\n| \u1ea2nh h\u01b0\u1edfng c\u1ee7a tu\u1ed5i<\/td>\n | \u1ede tr\u1ebb s\u01a1 sinh, thanh th\u1ea3i ch\u1eadm h\u01a1n so v\u1edbi tr\u1ebb l\u1edbn<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nThu\u1ed1c Saditazo \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\nThu\u1ed1c Saditazo<\/strong> \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb m\u1ed9t lo\u1ea1t c\u00e1c nhi\u1ec5m khu\u1ea9n do vi khu\u1ea9n g\u00e2y ra, bao g\u1ed3m nhi\u1ec5m khu\u1ea9n da v\u00e0 m\u00f4 m\u1ec1m, nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p d\u01b0\u1edbi, nhi\u1ec5m khu\u1ea9n huy\u1ebft, nhi\u1ec5m khu\u1ea9n \u1ed5 b\u1ee5ng, nhi\u1ec5m khu\u1ea9n s\u1ea3n ph\u1ee5 khoa, nhi\u1ec5m khu\u1ea9n ti\u1ebft ni\u1ec7u, v\u00e0 nhi\u1ec5m tr\u00f9ng h\u1ed7n h\u1ee3p.<\/p>\nThu\u1ed1c Saditazo \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\nLi\u1ec1u d\u00f9ng<\/h3>\nNg\u01b0\u1eddi l\u1edbn & tr\u1ebb t\u1eeb 12 tu\u1ed5i (ch\u1ee9c n\u0103ng th\u1eadn b\u00ecnh th\u01b0\u1eddng): 4,5g ng\u00e0y 3 l\u1ea7n<\/p>\n B\u1ea1ch c\u1ea7u trung t\u00ednh gi\u1ea3m: 4,5g m\u1ed7i 6 gi\u1edd, k\u1ebft h\u1ee3p aminoglycoside<\/p>\n T\u1ed5ng li\u1ec1u h\u00e0ng ng\u00e0y: 2,25g – 4,5g ng\u00e0y 3-4 l\u1ea7n<\/p>\n Tr\u1ebb < 12 tu\u1ed5i: Ch\u1ec9 d\u00f9ng cho tr\u1ebb b\u1ecb gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh<\/p>\n Tr\u1ebb > 50kg: D\u00f9ng theo li\u1ec1u ng\u01b0\u1eddi l\u1edbn (kh\u00f4ng k\u1ebft h\u1ee3p aminoglycoside)<\/p>\n Tr\u1ebb < 30kg (ch\u1ee9c n\u0103ng th\u1eadn b\u00ecnh th\u01b0\u1eddng): 90mg\/kg (80mg piperacillin + 10mg tazobactam) m\u1ed7i 6 gi\u1edd, k\u1ebft h\u1ee3p aminoglycoside<\/p>\n Tr\u1ebb < 2 th\u00e1ng tu\u1ed5i: Kh\u00f4ng khuy\u1ebfn ngh\u1ecb s\u1eed d\u1ee5ng<\/p>\n Ng\u01b0\u1eddi cao tu\u1ed5i: D\u00f9ng theo li\u1ec1u ng\u01b0\u1eddi l\u1edbn, tr\u1eeb khi c\u00f3 suy th\u1eadn<\/p>\n B\u1ea3ng \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u cho b\u1ec7nh nh\u00e2n suy th\u1eadn:<\/p>\n \n\n\n| \u0110\u1ed1i t\u01b0\u1ee3ng<\/td>\n | CrCl (ml\/ph\u00fat)<\/td>\n | Li\u1ec1u d\u00f9ng<\/td>\n<\/tr>\n | \n| Ng\u01b0\u1eddi l\u1edbn & tr\u1ebb > 50kg<\/td>\n | 20 – 80<\/td>\n | 4g piperacillin + 0,5g tazobactam x 3 l\u1ea7n\/ng\u00e0y<\/td>\n<\/tr>\n | \n| < 20<\/td>\n | 4g piperacillin + 0,5g tazobactam x 2 l\u1ea7n\/ng\u00e0y<\/td>\n<\/tr>\n | \n| Ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o<\/td>\n | T\u1ed1i \u0111a 8g piperacillin + 1g tazobactam\/ng\u00e0y.B\u1ed5 sung 2g piperacillin + 0,25g tazobactam sau m\u1ed7i l\u1ea7n ch\u1ea1y th\u1eadn<\/td>\n<\/tr>\n | \n| Tr\u1ebb < 50kg<\/td>\n | 40 – 80<\/td>\n | 90mg\/kg x 4 l\u1ea7n\/ng\u00e0y<\/td>\n<\/tr>\n | \n| 20 – 40<\/td>\n | 90mg\/kg x 3 l\u1ea7n\/ng\u00e0y<\/td>\n<\/tr>\n | \n| < 20<\/td>\n | 90mg\/kg x 2 l\u1ea7n\/ng\u00e0y<\/td>\n<\/tr>\n | \n| Ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o<\/td>\n | 45mg\/kg (40mg piperacillin + 5mg tazobactam) x 3 l\u1ea7n\/ng\u00e0y<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb: D\u00f9ng \u00edt nh\u1ea5t 48 gi\u1edd sau khi h\u1ebft s\u1ed1t ho\u1eb7c c\u00e1c tri\u1ec7u ch\u1ee9ng nhi\u1ec5m tr\u00f9ng.<\/p>\n C\u00e1ch d\u00f9ng<\/h3>\nPha ch\u1ebf: Pha m\u1ed7i l\u1ecd 4.5g thu\u1ed1c v\u1edbi 20ml dung d\u1ecbch NaCl 0.9% ho\u1eb7c n\u01b0\u1edbc c\u1ea5t v\u00f4 tr\u00f9ng.<\/p>\n Ti\u00eam:<\/p>\n \n- Ti\u00eam m\u1ea1ch ch\u1eadm: Pha m\u1ed7i l\u1ecd 4,5g v\u1edbi 20ml n\u01b0\u1edbc c\u1ea5t ho\u1eb7c NaCl 0,9%, ti\u00eam ch\u1eadm trong 3 – 5 ph\u00fat<\/li>\n
- Truy\u1ec1n t\u0129nh m\u1ea1ch: Pha m\u1ed7i l\u1ecd 4,5g v\u1edbi 20ml n\u01b0\u1edbc c\u1ea5t ho\u1eb7c NaCl 0,9%, sau \u0111\u00f3 pha lo\u00e3ng th\u00e0nh \u00edt nh\u1ea5t 50ml v\u1edbi dung m\u00f4i t\u01b0\u01a1ng th\u00edch (Dextrose 5% + NaCl 0,9%; Dextrose 5%; NaCl 0,9%), truy\u1ec1n trong 20 – 30 ph\u00fat<\/li>\n<\/ul>\n
L\u01b0u \u00fd:<\/p>\n | |