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การรักษาโรคติดเชื้อแบคทีเรียด้วยยาปฏิชีวนะ ที่โรงพยาบาลส่งเสริมสุขภาพตำบลRole of Antibacterial used in Primary Care Unit
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Thailand AMR Containment and Prevention Program
(.) (.)
International Development Research Center (IDRC), Canada
70
(miracledrugwonderdrug)
21)
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40 100 ..2536 (Post-AntibioticEra)
(Pre-AntibioticEra)
100,000
30,000
40,000 0.6
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..
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(.)
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