crb-65 3-4) parenteral - Bensyl-Pc 3g x 3

+erythromycin (Ery-Max) 1 g x 3

alt. moxifloxacin (Avelox) 400 mg x 1



Pneumoni (crb-65 3-4) parenteral (kritiskt sjuk, eller misstanke atypiskpatogen) - Bensyl-Pc 3 g x 3 +
moxifloxacin (Avelox) 400 mg x 1

alt. cefotaxim 1g x 3 + erythromycin (Ery-Max) 1 g x 3



Pneumoni (crb-65 3-4) parenteral (Pc-allergi) - Klindamycin (Dalacin) 600 mg x 3

+ev moxifloxacin (Avelox) 400 mg x 1



Salmonella (typhi eller sepsis) - ciprofloxacin (Ciproxin) 500 mg x 2

alt. Cefotaxim



Salmonellaenterit (ej sepsis) - Rehydrering

Ej antibiotika



Shigella - Ciprofloxacin (Ciproxin) 500 mg x 2

alt. Azitromax (azalid)

Spontanläkning men frikostigt med ab pga smittrisk



Campylobacter (septikemi) - Erythromycin (Ery-Max) 500 mg x 2



Yersinia (septikemi) - Ciprofloxacin (Ciproxin) 500 mg x 2



EHEC - Ge ej antibiotika! Kan förlänga sjukdomsförlopp

Självläker 1 vecka.

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