Vim li cas thiaj muaj qhov sib txawv ntawm penicillin thiab cephalosporins?

Cov txheej txheem:

Vim li cas thiaj muaj qhov sib txawv ntawm penicillin thiab cephalosporins?
Vim li cas thiaj muaj qhov sib txawv ntawm penicillin thiab cephalosporins?
Anonim

Cov lus xaus: Muaj kev sib cuam tshuam ntawm cephalosporins thiab penicillins; Cov neeg mob ua xua rau ntau yam penicillins yog ntau dua yuav ua rau muaj kev fab tshuaj rau cephalosporins; vim yog rhiab heev rau cov yam ntxwv zoo sib xws (nuclear thiab R1 sab-chain), penicillin-allergic cov neeg mob yuav tsim …

Puas muaj qhov sib txawv ntawm cov tshuaj penicillins thiab cephalosporins?

muaj feem cuam tshuam nrog cephalosporins lossis carbapenems (monobactams [ie, aztreonam] tsis yog cov tshuaj tiv thaiv kab mob penicillins thiab tuaj yeem muab kev nyab xeeb rau cov neeg mob penicillin-allergic).

Vim li cas cov neeg mob ua xua rau penicillin qee zaum muaj kev cuam tshuam rau cephalosporins?

Cov kev tshawb fawb tsis ntev los no tau pom tias muaj qhov sib txawv ntawm qhov qis li 1%. Lub nplhaib sib xyaw beta-lactam yog qhov laj thawj rau qhov muaj peev xwm hla-reactivity ntawm penicillins thiab cephalosporins.

Vim li cas thiaj yuav tsum tsis muab cephalosporin rau tus neeg mob uas tsis haum rau penicillin?

Cov neeg mob uas tau ntsib kev tsis haum rau IgE rau penicillin yuav tsum tsis txhob muab tshuaj rau cephalosporin vim qhov hnyav ntawm cov tshuaj tiv thaiv thiab muaj peev xwm ntawm cross-reactivity.

Kev sib cuam tshuam ntawm penicillin thiab cephalexin yog dab tsi?

Qhov dav hais txog kev ua xua sib kis ntawm 10% ntawm penicillin thiabcephalosporins yog lus dab neeg. Cephalothin, cephalexin, cefadroxil, thiab cefazolin ua rau nce kev pheej hmoo ntawm kev tsis haum tshuaj ntawm cov neeg mob ua xua penicillin.

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