查詢結果分析
來源資料
相關文獻
- 嗜肺性退伍軍人桿菌感染之非典型社區感染型肺炎病例報告及用藥探討
- 加護病房內急性呼吸窘迫症候群的探討
- 口腔顎顏面外科領域之致命性併發症--成人呼吸窘迫症候群
- 某醫學中心嗜肺性退伍軍人桿菌危害研究
- 恙蟲病併發急性呼吸窘迫症候群
- Factors Associated with High-frequency Oscillatory Ventilation Response in Infants with Respiratory Failure
- Acute Respiratory Distress Syndrome Complicating Generalized Pustular Psoriasis
- Varicella Pneumonia Complicated by Acute Respiratory Distress Syndrome in an Adult
- Acute Respiratory Distress Syndrome Due to Tuberculosis in a Child After Allogeneic Bone Marrow Transplantation for Acute Lymphoblastic Leukemia
- 急性呼吸窘迫症候群
頁籤選單縮合
題名 | 嗜肺性退伍軍人桿菌感染之非典型社區感染型肺炎病例報告及用藥探討=A Case Report on Atypical Community Acquired Pneumonia of Legionella Pneumophila Infection |
---|---|
作者姓名(中文) | 史書婷; 黃美鈴; 林美麗; 林華美; | 書刊名 | 藥學雜誌 |
卷期 | 26:3=104 2010.09[民99.09] |
頁次 | 頁50-56 |
分類號 | 415.463 |
關鍵詞 | 社區感染型肺炎; 嗜肺性退伍軍人桿菌; 急性呼吸窘迫症; Community acquired pneumonia; Legionella pneumophila; Acute respiratory distress syndrome; |
語文 | 中文(Chinese) |
中文摘要 | 這是一篇嗜肺性退伍軍人桿菌感染之非典型社區感染型肺炎病例報告,本文評估其用藥及病程進展並探討疾病之治療與預防。從流行病學觀之,嗜肺性退伍軍人桿菌是導致社區感染型肺炎最常見的致病菌,所引起的症狀有咳嗽、呼吸困難、高燒、頭痛、腹瀉、低血鈉,但如能及早診斷積極治療則預後佳。由於β -lactam類及 aminoglycoside抗生素對其無效,故疑似感染嗜肺性退伍軍人桿菌之急重症患者宜及早優先考慮以用於上呼吸道感染的 quinolones(如 levofloxacin)或新一代的 macrolides(如 azithromycin)作為第一線用藥,通常三至五天後即可顯著緩解。 |
英文摘要 | For an atypical community acquired pneumonia of Legionella pneumophila infection case, we reviewed not only the patient drug profile and disease progression but also the therapy and prevention of disease. In epidemiologic studies, Legionella pneumophila is consistently reported as a common cause of community-acquired pneumonia and hospital-acquired pneumonia. The symptoms of Legionnaires' disease include cough, dyspnea , fever, headache, diarrhea, hyponatremia. The prompt diagnosis of Legionnaires' disease can save lives. Early initiation of appropriate therapy is associated with improved outcomes. As failure to respond to beta-lactam and aminoglycoside antibiotics, suspected or proven Legionella pneumonia should be treated in most patients with levofloxacin or azithromycin. We recommend parenteral treatment given initially to all patients with suspected Legionella pneumonia. Patients with Legionella infection usually defervescence and experience symptomatic improvement within three to five days if treated early with the optimal choice of antibiotic therapy. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。