Author: Leo and Lucy
Keywords: acute gastroenteritis, kidney disease
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| From google images |
Summer hot weather, the weather is so hot, because the weather is hot, do not pay attention to diet, and suffering from acute gastroenteritis patients also more up.
What antibiotics are usually used? What are the friends who can not use it?
For acute gastroenteritis, if the blood tests in the hospital found:
Blood tests showed that white blood cells were elevated and neutrophils were elevated.
C-reactive protein (CRP): elevated;
Routine tests showed: white blood cells, red blood cells
Usually suggest bacterial infection, need to use antibiotics.
Intestinal infection with Gram-negative bacilli is common, therefore, is usually used against gram-negative bacilli sensitive antibiotics, often used: fluoroquinolones, cephalosporins, aminoglycosides.
Because aminoglycosides such as etimicin, amikacin, gentamicin, with certain renal toxicity, kidney disease patients in general, to avoid the use.
Second generation, three generations of cephalosporins, kidney disease patients are generally available.
Fluoroquinolones, such as levofloxacin and norfloxacin, were warned last year by the US Food and Drug Administration (FDA), which could lead to a small number of patients with tendonitis and tendon rupture, joint pain, central nervous system response (hallucinations, anxiety Depression) and other serious adverse reactions.
There is a greater risk of tendon and tendon rupture in patients who are using glucocorticoids, renal failure, and a history of transplantation.
This year, fluoroquinolones antibiotics, once again by China Food and Drug Administration (CFDA) warned once.
Therefore, the clinical use of fluoroquinolones antibiotics, need to fully weigh the pros and cons.
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