感染性心内膜炎进展及指南内容摘要：
3 mg/kg per 24 h IV/IM in 1 dose 2 weeks for native valve 6 weeks for prosthetic OR Vanycin 30 mg/kg per 24 h in 2 equal doses 4 weeks for native valve to maximum of 2 g/24 h 6 weeks for prosthetic 22 抗微生物治疗 营养变异性链球菌（ NVS）及青霉素高度耐药者：万古 6周 +庆大 6周 肺炎链球菌：青霉素 4周或头孢曲松 4周 耐青霉素者：头孢噻肟 4周或万古 4周或头孢曲松 +万古 4周 23 肠球菌治疗方案（一） Regimen Dosage and route Duration Susceptible to penicillin,gentamicin,and vanycin Ampicillin sodium 12g/24 h IV in 6 doses 4~6 weeks OR Penicillin G 1830million U/24h either continuously or 6 doses 4~6 weeks PLUS Gentamicin 3 mg/kg per 24h IV/IM in 3 equal doses 4~6 weeks OR Vanycin 30 mg/kg per 24h IV in 2 equally divided doses 6 weeks PLUS Gentamicin 3mg/kg per 24h IV/IM in 3 equal doses 6 weeks Susceptible to penicillin, streptomycin, vanycin, but resistant to gentamicin Amipicillin sodium 12 g/24h IV in 6 doses 4~6 weeks OR Penicillin G 1830 million U/24h either continuously or 6 doses 4~6 weeks PLUS Streptomycin sulfate 15mg/kg per 24h IV/IM in 2 equal doses 4~6 weeks OR Vanycin 30mg/kg per 24h IV in 2 equally divided doses 6 weeks PLUS Streptomycin sulfate 15mg/kg per 24h IV/IM in 2 equal doses 6 weeks 24 肠球菌治疗方案（二） Regimen Dosage and route Duration Susceptible to aminoglycosides and vanycin but resistant to penicillin Betalactamase producing strain Ampicillinsulbactam(舒巴坦 ) 12g/24h IV in 4 doses 6 weeks PLUS Gentamicin 3mg/kg per 24h IV/IM in 3 equal doses 6 weeks OR Vanycin 30mg/kg per 24h IV in 2 equally divided doses 6 weeks PLUS Gentamicin 3mg/kg per 24h IV/IM in 3 equal doses 6 weeks Intrinsic penicillin resistance Vanycin 30mg/kg per 24h IV in 2 equally divided doses 6 weeks PLUS Gentamicin 3mg/kg per 24h IV/IM in 3 equal doses 6 weeks Resistant to penicillin, aminoglycosides, and vanvomycin (屎肠球菌） Linezolid(利钠唑胺 ) 1200mg/24h IV/po in 2 equal doses ≥8weeks (粪肠球菌） Ceftriaxone sodium 2g/24h IV/IM in 1 doses ≥8weeks PLUS Ampicillin sodium 12g/24h IV in 6 doses ≥8weeks 25 葡萄球菌 IE抗菌素应用 TABLE 12. Oerview of therapy for endocarditis caused by staphylococcus Regimen Dosage and route Duration Methicillinsusceptible anisms(native valves) Nafcillin(新青 Ⅲ ) or oxacillin 12g/24h IV in 46 doses 6 weeks With option of gentamicin Gentamicin 3mg/kg per 24h IV/IM in 2 or 3 dose。阅读剩余 0%
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