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Antimicrobial used for dentist (Group of ATB (Beta-lactam (Penicillin…
Antimicrobial used for dentist
Bacteriaที่ควรรู้จัก
Gram + cocci
Stapphylococcus
S.aureus
Streptococcus
alpha
S.pneumoniae
Viridans strep.
Gram+ bacilli
Bacillus spp.
C.diphtheriae
Listeria spp.
Lactobacillus
Mycobacterium
Gram- cocci/diplococci
Neisseria spp.
N.meningitidis
N.meningitidis
Moraxella catarrhalis
อยู่ตาม URI
Gram negative bacilli
กลุ่มloso
Glucose fermenter
Enterobacteriaceae
Lactose fermenter
KEE
Klebsiella
E.coli
Enterobacter
กลุ่มhiso
Non fermenter
PABS
Pseudomonas
Acinetobacter
Burkholderia
Strenotrophomonas
Machanism of ATB
Major cellular target
Cell wall
Beta-lactam
Vancomycin
Protein synthesis
Macrolides
Lincosamides
Tetracyclin
Aminoglycoside
Group of ATB
Beta-lactam
Penicillin
Natural penicillin
Pen v,Pen Ge
Gram+แต่คุมS.aureusไม่ดี
Anti staphylococcal penicillin
Cloxacillin,dicloxacillin
S.aureus
Aminopenicillin
Amoxycillin(กิน) ,Ampicillin(ฉีด)
Gram+,-loso
Acyl ureidopenicillin
Piperacillin
Gram+,-loso+hiso(pseudomonas)
Cephalosporin
First gen
Cefazolin
Gram pos+++ neg+
Second gen
Gram pos++ neg++,some anaerobe
Third gen
Ceftriaxone,Cefotaxime
Gram pos+++ neg+++
Ceftazidime,Cefoparazone
Antipseudomonalด้วย
Fourth gen
Cefipime
Carbapenems
ฆ่า hiso
Monobactam
Aminoglycoside
Gentamycin,Amikacin
ใช้จัดการS.aureusที่ดื้อมากขึ้น,gram- loso,hiso
Fluoroquinolonese
second gen
Norfloxacin,Ofloxacin,Ciprofloxacin
Pseudomonas
Atypical pathogen
Pneumonia
Macrolides
Clarithromycin
ใช้จัดการกับ Atypicalโดยเฉพาะ
Chlamydia,Legionella,Mycoplasma
Lincosamides
Clindamycin
Gram+ aerobes,anaerobe(clostidium)
Metronidazole
Gram- anaerobe
Bacteroides,Fusobacterium
Pharmacodynamics
Minimal inhibitory concentration(MIC)
Time dependent
ต้องให้ยาบ่อย
Beta-lactam
Macrolide
Clindamycin
Tetracyclin
Concentration dependent
ขึ้นกับระดับความเข้มข้นสูงสุดที่ให้
Aminoglycoside
Quinolone
Metronidazole
Clinical application
Dental abscess
Pathogen
Viridan,gram-
Amoxicillin
Metronidazole,clinda,clarithro
Penicillin allergy
First consideration
Extraction,incision
Necrotizing ulcerative gingivitis
and pericoronitis
Anaerobe fusospirochetal
Metronidazole
Sinusitis
Gram+,-,+anaerobe
Amoxicillin(clavalonate)
7-14วัน
lnfective endocarditis prophylaxis
พิจารณาจาก
คนไข้
Prosthetic valve
Previous IE
Cyanotic CHD
ตัวย่อมีตัวT
หัตถการ
มีเลือดออกเยอะ
Amoxicilin(clinda)