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一、泌尿系感染抗菌药物的选用在应用抗菌葯物治疗之前,詳細檢查和了解下列諸項,对治疗具有重要的意义。①尿路有无梗阻性病变存在;②以往有无泌尿系感染及使用何种抗菌素治癒的病史;③腎功能測定;④尿液比重(反映腎小管的濃縮功能);⑤尿液的酸硷度(PH值);⑥血液常規(了解有无貧血及白血球过低症);⑦尿培养及涂片(确定病原菌);⑧菌株对葯物的敏感試驗及机体对葯物的过敏性反应和药物的毒性。当泌尿系有急性感染时往往不允許等待尿液細菌培养及药物敏感試驗的結果,此时可作尿液直接涂片用革兰氏染色法初步观察感染菌株的类别,以作为紧急选用抗菌药物的依据。对革兰氏阳性球菌
First, the selection of anti-bacterial drugs urinary tract infection Before the application of antimicrobial therapy, a detailed examination and understanding of the following items, the treatment of great significance. ① whether there is obstruction of the urinary tract obstructive disease exists; ② the past history of urinary tract infection and the use of what kind of antibiotic cure; ③ renal function test; ④ urinary specific gravity (reflecting tubular condensation); ⑤ urine pH (PH value); ⑥ blood routine (with or without anemia and leukopenia); ⑦ urine culture and smear (to determine pathogenic bacteria); ⑧ strains of drug sensitivity test and the body’s allergic reactions to drugs and drugs toxicity. When the urinary tract is often not allowed to wait for acute urinary tract bacterial culture and drug sensitivity test results, this time can be used for direct urine smear Gram stain preliminary observation of the type of infected strains, as an emergency use of antimicrobial drugs The basis. Gram-positive cocci