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在甲型H1N1流感中,准确判断患者病情的严重程度和继发性感染的可能,是合理使用抗病毒药物或抗菌药物治疗的关键环节。流感最常见的继发性感染病原为肺炎链球菌,A、C及G组链球菌,流感嗜血杆菌和金黄色葡萄球菌等,常造成病情恶化甚至死亡。在充分考虑抗菌药物治疗过程中可能出现的甲氧西林耐药金葡菌和难辨梭菌相关性腹泻的前提下,本文对甲型流感继发性感染的用药提出了具体治疗方案。
In the influenza A (H1N1) virus, the accurate judgment of the severity of the patient’s condition and the possibility of secondary infection are the key links in the rational use of antiviral or anti-bacterial drugs. Influenza is the most common secondary cause of influenza infection, Streptococcus A, C and G, Haemophilus influenzae and Staphylococcus aureus, etc., often lead to the deterioration of the disease or even death. Given full consideration of possible methicillin-resistant Staphylococcus aureus and Clostridium difficile-associated diarrhea in the course of antimicrobial treatment, this paper presents a specific treatment regimen for the treatment of influenza A secondary infection.