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DX-5 병원균 별 감수성 항균제 선택 일람

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G(-) 구균
병 원 균 향 균 제
1) Moraxella catarrhali
TMP-SMZ1
Erythromycin,3
Azithromycin
신규 Cephalosporins,2
Clarithromucin
Tetracycline,4
Amoxicillin-+clavulanic acid
2) Neisseria gonorrheae
Ceftriaxone Cefixim Cefpodoxime
Ciprofloxacin Ofloxacin
Spectinomycin TMP-SMZ
2) Neisseria meningit
( meningococcus)
Penicillin5 신규Cepha2 Ampicillin
Chloramphenicol
 
G(+) 구균
병 원 균 향 균 제
1) Pneumococcus
    (Strep. pneum)
Penicillin5
Vancomycin
Clindamycin
Erythromycin,3
TMP-SMZ
Azithromycin
Cephalosporin,7
Chloramphenicol
Clarithromycin
2) Streptococcus,
    hemolytic,
    A,B,C,G 그릅
Penicillin5
Vancomycin,
Clindamycin
Erythromycin,3
Clindamycin,
Azithromycin
Clarithromycin
3) Viridans strepto.
Penicillin5±Aminoglycosides8
Cephalosporin,7 Vancomycin
4) Staph methicillin
    resistant (MRSA)
Vancomycin± Gentamicin.
Rifampin(or both) TMP-SMZ
5) Staphylococcus
    (페니실린감수성)
Penicillin. Cephalosporin,
Vancomycin, Imipenem, Clindamycin
6) Staphylococcus
    (페니실린분해성)
Penicillinase-resistant Penicillin9
Vancomycin, Cephalosporin,6 Clindamycin,
Amoxicillin-clavulanic acid Imipenem,
Ticarcillin-clavulanic acid
Ampicillin-sulbactam Piperacillin-sulbactam
7) Enterococcus
    faecalis
Ampicillin + Gentamicin
Vancomycin + Gentamicin
 
G(-) 간균
병 원 균 향 균 제
1) Acineto-bacter
Imipenem,
Minocycline,
TMP-SMZ,1
Pipericillin,
Doxycycline
Ciprofloxacin

Aminoglycosides,8
Ofloxacin
2) Prevotella(구강균)
Clindamycin,
Cefoxitin,
Penicillin,5
Cefotetan
Metronidazole,
3) Bacteroide(위장관균)
Metronidazole,
Clindamycin,
Imipenem,
Cefoxitin,
Cefotetan,
Piperacillin,
Chloramphenicol,
Cefmetazole,
Tazobactam
4) Brucella1
Tetracycline4 + Gentamicin
TMP-SMZ1± Gentamicin.
Chloramphencol± Gentamicin
5) Campylo-bacter
Erythromycin3.
Ciprofloxacin,
Tetracycline,4
Ofloxacin
6) Entero-bacter
TMP-SMZ,
Aminoglycoside,8
1Imipenem,
Ciprofloxacin,
Newer Cephalosporins2
Ofloxacin
7) E.coli(패혈증)
신규 세파계2
Ciprofloxacin,
Ampicillin,
Imipenem,
TMP-SMZ,1
Aminoglycosides,
Ofloxacin
8) E.coli
    (1차뇨로감염)9
TMP-SMZ1,
Ciprofloxacin,
Ampicillin,
Ofloxacin
Cephalosporin,7
9) Haemophilus
    (뇌막염등)
신규 cepha2 Ampicillin. Chloramphenicol1
10) Haemophilus
    (호흡기감염,중이염등)
TMP-SMZ1
신규cepha,
Clarithromycin
Ampicillin,
Doxycycline,
Amoxicillin,
Azithromycin
11) Helicobacter pylori
Amoxicillin + Metronidazole + Bismuth제제
Amoxicillin + Clarithromycin
Tetracycline + Clarithromycin+ Bismuth제제
12) Klebsiella
신규Cepha2
Imipenem,
TMP-SMZ,1
Ciprofloxacin,
Aminoglycoside,8
Ofloxacin,
13) Legionella
     (폐렴)
Erythromycin3 + Rifampin, TMP-SMZ,1
Clarithromycin, Azithromycin, Ciprofloxacin
14) Yersinia
     (페스트)
Streptomycin,
Tetracycline,4
Chloramphenicol,
Gentamicin
15) Proteus
     mirabilis
Ampicillin,
Ciprofloxacin,
신규Cepha2,
TMP-SMZ,1
Aminoglycoside,8
Ofloxacin
16) Proteus
     vulgaris
신규 Cepha2,
TMP-SMZ,1
Aminoglycoside,8
Ciprofloxacin
Imipenem,
Ofloxacin
17) Pseudomona
      aeruginosa
Aminoglycoside8 + Piperacillin
Ceftazidime ± Aminoglycoside
Imipenem ± Aminoglycoside
Aztreonam ± Aminoglycoside; Ciprofloxacin
18) Pseudomona
     pseudomallei
     (melioidosis)
Ceftazidime,
Chloramphenicol,
Tetracycline,4
TMP-SMZ,1 Amoxicillin-Clavulanic acid,
Imipenem
19) Pseudomona
     mallei
Streptomycin + Tetracycline4
Streptomycin + Chloramphenicol
20) Salmonella
Ceftriaxone,
TMP-SMZ,1
Ciprofloxacin,
Ampicillin,
OfloxacinOfloxacin
Chlorampenicol
21) Shigella
Newer Cephalosporins2
Aminoglycosides,8
Imipenem
TMP-SMZ,1
Ciprofloxacin,

Ofloxacin,
22) Shigella
Ciprofloxacin,
TMP-SMZ,1
Ofloxacin,
Ceftriaxone
Ampicillin,
23) Vibrio cholera
     (패혈증)
Tetracycline4,
Ciprofloxacin,
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