\n| Vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c nhi\u1ec5m khu\u1ea9n<\/span><\/td>\n | \n\n- Van tim b\u00ecnh th\u01b0\u1eddng: Ng\u00e0y 1 l\u1ea7n 2 l\u1ecd, trong 2-4 tu\u1ea7n.<\/span><\/li>\n
- Ng\u01b0\u1eddi c\u00f3 l\u1eafp van tim gi\u1ea3: Ng\u00e0y 1 l\u1ea7n 2 l\u1ecd, ti\u00eam b\u1eafp ho\u1eb7c t\u0129nh m\u1ea1ch trong 6 tu\u1ea7n.<\/span><\/li>\n
- Vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c nhi\u1ec5m khu\u1ea9n do Enterococcus faecalis: Ng\u00e0y ti\u00eam 2 l\u1ea7n, m\u1ed7i l\u1ea7n 2 l\u1ecd, trong 8 tu\u1ea7n.<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n| Vi\u00eam m\u00e0ng n\u00e3o do vi khu\u1ea9n nh\u1ea1y c\u1ea3m<\/span><\/td>\n | \n\n- H. influenzae ho\u1eb7c N. meningitidis (kh\u00f4ng g\u00e2y bi\u1ebfn ch\u1ee9ng): Ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch 2 l\u1ecd, c\u00e1ch 12 gi\u1edd ti\u00eam 1 l\u1ea7n.<\/span><\/li>\n
- Vi\u00eam m\u00e0ng n\u00e3o bi\u1ebfn ch\u1ee9ng do S. pneumoniae: D\u00f9ng \u00edt nh\u1ea5t 10-14 ng\u00e0y.<\/span><\/li>\n
- Vi\u00eam m\u00e0ng n\u00e3o do Enterobacteriaceae nh\u1ea1y c\u1ea3m: D\u00f9ng \u00edt nh\u1ea5t 21 ng\u00e0y.<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n| Nhi\u1ec5m N. meningitidis<\/span><\/td>\n | D\u00f9ng 1 li\u1ec1u duy nh\u1ea5t ti\u00eam b\u1eafp 250 mg. Nhi\u1ec5m khu\u1ea9n do Streptococcus pyogenes: \u0111i\u1ec1u tr\u1ecb \u00edt nh\u1ea5t 10 ng\u00e0y.<\/span><\/td>\n<\/tr>\n\n| Ph\u00f2ng vi\u00eam m\u00e0ng n\u00e3o do n\u00e3o m\u00f4 c\u1ea7u<\/span><\/td>\n | D\u00f9ng li\u1ec1u 250mg ti\u00eam b\u1eafp.<\/span><\/td>\n<\/tr>\n\n| Vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p<\/span><\/td>\n | Vi\u00eam xoang: Ng\u00e0y ti\u00eam t\u0129nh m\u1ea1ch 1 l\u1ea7n 2 l\u1ecd.<\/span><\/p>\n Vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i t\u1ea1i c\u1ed9ng \u0111\u1ed3ng:Ng\u00e0y 1 l\u1ea7n, 1 l\u1ecd, th\u01b0\u1eddng ph\u1ed1i h\u1ee3p v\u1edbi m\u1ed9t macrolid; 2 g\/ng\u00e0y khi n\u1eb7ng ho\u1eb7c vi khu\u1ea9n kh\u00e1ng.<\/span><\/td>\n<\/tr>\n\n| B\u1ec7nh Lyme<\/span><\/td>\n | Ng\u00e0y 1 l\u1ea7n, 2 l\u1ecd, \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch.<\/span><\/td>\n<\/tr>\n\n| S\u1ed1t k\u00e8m gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh<\/span><\/td>\n | \u0110\u01b0\u1eddng t\u0129nh m\u1ea1ch: 30 mg\/kg (t\u1ed1i \u0111a 2 g), ng\u00e0y 1 l\u1ea7n, ph\u1ed1i h\u1ee3p v\u1edbi amikacin (20 mg\/kg t\u0129nh m\u1ea1ch, ng\u00e0y 1 l\u1ea7n).<\/span><\/td>\n<\/tr>\n\n| D\u1ef1 ph\u00f2ng nhi\u1ec5m khu\u1ea9n ph\u1eabu thu\u1eadt<\/span><\/td>\n | Ti\u00eam t\u0129nh m\u1ea1ch m\u1ed9t li\u1ec1u duy nh\u1ea5t 1 l\u1ecd t\u1eeb 0,5 – 2 gi\u1edd tr\u01b0\u1edbc khi m\u1ed5.\u00a0<\/span><\/p>\n Ph\u1eabu thu\u1eadt k\u1ebft tr\u1ef1c tr\u00e0ng, ti\u00eam 2 l\u1ecd t\u1eeb 0,5 – 2 gi\u1edd tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt.<\/span><\/td>\n<\/tr>\n\n| Vi\u00eam m\u00e0ng n\u00e3o, vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c do l\u1eadu c\u1ea7u<\/span><\/td>\n | Ti\u00eam b\u1eafp li\u1ec1u duy nh\u1ea5t 1 l\u1ecd.<\/span><\/td>\n<\/tr>\n\n| Giang mai m\u1edbi ph\u00e1t sinh<\/span><\/td>\n | Ti\u00eam b\u1eafp s\u00e2u 500 mg\/ng\u00e0y, trong 10 ng\u00e0y.<\/span><\/td>\n<\/tr>\n\n| Vi\u00eam m\u00e0ng ti\u1ebfp h\u1ee3p do l\u1eadu c\u1ea7u<\/span><\/td>\n | Ti\u00eam b\u1eafp li\u1ec1u duy nh\u1ea5t 1 l\u1ecd.<\/span><\/td>\n<\/tr>\n\n| B\u1ec7nh th\u01b0\u01a1ng h\u00e0n\u00a0<\/span><\/td>\n | Ti\u00eam t\u0129nh m\u1ea1ch ng\u00e0y 1 l\u1ea7n 2 l\u1ecd, trong 14 ng\u00e0y.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nTr\u1ebb em<\/span><\/h4>\n\n\n\n| \u0110i\u1ec1u tr\u1ecb<\/span><\/td>\n | Li\u1ec1u d\u00f9ng<\/span><\/td>\n<\/tr>\n\n| Th\u00f4ng th\u01b0\u1eddng<\/span><\/td>\n | \n\n- Tr\u1ebb em d\u01b0\u1edbi 50kg: Ti\u00eam b\u1eafp s\u00e2u ho\u1eb7c ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm t\u1eeb\u00a0 2 – 4 ph\u00fat ho\u1eb7c ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch, li\u1ec1u 20 – 50 mg\/kg\/l\u1ea7n\/ng\u00e0y.<\/span><\/li>\n
- Tr\u1ebb em t\u1eeb 50kg tr\u1edf l\u00ean: D\u00f9ng li\u1ec1u t\u01b0\u01a1ng t\u1ef1 ng\u01b0\u1eddi l\u1edbn.<\/span><\/li>\n
- Tr\u1ebb s\u01a1 sinh: Li\u1ec1u 20 – 50 mg\/ kg\/ng\u00e0y (li\u1ec1u t\u1ed1i \u0111a 50 mg\/kg\/ng\u00e0y).<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n| Vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c nhi\u1ec5m khu\u1ea9n<\/span><\/td>\n | \n\n- Van tim b\u00ecnh th\u01b0\u1eddng: 100 mg\/kg\/ng\u00e0y\/l\u1ea7n, ti\u00eam b\u1eafp ho\u1eb7c t\u0129nh m\u1ea1ch trong 2 – 4 tu\u1ea7n.<\/span><\/li>\n
- Van tim gi\u1ea3: 100 mg\/kg ng\u00e0y m\u1ed9t l\u1ea7n, ti\u00eam b\u1eafp ho\u1eb7c t\u0129nh m\u1ea1ch, trong 6 tu\u1ea7n.<\/span><\/li>\n
- Vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c nhi\u1ec5m khu\u1ea9n do Enterococcus faecalis: 100 mg\/kg, ng\u00e0y 1 l\u1ea7n, trong 8 tu\u1ea7n.<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n| Vi\u00eam m\u00e0ng n\u00e3o do vi khu\u1ea9n nh\u1ea1y c\u1ea3m<\/span><\/td>\n | Tr\u1ebb em, t\u1eeb s\u01a1 sinh \u0111\u1ebfn 12 tu\u1ed5i: 100 mg\/kg\/ng\u00e0y (t\u1ed1i \u0111a 4g\/ng\u00e0y), c\u00e1ch 12 gi\u1edd\/l\u1ea7n, trong 7 – 21 ng\u00e0y.<\/span><\/td>\n<\/tr>\n\n| Ph\u00f2ng ng\u1eeba vi\u00eam m\u00e0ng n\u00e3o do n\u00e3o m\u00f4 c\u1ea7u<\/span><\/td>\n | D\u00f9ng li\u1ec1u 125 mg.<\/span><\/td>\n<\/tr>\n\n| Vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i t\u1ea1i c\u1ed9ng \u0111\u1ed3ng<\/span><\/td>\n | \n\n- Ti\u00eam t\u0129nh m\u1ea1ch 50 – 75 mg\/kg x 1 l\u1ea7n\/ng\u00e0y.<\/span><\/li>\n
- Nhi\u1ec5m khu\u1ea9n n\u1eb7ng: Ti\u00eam t\u0129nh m\u1ea1ch 80 – 100 mg\/kg\/ng\u00e0y.<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n| Lyme<\/span><\/td>\n | \u0110\u01b0\u1eddng t\u0129nh m\u1ea1ch, 50 – 75 mg\/kg (t\u1ed1i \u0111a 2 g) x 1 l\u1ea7n\/ng\u00e0y, d\u00f9ng trong 14 – 28 ng\u00e0y.<\/span><\/td>\n<\/tr>\n\n| S\u1ed1t k\u00e8m gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh<\/span><\/td>\n | \u0110\u01b0\u1eddng t\u0129nh m\u1ea1ch 80 mg\/kg (t\u1ed1i \u0111a 2 g) x 1 l\u1ea7n\/ng\u00e0y, ph\u1ed1i h\u1ee3p v\u1edbi amikacin t\u0129nh m\u1ea1ch (20mg\/kg\/ng\u00e0y).<\/span><\/td>\n<\/tr>\n\n| B\u1ec7nh l\u1eadu kh\u00f4ng bi\u1ebfn ch\u1ee9ng<\/span><\/td>\n | C\u00e2n n\u1eb7ng d\u01b0\u1edbi 45kg: ti\u00eam b\u1eafp 125mg\/l\u1ea7n\/ng\u00e0y.<\/span><\/td>\n<\/tr>\n\n| Vi\u00eam m\u00e0ng ti\u1ebfp h\u1ee3p do l\u1eadu c\u1ea7u<\/span><\/td>\n | \n\n- Tr\u00ean 45kg: \u0110i\u1ec1u tr\u1ecb nh\u01b0 ng\u01b0\u1eddi l\u1edbn.<\/span><\/li>\n
- D\u01b0\u1edbi 45kg: Ti\u00eam b\u1eafp 1 li\u1ec1u duy nh\u1ea5t 125 mg.<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n| Vi\u00eam m\u00e0ng n\u00e3o ho\u1eb7c vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c<\/span><\/td>\n | \n\n- D\u01b0\u1edbi 45 kg:\u00a0 ti\u00eam b\u1eafp ho\u1eb7c t\u0129nh m\u1ea1ch 50 mg\/kg\/ng\u00e0y (t\u1ed1i \u0111a 2 g\/ng\u00e0y) chia 2 d\u00f9ng m\u1ed7i 12 gi\u1edd.<\/span><\/li>\n
- \u0110i\u1ec1u tr\u1ecb trong 10-14 ng\u00e0y (vi\u00eam m\u00e0ng n\u00e3o) ho\u1eb7c \u00edt nh\u1ea5t 4 tu\u1ea7n (vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c).<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n| Th\u01b0\u01a1ng h\u00e0n<\/span><\/td>\n | \n\n- Ti\u00eam t\u0129nh m\u1ea1ch li\u1ec1u 75 – 80 mg\/kg x 1 l\u1ea7n\/ng\u00e0y.<\/span><\/li>\n
- D\u00f9ng trong 5 – 14 ng\u00e0y.<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
\u0110\u1ed1i t\u01b0\u1ee3ng kh\u00e1c<\/span><\/h4>\n\n\n\n| \u0110\u1ed1i t\u01b0\u1ee3ng<\/span><\/td>\n | Li\u1ec1u d\u00f9ng<\/span><\/td>\n<\/tr>\n\n| Ng\u01b0\u1eddi cao tu\u1ed5i<\/span><\/td>\n | Kh\u00f4ng c\u1ea7n hi\u1ec7u ch\u1ec9nh li\u1ec1u khi ch\u1ee9c n\u0103ng gan th\u1eadn b\u00ecnh th\u01b0\u1eddng.<\/span><\/td>\n<\/tr>\n\n| Ng\u01b0\u1eddi b\u1ec7nh suy th\u1eadn<\/span><\/td>\n | Kh\u00f4ng c\u1ea7n thi\u1ebft \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u.\u00a0<\/span><\/p>\n Khi h\u1ec7 s\u1ed1 thanh th\u1ea3i creatinin d\u01b0\u1edbi 10 ml\/ph\u00fat, li\u1ec1u Ceftriaxone kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 2 g\/24 gi\u1edd.<\/span><\/td>\n<\/tr>\n\n| B\u1ec7nh nh\u00e2n th\u1ea9m t\u00e1ch m\u00e1u<\/span><\/td>\n | Ti\u00eam 2 l\u1ecd cu\u1ed1i \u0111\u1ee3t th\u1ea9m t\u00e1ch, th\u00f4ng th\u01b0\u1eddng trong 72 gi\u1edd.\u00a0<\/span><\/td>\n<\/tr>\n\n| B\u1ec7nh nh\u00e2n suy gan<\/span><\/td>\n | Kh\u00f4ng c\u1ea7n thi\u1ebft \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u.\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nC\u00e1ch d\u00f9ng<\/span><\/h3>\n\n- Thu\u1ed1c Poltraxon <\/b>c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u01b0\u1eddng ti\u00eam t\u0129nh m\u1ea1ch, ti\u00eam b\u1eafp ho\u1eb7c truy\u1ec1n t\u0129nh m\u1ea1ch.<\/span><\/li>\n
- Ti\u00eam b\u1eafp s\u00e2u ho\u1eb7c ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm t\u1eeb 2 – 4 ph\u00fat ho\u1eb7c ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch \u00edt nh\u1ea5t 30 ph\u00fat.\u00a0<\/span><\/li>\n
- Khi li\u1ec1u ti\u00eam t\u0129nh m\u1ea1ch l\u1edbn h\u01a1n 1g ch\u1ec9 n\u00ean ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch.\u00a0<\/span><\/li>\n
- Khi li\u1ec1u ti\u00eam b\u1eafp l\u1edbn h\u01a1n 1g, ph\u1ea3i ti\u00eam \u1edf nhi\u1ec1u v\u1ecb tr\u00ed.<\/span><\/li>\n
- Vi\u1ec7c ti\u00eam thu\u1ed1c ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi b\u00e1c s\u0129 v\u00e0 c\u00e1n b\u1ed9 y t\u1ebf.<\/span><\/li>\n<\/ul>\n
Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Poltraxon trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\n\n- Ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed qu\u00e1 m\u1eabn c\u1ea3m v\u1edbi Ceftriaxon ho\u1eb7c m\u1ed9t trong nh\u1eefng kh\u00e1ng sinh thu\u1ed9c nh\u00f3m Cephalosporin v\u00e0 kh\u00e1ng sinh nh\u00f3m Penicillin.<\/span><\/li>\n
- Tr\u1ebb s\u01a1 sinh (\u0111\u1eb7c bi\u1ec7t l\u00e0 tr\u1ebb sinh non) b\u1ecb t\u0103ng bilirubin – huy\u1ebft.<\/span><\/li>\n
- D\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi ch\u1ebf ph\u1ea9m ch\u1ee9a calci \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch \u1edf tr\u1ebb em.<\/span><\/li>\n<\/ul>\n
L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Poltraxon<\/span><\/h2>\nTh\u1eadn tr\u1ecdng<\/span><\/h3>\n\n- \u0110\u1ecdc k\u1ef9 h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng tr\u01b0\u1edbc khi d\u00f9ng thu\u1ed1c Poltraxon.<\/span><\/li>\n
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