18.A Sepsis - Infectii Chir

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Infectii Chirurgicale

Tegumentelsedetinf.cn Alcock ( eliminate bacleniendogene)


ATB : admin on nh pre initio

2h
fluoroquinolones fungal
de -
a
1-

inainteaincitieiinkrren.tn
Vancomicina we 120 ruin

stela intra toni


}
'e ATB Doze opera

s-angera-h.se/ecfieATB1Agenfirecomanda.ti
AIergiep-lactaminevcefazolinaceterox.im
Chimrga ②

Cardiac , vascular Clindamicina ,

vancomicinacefawk.ua
Ortopedicñ
lindamicin-alvancomieina-itsastroduodenala-Aminogh.co?id
• [

T-luoroche.no/onaCefatolinacetoxitinceIoietan
/ A 2- Honam /

Tract biliar
nelsactam
Ampiatina -

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cettriaxona

Ampiatina nelsactam
-

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Clindamicinñt Amino gliwtida-IA2-beonamIT-luowche.no/on-a
cefatolina-metonidatd.ee/oxitin Colorectal •

T-luorochinolonaoa.ee/oletan,ampicilina-neUacfam Metronidazole Aminoglicotid /



ceftn.cn/on-a-metronidatol-ertapenemEmpiemuI

cokckeloaiata-strannedati.forfehidrostat.ie
CT confirmed

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↑ :

limita-demarcqtieperifericacon.linutt.pro/eine(exsudat
permeah.li/-ateTconfinutTpooIeine
> ↳H
:

5auoimplomat.ci toracoankza-odrenajadecratspa.hu pleural

pu pH
:
- -
bekrm.GG to
repetatspoakfchirprintoracoscop.ch
-

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am
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Sepsis
SEPSIS
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gene-Prod.ci/-okineinf
Patala
.

receptors Macrofage TNF


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like
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.


Compel

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T Elibeoavea micro part
TEZFTI +

{ •

hippie
Prof procoag
. .

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=
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fed-aregatdaprinyiofund.ie
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Acc .

infl .

Deteriorate

perfmico vsabisfencfieovgan.bpn-sauheintr.asecaecatab.e
alive
it

sdicitae-sibcidupa-R.tn
.

Distinction Organ : Nivelle


organ: SDR Acid
.
+
Inotrop -

pe.nf.to/ExtrauazavecapilarEpkesnea-#Y.prokicedem
vasoplegie tR .

I> -

Ozcehele
Pulmonate SDRA .

letiuni palm acute.

Intestinal : Malabo rb He
Translocate baderii in f. sangria
renata acuta : T mortal tale
Af
-

Disfunetie cerebral a- :
Encefalopaliesept.ca
Somnolent
hgvañind
a-

Confrerie
Comte
de
SEPSIS
fencfie
amerinta-toareden.at/aprovocata-2eunraspunsanormalalga
his
organ
=

infecfie 2-dei la

Inhibitor aipslactamaoei Acid dardania


.

Takeda ctam
sulbactan
Sepsis six :

① Admin On , pto Spoon > 94 %


'

② Hemocultun
③ ATB spectre larg
lie hide Rdpig
④ Administrate
.

⑤ Nine lactat

Monilon-2-ave-diurez-albilanf-hiln.co/3tRAreacfilergial ATBe:- hiperaensih.li/-aKimeitiakr:Anafta-iaigE


inta-rtiata-dupamult.pk dose
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pretinté anatilaxie edem facial


duce la :
pot dispnee
empty
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several
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evita-mjo.ee/-aIoporipoalef.niintartiata-
severe :r

nele
mediate
A- pull :L celery? IgE / •
carbopenemele
+
alte severe
la
painting
• non -
severa- :

-
mediator
- me e
IgE
blonde
empty
pneden.to cetalospo
-

nine
pot f. utilities
:

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-

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>
500
600mg
copii Ian 5 my
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↳ Ian CONTACT ceftriaxonai.ru


long 250

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pre

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copii :S
iomglti
wnta
-

Raimi (

name in

copii in

pacipacueriscdeendocartitacn-REurmeato-i.nu
enfiimunosupresah.ba

profitable ATB :
2ep esH 2h " tract gastrointestinal
}
to
suspect ATB hen unde
.

puce e
ce
genitourinar inte.tk M-0
aueperñ .

endoearl.NU
Court .

profitaxie :

denture
'

* ATBR clorhexidinñ la procedure


*
proaben.la nivelul tract respirator -

superior ⑦ OR2 , bnenhosaepie


-
interior
genitourinar tune , gine, old)
gastroint .
-

superior
-
interior
Antibiotic utilization sepsis

penia-line-nudeucomeenA.plactaminecefalospon.me
monobactami
carbapeneme
§"ᵈEÉaI¥¥inPI¥¥a¥¥÷•r , peptidase,

specif-ceimpl.inultimaefapoafovmo-niperetelaisacf.tl
Penicilinele - bactericide de olicei

lacfau.ee/eBenatpeniatinele
- ESBL R.la took B-

T-ludoxaa.nu
;fg;%↓÷P{¥-µµ•a
I
parenteral
peniatinak-gr.strep.tt/Str.pyogens)ceprodfasceita-necr
strept.pod.de
dear -


-

,
int → in MS8A
SAU
.

b) prima
a) Ear
asocuealtde

A- moxicilinasuscep.IS/-reptococi
- Pneumococci spectre exf.ms
Tblactamat Enter @coci
Fida Pseudomonas

ⁿ⊖{¥
-

↳" "a

:[
Shigella
↳ piperaa-hna-TABBACM-mctaooa.nl
→ Pseudomonas
tlaem.in/1 .

c) Proteus
.spp .

Pivmeatina -
ITU
G. ⊖ E. coli
prob de ESBL Terracina ↳ ↳⊖ de ESBL

{
prod
→ matte
arpe
-
-

Klebsiella fair in < ma's


inf.ae C.
Difficile
-

Enlevobaoter
.

Salmonella
spp .
-

-
pnetejarecarbapeneme
NU Pseudomonas
pe
-

e) NU
pseudomonas NO
f) - Acinetobacter

erupl.ie/a90Y.ceicuMoNONuccEotA-lfebraR.a2verse
Amoxicilina glandularit
/
:

R.hipersensibilitakx-emptiitegumentare-n-mpicih.nu
{


Encefalopatie urticaria * co-Amox-icari.io/ercolestatic-de6XmaidcaAM0ki •

late Leica Ihedoxacilina


• Nefrilñtubelointerst . * anafilaxie Anoxi / Aaclauelanie

cefalosporinele-nunentactivepeMRM-except.ie
2)

celenoi.genicettawlinai.ee/peaiatinaodestafilococc.ee
-tobiprol-meountinadivde
:


pacceaualerg.ie/a0Cs-O,NuG-
↳ ⑦ Nuenlerococi
anaerobe
lot .

aulaloall-sdoarceftadioinaacefep.im
pet Aeruginosa
closet
. .
,

_genI&genI:Infsevere_
taxitsim.peniatine-ce.ie
-

timpani leoiunitab proximal:


3)
Monob.ae/-amiMonobad-ami:Aztreon.am:Baa-liG-OAerob '

Fae Tie Blaotamicsintetic

A decameron
: ""ⁿᵈ¥p¥¥;%ᵗ;:¥::{:1-• ↓
,

activpetulpinaeR.carsapenome-ceprobecpolad-amazs.it
Actor

Aeruginosa
.

.ae/ibr.ooochistiohICarbapeneme
→ In
f. palm

inach.ua/plactseneiointeIiceImipenem+ciLASTATiN
wife
AHern.in
"
> partial
RINICHI
Meropenem >
meningitis
-

IMIPENEM ]
ERTAPENEM Nue
Dotipenene action
Ertapene.ms Pseudomonas
-

speᵈ¥ai '
> > Acinetobacter pe

↳⊕ convulsing
may NU
↳⊖
LIE
in

meningitas-majanaerobs.MRsn-ipt.info/iiaem-gff MEROPENEM e

f. severe G- prod ESBL
In anaerobe alternative in
FpÉnarbiliar lmonoBActAml_
notoc Miah lbacilimultiretist.CI
-


Inf .
@

R adverse:
.

greata- ivarsaturi licence


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• < 5T Caton.

plactamim.e /inhi -loripslactamatosesimeaieptop


COMBO


:fq;:%÷p:?9%-↳ .
:
rapid
www.imi
deaf
par
tenera

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T.nhibitoniBLis{lsuntlotn-TB.B.laetanu.ee/-Amak-
⊕ Molecule
Ac clavulanic
.
+
Tioaoatina
cetera

sulbactam-Ampicil n-atatobad-am-fpipera te.no


I
ceftolozona

A¥£:1£{¥:;¥I÷↳ , anelecarsapenemaoe.de Enterobacteriaceae

> inhibitor non-B-lactamalenoimelorpladanu.ee


B. Chindonele

R adverse :
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good
.

G
-
Tub .

gastro int
-
.

Erupfii fotosens .

-
Neurotoxicfate
Evitare -
Savina
cortical
Capri on
-

BLR

detiunilendoaneinclusivmphuo.postus
-

he
admin

prehengireQT-inhibo-sintn-osnbactpnninhib.tepoit.li
AIN grani }
# nap or
-

men
helical Abnaki
-

spectre
G -0
large ciprofloxacinat
CD G⊕
aeruginosa of a tenor
-

Infect;i tremologene cuts -0


articulate
0 so ate a

urinate
tract
1-a- toni de
respirator
pur meringue
-

BTS
gonoree-uretritanespea-f.ca Trachomanlis
-
-

hiareeacala-tonelui-chindonelenoidkm-leuofbexao.ua alternativa B
eaten
'
-
severe

g
a

movifloxacinalactamindor.in
-

:
• ITRI
S
pneumoniae

• H .
influenzae

patogeuiresp.atpici
• TBC
-
E.coli + klebriela.ir eoistente
→ Print Salma
cholerae
s.Pneumom.ae
5. Aureus
rata i in MRSA C.
Difficile
presale
-
+
C. Aminoglicooide
-

jntrempsintez-adep.ro/einebaderieneprininhib.fencfiein-therein
Gentamicin parenteral
⊖ Pseudomonas G.
}
-

a :

-
Tobramiaina
Doze
sinergismcupeniatine.IE Enterococcus visitors / uh lit
mia:
-

endocartita-Amika.ci
resist (
Streptococcus in

na / spot
: mai a entire E
R .
Adu : nefotoxiatak DD .

la
va-rstnicin-ccenbearenefrotoxprinas.ae
to taxi a-fate west + audit )
0 .
,
mai des

nefrofox.ototoxicitateprinasocaeunelediuref.ee
armed .

data tilnica unicñ cadet serio la s 14h de la admin


nomogra
- +
, - .

ma pt let 0 doctor
. .

- in enbocartite.doz-emia.la lab

laasooaerariz.am/elor:-seevita-lapac.aemiasIeniagravisD
blocaj
-
neuromuse .
:

D. Glicopeptiele
-

inhib.am/ez-aperekTuicebelas
active Gt
pe
-

Vancomicina : iv -
MRSA ;
- badeni multiresist;
org Gt
-

ack lent bactericide fatale alle


ATB.plad-amice-tratamenlulxproftaxiainf.cn
-
une

laceialerg. c i/apenicilina--inmeninjtaaeS
↳+

alteatb.ea-ndbaalaecauzatadeokelpinaaeR.la
comb
pneumoniae . in on

peniatinñ .

ototoxia-tatefate
nefotea.ci/-ale-evitareinjectareperivenoasa- necrozotvombofled.la
R ahu :
-

histamina
rapid
R-omulairoyuteiwplanina-maipuknnefotoa.co
in a- so
poea
-

heart vancomiaha .

- intravenous

unicotsoripeso-pt.E.lipopeptide.spectreIE
-
dots

intravenous similar
Daptomiaha :
,

vancomicinei-infecficompk.cat
pie le
Gautam moi
C MRSA
alternativa
endocarlitainf.osoa.se
-
in
articular

② cut Leek /erase


septicemia
't Daba
on Gt

lipqoept.de picking :
vanaha : no2-a- unico
in infe.fi/ekgumentaref4.moi .
F. Oxatolidi none

↳ Linezdid -

primal : Dozñ bubla-atnica.in f. severe copii


Tv
Tedizolid-infechiilegumentaren.te.de/akgeement.Doz-aunicn subunit
tiniest
-

inhibsintez.ee/proteiceprinlegareadeARNriJo2-omaI23Sa/ .

59s functional 70S


ruse
formeat un
complex .

pe
↳⊕ -
enterococcus faeaiumR.la vancomicinñ
-
MRSA

R.lapeniatina-sbephecoeilorgnepn-EB-lapaoienf.ae
S
pneumoniae
-
.

in
f. severe a bacteremia

nozocome.a\e/a-ininfeghiIegamenfare&tesutierimoi-infecfi -
pneumonia

osoase .

articular e
-
i. v sou tiodispprin oral
per os ,
loot .

intevacfione2-a-reversih-lca.in hits selectin de monoaminexidaza


'
-
. non -

serotonin -

on agent;
-

ergici
\
adrenergic
R aku : tub
.
.

gastro-intestinal e

cefaleeerupl.ie
hipertensiune
citopenii reversible ,
dear severe

national neeeropatiiopt.ee la linen lid , malt de


}
-
mai

perifen.ee 28 the
Tebizolid : < mebeelo toxic
-

naoniton-zaresapte-mo-nalohemogramopt-eitopen.ie
conf safety in Sarina lar infeifii copii
nu e severe
success in
-
.

TETRA cichNEIBACTERIOSTATICE-tetracidina-oxiletraaa.li na

daxiciclina
in tuba
-

sinte
prot.baderieneprinintreruperea-minocictinatun.li
2-a
-

tigecidinalgh.ci/ciclinaT2elatetraciclina-
leagñ 2e Transfer
ei rib ◦ 2- ◦ male , RN2E
-

se A
inrudito-aescidinainjectab.la/
↳ I 1 gram pot a. gram need

i gecetinayei\laorg.hr/aktracidinaTenterocociR.lavancomicina
mtf-gfmpeledetflaxbact-sacf.ua
-

✗ carbapeneinf.co
baa Ii G- Acinetobacter Baumani
'

NU Proteus / Pseudomonas
:
:

utilization in comb walk ATB / ex pdimix


replicate tegumentacre
-
: - in
f
maze
G +
f. R prod de
µ . moi

sepsis intraabd .

spirochek-rickets.ie
-

proflake
- malaria
-

ef.cienbahciclinelortrd-nt-acidetekrapiamt.at cute
-

pot inlersifcainsufrenala-cons.tt/incipienta-ldoxiemai safe)


- color areMARO NIE / in dezuoltavei.NU a Link or -

grande
deer
copier in
-
.

-
fo losers .

ten
-

great a- + worst .
F. MACROLIDE

inhibasint.pro/--prininhibareaf.ribooomale
-

prop prokinefice intestinal e


Ef Atv
.

-
.

interaction:{ Eritromicina-spectmasem.peniatineiimiidenh.cl

/
teofline THE ↳ ee
eaceiaealerg.e.la penicillin
-
*
* a-
* vñrsituri
*
carbamazepine * duveriabdom .

*
digoxin inf baden ene
- '

resp
Fpuknf-AII.ro
.

ciclosporin peas / parenteral


t.ir?pi;eit:E::f!:1t:-mioina
* e -

" to' "


ef .

gastrointestinal e

similar ,
-
in
pneumonia -

Legionella _

prop
mai
pu.hn e

Mycoplasma ef. adverse


-
Borde tell a Pertussis
-

Campylobacter
-

chlamydia
current
-
nusunt in mod pt.in/eghisevere/amenin.devia,ta-ea:enolocartita

µ¥i:E
menirjta
Shigella
-

penetrable tak celularñ


-

a. titulara-↑
1-112

unica-tilnicastbiotisponibilitaksen.cat
-
> Doz .

prob . adm.in backriemii


-
1- rat _ trahom
-
hderñ
-
BT5

preteen gira QT for soda vñrfuntor


Poli mixina B
G.Polineixine

cdistimetatsohic-polimixinaE-nefrotineuootxicitale.in

vivo

¥ÉÉ¥É ¥
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Entered act
decarlapenemata-ruperememsranacel ulara-baat.pn.i n
↳ ⊖ multi R
prod
-

i .

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leg area de .

\ proteus
G- EXCEPTit
may cu
- -
,

providencia
-
i. v. in in
f. severe
-
R mediator
-

pain plasmid e

H.fusiatulde.NU ⇐ sso-mrisliarer.pro/P detergent .

-
inhibitor potentheat sinkteiproteicebaaten.ae
5. Aureus
prod penicilinaten.es/eoneielita-lCY.bunalaniv.osos/en2ocardit-a
-

adjuvant in inf.rs/-aif-loinso&desepticemie
- admin on
alteantiotaftopt-preu.it . lass oral a- burial
.

ef .
adv -

gastrointestinal
hepalo-toaicocaz-paatef.in
-

sarina

en-taveut.li?-areconcomilentimpetigo
a-aeslatin)eloeñtareptca
-prparatetopicec R
-

.
I sulfamile to
Trimeteprim
ba d-

blocheaz-a-m.nl?-timitinei-purinelorTimeloprimul-pre.v
Sulfonamide : inhiba-oint.ae folic .

.
reduce bacteriana-atihidrofolalakolale.frahidrofdat
£44_itimelopñm=cotrimoxa•I_
+rat ni
prev inf Pneumocystis jrovea
.
on

listenotei

aaeta-abronyiteicroniceyputinf.dDiff
e
exacerbated
-
in
Spital -

tract unnar C. .

G -
R .

toxoplasma to
-

nocardio 2-a-
Timetoprim
frat tract
empiric inf
: urinal
SINGUR
.

R:
prinplasmidelprod.dihidropkroato.in/etaza- sulfonamide Rd
-

potenteaz-a-anticoag.ora.IE
ag hipogeicemian.li
-
.
-

evupfiaetanak-necookz-aepidermica.co
E-f.AE
star Stevens
:

jhonsontromsoa-topeniedef.at
/
-
trimoxazol .
-

de flat

anemiemegaloslasficahemdez-o-lafaf-u.e.fr -

fo fat Lehidrogenazñ
.

Tñmetropñm
-similar diuretics economist horde K
on ,
amilorid

lek-iE-dtratam.prebeng.it/ent-hper/J.Nitoimidatobi
monit f. renate .
,
mai des Laar ia economisttoone

-
anaerobe
-

protozoan
Metronidazole
-

Timidand Nimorafof >

Nitro ¥ᵈ
reduced
> Nitro zohidroxil
rupere
catena ADN bait .

Metronidazole anaerobe Bacteroides


:

f. lactic in chin coloncelui


pro
-

Per 0s elect.ie
{
-
in C-
Difficile
depositor -
ambiaza
in -

giardiato2-a-
- trio Moras
vaginalis .

R tip Dihelfiram -

CH3 -
CH2 -
OH
-

intensified warfarin a

crest metatic
Polineeeropatie
Doyle ↑
eoitateinsarairatimpulala-pta-r.is
-

> r
?
K Alle antibiotic e
.

peniclinacdu.li/-asev ra-streptolstaftoc icafinhibo-toeina1


at clindamicinaG-i-staftR.la
a TSS ITSST 1) -

prod toxina- a

rot in inf on S aureus


prod {a tea alias Panton Valentine

ptosleomieti obintrofunuirannittuinaepiafge-loinefunes.ctoo/2moYexcvpk.ca.cterincer)grea6oneeeropatiepen-
c-I.↑ ones :

Proteus
Maj palog.urinan.NU
-
-

ferica-llaceiasdisfrenalopen.fr usually

hemdi z i l a cei .e aefgffeghecoooafoo-fatei


apirocinulp.eoinesint.pro/oicoARNbact
rguro. I M .

- door
topic _
eradicates aeneas de la niv nasal .

MRSA
in f octane minor e

inf de la inserfiacateteneluidedia.li Ea
Plasmid →
MapA = >R↑ MRSA

d)
T-osfomicina-inhibosinlez-apeptidoglicanilosbacterien.ir Enteredact
sist-tr.gheadicghecosoofoofetpt.assorsf.ir la .
-

-
Cst
-
E. coli ; E. coli prod de ESBL
-
Saaf Gt
ITU R
probe •
For A centimos ce
diotng medicaments
per
.
-

-
iv.

Rifeximina- bs.gastuint. /-encefalopatieporto istemico


e)

liaree editor
prev
- .

- sdv.int inhabit terrier ant .

pie
.

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