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抗生素 - Coggle Diagram

- - - - COPD: S. pneumoniae/ H. influenza/ Moraxella catarrhalis (Augmentin/Unasyn, Cefuroxime, Ceftriaxone…)
      - Bronchiectasis/cystic fibrosis: GNB, esp. Pseudomonas (見下方)
      - DM: Klebsiella pneumoniae (Cefuroxime, Augmentin/Unasyn/ Ceftriaxone…)
      - Hemodialysis: ORSA/MRSA (Vanco/Teico, Linezolid)
    - - Mycoplasma/Legionella/Chlamydia
        
        Macrolide (Azithromycin, Clarithromycin, Erythromycin)
        FQ (Moxifloxacin, Cravit, Ciproxin)
  - - - Ceftazidime , Cefoperazone , Cefepime, Cefpirome
        Tapimycin, Ticarcillin/sulbactam
        Imipenem, Meropenem
        Aztreonam
        Ciprofloxacin, Levofloxacin
    - - Glycopeptide (Teicoplanin, Vancomycin), Linezolid, Tigecycline, Daptomycin
  - - - Augmentin/Unasyn
      - Cefmetazole, Flomoxef (Flumarin)
      - Moxifloxacin
      - Cefuroxime (Ceftriaxone) + Clindamycin/Metronidazole
    - - Tapimycin (Piperacillin/tazobactam), Timentin (Ticarcillin/clavulanate)
      - Ceftazidime or Cefepime or Ciprofloxacin + Clindamycin/Metronidazole
      - Imipenem (Tienam)/Meropenem (Mepem)
  - - - Ceftriaxone
  - - - Augmentin/Unasyn
- - - - 3-4rd cephalosporin
- - - - 淡水(Aeromonas hydrophilia): 3-4th cephalosporin, FQ
      - 海水(Vibrio vulnificus): Ceftazidime+Doxycycline、FQ
      - Clostridium perfringens : Clindamycin + Aqua-penicillin
    - - H. influenza或厭氧菌: Augmentin or Unasyn
    - - DM foot with wet gangrene
        mixed flora,包含厭氧菌
        
        Augmentin or Unasyn
        嚴重Tapimycin+Vancomycin/Teicoplanin
        
        Oxacillin or Aqua-Penicillin
        Penicillin過敏者,可使用Cefazolin or Clindamycin
        可合併使用Aminoglycoside (gentamicin or amikacin)
  - - - 糖尿病
      - 嚴重創傷
      - 肝硬化(可能有GNB, like Vibrio)
      - 免疫功能不良
      - 有淡水或海水的接觸史
    - - 3-4rd cephalosporin
      - FQ
      - +- Vancomycin/Teicoplanin
      - +- Doxycycline/Minocycline
      - Clindamycin