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果断地处理严重泌尿道感染极为重要,在早期使用有效抗生素可提高存活率和使革兰氏菌性菌血症引起的休克次数大为减少。经验性氨基糖苷类抗生素(AGS_s)疗法已成功地使用20多年。AGS_s也可在泌尿科手术和移植手术中作预防性用药。当尿中检查出革兰氏阳性球菌时。应选用氨苄青霉素。对青霉素过敏者,万古霉素(加用或不加庆大霉素)是通常的替换药物。当怀疑革兰氏阴性菌是肾盂肾炎/尿性败血症的病原菌时,应选用能在血、尿和肾内产生合适浓度的注射用抗生素。这种情况下可使用AGS_s、第三代头孢菌素、Aztreonam和复方新诺明。如
Decisive treatment of severe urinary tract infections is extremely important, the early use of effective antibiotics can increase the survival rate and greatly reduce the frequency of gram bacteremia caused by shock. Experienced aminoglycoside antibiotics (AGS_s) therapies have been successfully used for over 20 years. AGS_s can also be used prophylactically in urological and transplant procedures. When the urine of Gram-positive cocci checked. Ampicillin should be used. Of penicillin allergies, vancomycin (with or without gentamicin) is the usual replacement drug. When suspected Gram-negative bacteria are pyelonephritis / urinary sepsis pathogens, should be selected to produce appropriate concentrations of blood in the urine and urine injection of antibiotics. In this case AGS_s, third generation cephalosporins, Aztreonam and cotrimoxazole can be used. Such as