抗菌药物静脉转口服的基本原则

抗菌药物静脉转口服的基本原则  



Patient with no clinical indication for I.V. therapy. 患者无静脉输液治疗的临床症状
1. Patient is afebrile for >24 hours.患者无发烧24小时以上
2. The WBC count is normalizing (falling towards or <10x109/L).白细胞计数正常（<10x109/L）
3. Signs & symptoms related to infection are improving.相关迹象和感染症状已有相关改善
4. Patient is not neutropenic (neutrophil count>2 x109/L).患者没有中性粒细胞减少（>2 x109/L）
5. Patient is able to take drugs by mouth (non-NPO).患者可以口服用药
6. Patient with no continuous nasogastric suctioning.患者没有持续使用鼻饲吸入
7. Patient with no severe nausea or vomiting, diarrhea, gastrointestinal obstruction, motility disorder.患者没有严重的恶心或呕吐，腹泻，消化道梗阻，运动性障碍
8. Patient with no malabsorption syndrome.患者没有吸收不良综合征
9. Patient with no pancreatitis or active gastrointestinal bleeding or other conditions that contraindicated to the use of oral medications患者没有胰腺炎或消化道出血或其他禁忌使用口服药物的情况.
——摘自《Interhospital Multi-disciplinary Programme on Antimicrobial ChemoTherapy》

序贯疗法的根本依据之一，复习了

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