26
คู่มือ โครงการควบคุมและป้องกันการดื้อยาต้านจุลชีพในประเทศไทย Thailand AMR Containment and Prevention Program

การรักษาโรคติดเชื้อแบคทีเรียด้วยยาปฏิชีวนะ

Embed Size (px)

DESCRIPTION

การรักษาโรคติดเชื้อแบคทีเรียด้วยยาปฏิชีวนะ ที่โรงพยาบาลส่งเสริมสุขภาพตำบลRole of Antibacterial used in Primary Care Unit

Citation preview

  • Thailand AMR Containment and Prevention Program

  • (.) (.)

    International Development Research Center (IDRC), Canada

  • 70

    (miracledrugwonderdrug)

    21)

    2)

    40 100 ..2536 (Post-AntibioticEra)

    (Pre-AntibioticEra)

    100,000

    30,000

    40,000 0.6

  • 3 1)

    2) 3)

    (..) 1,000

    ()..

    ..

    ..

    (.)

    (.)

    International Development Research Center (IDRC)

    2558

  • 1

    () 2

    3

    6

    7

    8

    / 10

    13

    15

    .. 17

    19

  • . 1

    //

    (..)100,000..2556//

    (UpperRespiratoryTractInfections,URI)

    (AcuteBronchitis)

    (J00-J06,J11,J20)

    77

    (AcuteDiarrhea)

    (A00-A09)

    5

    (Skin&SoftTissueInfections)

    (L01,L02,L03,L08,S00-T14,V01,W00,W20-W33,W50-W64,X00-X29)

    4

    (DentalCaries&PeriodontalDiseases)

    (K02,K04,K05)

    3

    (UrinaryTractInfection)

    (N10,N30,N39)

    1

    (AcuteFever)

    (R50)

    1

  • 2 .

    ()

    // ..

    (PenicillinV)(tab.&syr.) (Amoxicillin)(cap.&syr.)

    (Roxithromycin)(tab.) (Erythromycin)(syr.)

    (Dicloxacillin)(cap.&syr.) (Cotrimoxazole)(tab.&syr.)

    (Norfloxacin)(tab.) (Ofloxacin)(tab.)(..)

    (Doxycycline)(cap.)(..) (Metronidazole)(tab.)(..)

  • . 3

    21)

    2)

    1. (Acute Nasopharyngitis [Common Cold ] - J00 Acute Upper Respiratory

    Infection, unspecified - J06.9)

    } 2(95)(Amoxicillin)

    } - } -/

    3-4,4-5,5-7,7-14

    -

  • 4 .

    2. / (Acute Pharyngitis, J02, Acute Tonsillitis, J03)

    ()

    ()//

    (80)()//

    /

    /

  • . 5

    ()

    } 2 } 31)(>38C)2) 3)()/4)

    } } (PenicillinV)

    :250.2-3

    :500.2250.4

    } (Amoxicillin) :50././2-3

    :500.2

    } (Roxithromycin) (Erythromycinsyrup)

    :30-50././4

    :5-8././2

    :150.2

    } 10

    /

    3-54-7/

    1-2/

    / } (Diphtheria) } (Candidiasis)

    ..

  • 6 .

    14

    (>30>40) ( ) ..

    3

    ()

    (Acute Bronchitis - J20)

    } 2(95) (Amoxicillin) (Roxithromycin)

    (-)

    7-213-7

    -

    (Pertussis)

  • . 7

    (Acute Diarrhea, Gastroenteritis)

    317

    } } ()953-7 } (Norfloxacin)400.23 } :5-10./.23

    :400.23

    } () :5-10./.23

    :400.23(Doxycycline) 300.(Doxycycline)100.23

    3-7

    2-3()

    ..

    3

    17

    90/60 .

    ..

  • 8 .

    (E.coli)

    2

    1. (Lower Urinary Tract Infection, Acute Cystitis)

    (Ofloxacin)200.23(Norfloxacin)400.23

    2 (ComplicatedAcuteCystitis) () ..

    ()

    2

    1. ()

    2. ()

    2

    1

  • . 9

    (E.coli)

    2-3

    2. (Upper Urinary Tract Infection, Acute Pyelonephritis)

    2(ComplicatedUrinaryTractInfection) ()..()

    ()

    ()..()

    ..200.27-14 400.27-14

  • 10 .

    /

    1.

    6

    :www.pantip.com

    ( )()..

    .. ( )

    /

    (Tetanus)( )

    (Rabies) /

  • . 11

    /()

    /

    5()(>65

    )

    (Dicloxacillin) :25-50././42

    :250-500.42

    :30-50././42

    :5-8././22

    :150.22

    /()

    (Co-amoxiclav) (Amoxicillin):25-50././32

    :375.3625.22

  • 12 .

    2. /

    /

    ( )

    ()..()

    ..//

    ()

    (Antiseptic)( )

    () 5-14

    5-14

    ..(Cotrimoxazole)2

    Trimethoprim80.Sulfamethoxazole400.5.Trimethroprim40.Sulfamethoxazole200.

    2:2

    2-6:-12

    6-12:1-2122

    12:22

    /

    ....

    3-5

    1

    ()

  • . 13

    (DentalCaries) (Periodontal Disease)

    (

    )(antiseptic)(Chlorhexidine)

    /

  • 14 .

    1. (

    )(

    )()

    } :250.35-7

    :500.35-7

    } :50././2-35-7

    :500.2-35-7

    :30-50././45-7

    :5-8././25-7

    :150.25-7

    (Metronidazole)200-400.3

    2.

    2.1()

    ()

    2.2 (Bacterial

    Endocarditis)

    ..(Amoxicillin)50./. 30-602

    30-60

  • . 15

    (Influenza,Flu)

    }

    }

    (Touniquet

    Test)*

    }

    }7}

    () 3-7 7

    * (TouniquetTest)(SystolicPressure)(DiastolicPressure)51()101

    >37.8 2 ..

    90 ()

    2

    1./ ( /// /// /)

    2. //

  • 16 .

    }

    }

    (Leptospirosis)

    (Scrub Typhus)

    (Enteric Fever)

    7

    (Bacteremia)

    }(Doxycycline)100.27

    }500.45-7

    }100.27

    24

    }

    }480.22 14

    }

    ..

  • . 17

    //

    /

    /()

    /

    /

    /

    ..

    1. ..

  • 18 .

    /

    /

    /3-5,4-5,5-7,7-14 18

    /./

    //

    /

    2. ..

  • . 19

    5

    / 40

    5

    20

    20

    95

    40

    10

    / /

    .. 100,000 30

    .2558.

  • 30,000