etiotropic treatment meaning

Doses of "new" macrolides in the treatment of pneumonia in adults (according to Yu.B. The table shows the average duration of antibiotic treatment of patients with pneumonia, depending on the pathogen. Ischemic colitis pains are so intense that patients lose a lot of weight because they try to refrain from eating meals that cause an attack. It is comprised of etiotropic meaning curing devoted to eliminating the causative factor effect of this condition and pathogenetic implying a restoration of the functional activity that participates in erection appearance. Comprehensive treatment of chronic non-ulcer sigmoiditis includes the administration of non-absorbable anti-inflammatory drugs. In these cases, the empirical treatment of moderate pneumonia begins with parenteral administration of the following antibacterial agents: If there is no effect or severe course of pneumonia, it is recommended to use one of the following combination therapy regimens: In all the above schemes, aminoglycosides II and III generations are included in the combined antimicrobial treatment of pneumonia. With community-acquired pneumonia, cephalosporins of the second and third generations are usually used. When the process is subsided, the patient is transferred to a common table with the exception of spicy, salty, fried, smoked dishes, spices and alcohol. The choice of the most effective of them depends on many factors, primarily on the accuracy of identification of the causative agent of pneumonia, its sensitivity to antibiotics and the early onset of adequate treatment of pneumonia with antibiotics. Due to its pharmacological properties and mechanism of action, it differs little from bromhexine. The amount of therapeutic substance per microclyster is 30-50 ml. In these cases, a thorough follow-up examination (repeated chest X-ray, bronchoscopy with obtaining material from the lower sections of the respiratory tract, computed tomography, etc. In this case, symptoms such as fragmented feces ("sheep's feces"), a feeling of incomplete emptying of the intestine after stool, weeping, and itching in the anus are added. Much less frequently (in 5-15% of cases) the causative agents of community-acquired pneumonia are some gram-negative bacteria of the Enterobakteriaceae family, Staphylococcus aureus, anaerobic bacteria, Pseudomonas aeruginosa and others. It should be remembered that in the majority of patients with pneumococcal pneumonia a full "X-ray recovery" occurs within 4-5 weeks, although in some patients it is delayed for 2-3 months. Belousov and SM Shotunov, 2001), 6-9 million IU (2-3 grams) per day In 2 divided doses, regardless of food intake, 0.5-1.0 g once a day for an hour or 2 hours after a meal, 5-day course: 1st day - 0.5-1 g once a day; the following days: 0.25-0.5 g per day. Oil balsamic microclysters from sea buckthorn oil relieve irritation of the mucous membrane, reduce the severity of inflammation, contribute to the rapid healing of ulcers and erosions. A therapy or medical treatment (often abbreviated tx, Tx, or T x) is the attempted remediation of a health problem, usually following a diagnosis.. As a rule, each therapy has indications and contraindications.There are many different types of therapy. Thus, the sigmoid colon can be displaced in the right half of the abdomen or up, up to the diaphragm. With regard to violations of the chair, then most often patients complain of constipation and / or constipation, alternating diarrhea. b. All rights reserved. Acetylcysteine (ACC, flumucil) is an N-derivative of the natural amino acid of L-cysteine. All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible. Zhe Xu, Lei Shi, Wang Y, Zhang J, Huang L, et al. Diet for chronic sigmoiditis during exacerbations is the same as for acute sigmoiditis. It is much more effective to use "protected" ampicillin / sulbactam or amoxiclav, which if necessary can be combined with the administration of adequate doses of "pure" oxacillin, aminoglycosides (gentamicin, amikacin) or with other antistaphylococcal agents. Crohn's disease is characterized by damage to all layers of the intestinal wall, therefore the pathology is complicated by the development of internal and external fistulas. Nonspecific ulcerative colitis can develop at any age, but young people between the ages of 20 and 40 are most often affected. In inhalation mode of administration, one should beware of bophorrhoea, which can have undesirable consequences if the patient has a cough reflex (IP Zamotayev). Aminoglycosides have a high activity against certain gram-positive (staphylococcus and / faecalis) and most gram-negative pathogens, including the enterococcus family (Escherichia coli, Klebsiella, Proteus, Enterobacter, etc.). Poisoning with canned fish, meat and vegetables, Pneumonia - Treatment regimen and nutrition, Antibacterial drugs for the treatment of pneumonia, Fighting complications of acute pneumonia, Physiotherapy, exercise therapy, respiratory gymnastics with pneumonia, Sanatorium treatment and rehabilitation for pneumonia, On 0,25-0,5 2 times a day, regardless of food intake, 500 mg per day for 5 days, then ingestion for 5 more days, "Protected" aminopenicillins (amoksiklav, ampicillin / sulbactam, etc. Among hypertensive patients, only 25% appear to be well controlled. Complex treatment of pneumonia should be aimed at suppressing infection, restoring pulmonary and general resistance, improving the drainage function of the bronchi, eliminating complications of the disease. It should be remembered, however, that social and domestic factors, such as the inability to care for the patient at home, can influence the final decision on hospitalization. Paracetamol and alcohol: why joint use is dangerous? The causative agents of acute infectious sigmoiditis (Shigella dysentery and entero-invasive E. coli) are self-eliminating infections, so the main treatment consists of a strict diet, rehydration and vitamin therapy. In addition to microclysters, therapeutic enemas are used for the local treatment of sigmoiditis and proctosigmoiditis, which include herbs that have anti-inflammatory and enveloping effects: When proctosigmoiditis positive effect was observed after enemas with furatsilinom, sunflower oil, as well as when using medicinal candles. Antibiotics are prescribed for severe dysentery in elderly patients. When microbiological confirmation of the etiology of pneumonia, etiopropletic therapy is adjusted taking into account the definition of individual sensitivity to antibiotics. Antibiotics are used if necessary. The Pseudomonas aeruginosa, Klebsiella, enterobacter, etc. pronounced structures leading to intestinal obstruction; the formation of external or internal fistula; toxic intestinal expansion tolerant to therapy (24 hours); MAGLINIZATION (malignant tumor formation); profuse bleeding, not amenable to complex therapy. Apply astringent and adsorbing microclysters (they are also called anti-inflammatory) using starch, chamomile, tannin, and herb St. John's wort. Sigmoiditis in ulcerative colitis is accompanied by symptoms of intoxication: Isolated proctosigmoiditis has, as a rule, a chronically-relapsing course, with periods of remission of up to 3-6 months, and exacerbations of varying severity. ), although highly effective antimicrobials, have a relatively narrow spectrum of action, mainly directed at gram-negative flora, anaerobes, staphylococci, etc. The average duration of antibiotic treatment, depending on the pathogen of pneumonia (according to Yu.K. If patients with hospital pneumonia are more likely to have an anaerobic infection, a combination of cephalosporin II-III generations with modern macrolides or a combination of aminoglycosides with ciprofloxacin or "respiratory" fluoroquinolones is advisable. It said a clinical study showed improvement in 55 percent of outpatient cases on the seventh day of treatment with Coronavir, against 20 percent of those with standard etiotropic therapy – meaning treatment of cause rather than symptoms. This indicator is considered important. Ampicillin also belongs to the group of aminopepicillins and, in the spectrum of its action, resembles amoxicillin, affecting gram-positive and, to a lesser extent, gram-negative flora, including streptococcus, pneumococcus, Escherichia coli, Proteus, moraxella, etc. Hospital (nosocomial) pneumonia is known to have the most severe course and high lethality, reaching on average 10-20%, and with infection with Pseudomonas aeruginosa - 70-80%. Monotherapy with parenteral fluoroquinolones of III and IV generations is also effective. The classic clinical picture of acute sigmoiditis causes dysentery pathogens - Shigella. In recent years, the drug is preferred because, due to the long half-life, it can be administered once a day at a dose of 1-2 g. Cefotaxime is somewhat inferior to ceftriaxone in action on Gram-positive and Gram-negative bacteria. Deep respiratory movements stimulate a cough reflex, and breathing with the creation of artificial resistance during exhalation (through closed lips, special flutters or other devices) prevents the expiratory collapse of small bronchi and the formation of micro-teleclactases. The drug is used in the form of inhalations of 3-6 ml of 20% solution 2-3 times a day. Transitory episodes of vascular insufficiency can cause reversible changes that disappear during remission, but chronic oxygen starvation leads to proliferation of connective tissue with the subsequent formation of fibrous strictures (narrowing of the intestinal lumen). Intestinal bleeding occurs in 80% of patients. Parenteral ampicillin is prescribed in a daily dose of 2-4 g, divided into 3-4 injections. If the disease progresses, erosion deepens. Neighborhood with the rectum and some anatomical and physiological features have led to the fact that isolated sigmoiditis is relatively rare. In these latter cases, it is advisable to prescribe antibiotics with high antisignogenic activity: Staphylococcal destructive pneumonia. If the appointment of a general diet aggravates the process, it is necessary to return to the 4c ​​diet. With a long course of chronic non-ulcer sigmoiditis, the asthenovegetative syndrome develops: fatigue, irritability, poor sleep. For sigmoiditis characteristic violations of the frequency of the chair in the form of diarrhea, less constipation. In addition, under the influence of these drugs, the secretion of bronchial glands intensifies and a certain decrease in the viscosity of sputum occurs. etiotropic. In severe pneumonia, which is associated with high mortality, the patient should be admitted to the intensive care unit or intensive care unit (ICU). With a more severe course of the disease, cefuroxime is administered intravenously or intramuscularly at a dose of 750-1500 mg 3 times a day. As is known, the intestine consists of thin and thick sections. The causes of sigmoiditis are quite diverse. ), which have very high activity against pneumococci, chlamydia, mycoplasmas, and gram-negative pathogens. ); "Protected" aminopenicillins (amoksiklav, ampicillin / sulbactam); cephalosporins I, II and IV generations (cefazolin, cefuroxime, cefepime); cephalosporins of the third generation (cefotaxime, ceftriaxone, ceftazidime, etc.) Digestion and absorption of essential nutrients take place in the small intestine. Recall that the main pathogens of nosocomial pneumonia are: Thus, among the pathogens of nosocomial pneumonia, the specific gravity of gram-negative microflora, staphylococcus and anaerobic bacteria is very high. The nutritional factor (lack of dietary fiber in the diet, and frequent use of chemical preservatives and dyes) has a certain value in the development of pathology. Preferred is the use of inhalation forms of beta2-adrenostimulyatorov (beroteka, beroduala, etc. Particular attention should be paid to the treatment of abscessed pneumonia, the pathogens of which are usually a mixed flora - a combination of anaerobes (often Prevotella melaninogenlca) with aerobes (more often Staphylococcus aureus, less often Gram-negative bacteria, including Pseudomonas aeruginosa). The development of hemolytic anemia, pathology of the kidneys, thyroid gland (less common). Copyright © 2011 - 2021 iLive. For the most common etiological factors of community-acquired pneumonia. In severe pneumonia, detoxification therapy is carried out. When it is involved in the inflammatory process, the disease occurs in the form of proctosigmoiditis, or in the form of a more common form of the disease (in 25% of patients with ulcerative colitis, the disease affects the entire large intestine). And finally, in severe cases, inflammation spreads to all layers of the intestinal wall, goes beyond its limits and affects the visceral peritoneum. Hospital-associated ventilator-associated pneumonia (BAII). And E. Coli. Therefore, it is necessary to take these medicines and cute, individually selected, doses, at least 5-6 times a day. Treatment plan 1. Features of the anatomical location (for example, sigmoid colon compression occurs frequently in the pregnant uterus). four. Pain in this disease is cramping in nature. b. As a rule, they have very low activity against pneumococci, hemophilic rod and intracellular pathogens, i.e. Theoretically, ampiox has the properties inherent in both components. Pharmacotherapy (or drug therapy), the treatment of disease by drugs. This mechanism acquires special significance in a patient with bronchopneumonia of various genesis, as well as in patients with concomitant chronic bronchial diseases (chronic obstructive bronchitis, bronchiectasis, cystic fibrosis, etc.). combination of cephalosporins II-III generation with modern macrolides. Often, tenesmus is accompanied by the release of a small amount of mucus, pus and / or blood. In the SOC group, hydroxychloroquine or chloroquine was administered to 15/20 (75.0%) patients, lopinavir/ritonavir was used in 1/20 (5%) patient, and 4/20 (20%) patients did not receive etiotropic treatment. The protocol we utilize is a combination of 1 Rx antiviral drug, Valacyclovir . Levofloxacin (Tavanic) - a preparation of the third generation - is used in a dose of 250-500 mg. Once a day for ingestion and 0.5-1.0 g per day for intravenous administration. At the same time, it affects the reversible component of bronchial obstruction due to anticomplementary binding of calcium ions, stabilization of lysosomal membranes, blockade of inositol triphosphate receptors. The large intestine consists of the colon and rectum. For example, in patients with OHMK, patients after thoracoabdominal operations or with the presence of a nasogastric tube, when the aspiration of the oropharyngeal microflora is the main pathogenetic factor in the development of the oropharyngeal pneumonia, the pathogens of hospital pneumonia are anaerobic microorganisms (Bacteroides spp., Peptostreptoxoccus spp., Fusohacterium nucleatum, Prevotella spp. Herbal medicine is widely used in the treatment of chronic non-ulcer sigmoiditis. "Protected" aminopenicillins (amoxiclav, ampicillin / sulbactam); cephalosporin II-IV generations (cefuroxime, cefotaxime, ceftriaxone, cefpir, cefepime); "Respiratory" fluoroquinolones (levofloxacin). Perhaps their combination with aminoglycosides II and III generations. Ceftriaxone (Rocefii, Lendacin) has a particularly high activity against hemophilic rods and pneumococci. In chronic circulatory failure, etiotropic treatment may be radical (vascular plasty) or conservative (correction of heart failure and hypovolemia). Acute and chronic sigmoiditis caused by intestinal infections (dysentery and dysentery-like intestinal lesions). In cases of pneumococcal pneumonia complicated by bacteremia, the complete reverse development of pneumonic infiltration during 8 pedules is observed only in 70% of patients, and in the remaining patients - only to 14-18 pedules. Meanwhile, the activity of oxacillin against pneumococci, streptococci is comparatively small. Nonspecific ulcerative colitis Ulcerative colitis is a serious disease of the large intestine of unexplained etiology, characterized by an ulcerative lesion of the intestinal wall and the development of complications, both local and systemic. In the second place in terms of the frequency of the lesion is the sigmoid colon. Through the catheter in the subclavian vein injected solutions of protein preparations, essential amino acids, fat emulsions, glucose solutions, electrolytes. Nevertheless, an important property of oxacillin, which is part of ampiox, has so far been its ability to bind peniillinase (ß-lactamase) of gram-negative bacteria and thereby prevent the destruction of these bacteria by the beta-lactam ring of ampicillin. Thus, the combination of ampicillin and oxacillin in ampiox is now absolutely unjustified and obsolete. © Copyright 2019-2020 | ), "Respiratory" fluoroquinolones (levofloxacin, moxifloxacin), "Protected" ureidopenicillins (picarcillin / clavulanate, piperacillin / tazobactam), Aminopenicillins (amoxicillin, amoxiclav, ampicillin / sulbactam), Cephalosporins of the first generation (cefazolin), Cephalosporins of II-IV generations (cefuroxime, cefotaxime, ceftriaxone, cefazidime, cefepime, etc. Currently, the following are the main indications for the hospitalization of a patient: The basis for the treatment of pneumonia is antibacterial drugs. In addition to shigella, so-called entero-invasive E. coli, producing a similar toxin, can cause a similar clinical picture. It is a mucopolysaccharide with a high sulfur content, it has a significant negative charge and is able to interact with various basic and amphoteric substances. In some patients pneumonia, especially in patients with severe disease or in persons prone to the occurrence of bronchospastic syndrome, it is advisable to use bronchodilators. Currently, a large number of schemes for the empirical treatment of community-acquired pneumonia have been proposed, in which preference is given to certain antibacterial drugs. Gentamycin is prescribed in a dose of 1.0-2.5 mg / cc every 8-12 hours, and amikacin - 500 mg every 8-12 hours. Ischemic pain occurs when the load requires increased blood supply, that is, after a meal. The most widespread microclysters. ), M-holinolitikov (atroventa) and intravenous infusion of 2.4% solution of euphyllin. Hereditary predisposition is traced (17% of patients have a burdened family history). In severe acute ischemia leading to intestinal necrosis, left-sided colectomy is performed. We've got 1 shorthand for Etiotropic Trauma Management » What is the abbreviation for Etiotropic Trauma Management? Etiotropic therapy is a treatment aimed at eliminating the cause of infection. In the large intestine, digestion is completely absent. cephalosporins II and III generations (parenterally cefuroxime, ceftriaxone or cefotaxime), preferably in combination with modern macrolides; monotherapy with "respiratory" fluoroquinolones of III-IV generations (parenteral levofloxacin). The disease can last for years, leading to exhaustion of the patient, and to the development of complications. With the threat of the development of secondary purulent infection and sepsis, anti-bacterial preparations are prescribed. (ē″tē-ō-trŏp′ĭk) [Gr. Much less often, circulatory insufficiency of the sigmoid colon can be caused by congenital malformations of the vessels, their damage in systemic diseases of the connective tissue (periarteritis nodosa, etc.) This is due to the fact that modern aminoglycosides (gentamicin, amikacin, etc.) Chronic radial colitis can develop months and years after irradiation. Sigmoiditis caused by insufficient blood circulation in the intestine (ischemic sigmoiditis). However, with the use of "protected" ampicillin (ampicillin / sulbactam), its spectrum expands and the drug becomes active against many strains of golden and epidermal staphylococcus. The effect occurs in 30-60 minutes and lasts 2-4 hours. combination of "protected" aminopenicillins (amoksiklav, ampicillin / sulbactam) with aminoglycosides II-III generations (amikacin, gentamycin); combination of cephalosporins II-IV generations (cefuroxime, cefotaxime, ceftriaxone, cefpyr, cefepime) with amikacin or gentamycin; a combination of "protected" ureidopenicillins (antinsinonex penicillins) with aminoglycosides II and III generations; a combination of "respiratory" fluoroquinolones (levofloxacia) with aminoglycosides II and III generations. Also, a person has a frequency of stool. As alternative drugs for the treatment of community-acquired pneumonia of severe course, intravenous infusions of carbapenems (imipemem, meropenem), including in combination with modern macrolides, can be used. The sigmoid colon is an S-shaped end section of the colon. It should also be borne in mind that in 10-20% of cases the cause of pneumonia are bacterial associations (myxinfection), for example, "typical" and "atypical") (intracellular) pathogens (mycoplasma, chlamydia, legionella, etc.). As a result, endothelial contractions of the smooth muscles of the bronchi are intensified, the secretion of the bronchial glands is increased, and the amount of liquid bronchial secretion is increased. In these cases, antibacterial effects, potential toxicity and cost of treatment are minimized. The causative agent of early VAP is most often pneumococci, hemophilic rod, Staphylococcus aureus and anaerobic bacteria. Definiții, conjugări, declinări, paradigme pentru etiotrop din dicționarele: MDN '00, Ortografic, DETS They excel other antibiotics of this group by the severity of the action on most gram-negative pathogens and streptococci. Oxacillin is known to be one of the effective anti-staphylococcal drugs, demonstrating its activity towards penicillin-resistant staphylococcus aureus (PRSA), which is resistant to ampicillin and other "unprotected" aminopenicillins. When complicating pneumonia respiratory failure heparin has antihypoxic, antiserotonin, antialdosterone and diuretic effect. If suspicion of the role of Gram-negative microflora in the genesis of abscessed pneumonia, including Pseudomonas aeruginosa, it is advisable to use so-called antipseudomonasal ß-lactam antibiotics (cefazidime, cefepime, imipepema, meropenem) in combination with parenteral macrolides and ciprofloxacin. Novikov), 3 days after the normalization of temperature (not less than 5-7 days), Enterobacteria and Pseudomonas aeruginosa, Pneumonia complicated by abscess formation. Prolonged pneumonia should not be confused with cases of the disease, resistant to the treatment of pneumonia. ); pneumococcusa {Streptococcus pneumoniae); Staphylococcus aureus (Staphylococcus aureus); anaerobic bacteria (Fusohacterium spp., Bacteroides spp., Peptostreptococcus spp.). In severe diarrhea, it is recommended to spend 1-3 hungry days. Nevertheless, it should be remembered that ciprofloxacin (fluoroquinolone II generation), widely used in clinical practice, shows relatively low activity against pneumococci, mycoplasmas and chlamydia. In addition, this section of the colon has a long mesentery, which contributes to increased mobility of the department. Note that the numbers in parentheses ([1], [2], etc.) Generalized aggressive periodontitis results in rapid destruction of the periodontium and can lead to early tooth loss in the affected individuals if not diagnosed early and treated appropriately. With the development of adhesions and strictures, the pain becomes permanent. For pneumonia of mild severity, in particular for the treatment of patients at home, the use of an oral preparation of the second generation cefuroxime (Ketocepha, Zinacef) is recommended, which has a high activity against pneumococci and certain gram-negative bacteria - Haemophilus influenzae, Moraxella catarrhalis, E. Coli and Drug taken in a dose of 250-500 mg 2 times a day after meals. The speed of this movement becomes even less if it thines out the layer of the liquid layer (sol), which to a certain extent prevents the sputum from adhering to the walls of the bronchi. This effect is explained by inhibition of neutrophil chemotaxis, increased activity of macrophages, inactivation of histamine and serotonin, increased antibacterial activity of chemotherapeutic agents, and a decrease in their toxic effect. The drug is well tolerated, but its use requires caution in patients prone to bronchospasm or pulmonary hemorrhage. Cal more often liquid, often offensive, having the form of meat slop. The drug is usually well tolerated. Not all therapies are effective.Many therapies can produce unwanted adverse effects.. The drug is less active than amoxicillin, but well is tolerated, and toxic reactions rarely develop, even with prolonged use of high doses of the drug. As a rule, there is a combined lesion of the end section of the gastrointestinal tract - proctosigmoiditis. There are intravenous drip infusions of native and / or freshly frozen plasma (1000-2000 ml for 3 days) or intravenously immunoglobulin 6-10 g per day once. It is even better to use modern low molecular weight heparins. The latter circumstance underscores the need for a combination of carbapenems with parenteral modern macrolides. Adults drug prescribed in a dose of 30 mg (1 tablet) 3 times a day for the first 3 days, and then 30 mg 2 times a day. In addition to the above forms, morphologically emit also hemorrhagic (inflammation of the mucous membrane, accompanied by the appearance of point hemorrhages) and purulent hemorrhagic sigmoiditis (hemorrhagic form with the presence of a large amount of pus on the surface of the intestinal mucosa). This facilitates the drainage of the lungs and decreases the severity of inflammatory changes in the lung tissue. Pneumonia treatment involves the administration of hyperimmune plasma intravenously (4-6 ml / kg) and immunoglobulin of 3 biodosomes intramuscularly daily for the first 7-10 days of the disease. The most characteristic symptoms of ulcerative colitis are diarrhea and intestinal bleeding. Opposite of nosotropic. The inflammatory process caused by ischemia is characterized by the addition of a secondary bacterial infection, damage to the entire thickness of the intestinal wall with the formation of ulcers and subsequent scar deformity. Fecal masses at the same time contain a large amount of pus, and may have a fetid character. No less effective is the monotherapy of "respiratory" parenteral fluoroquinolones with increased antipnevmokokkova activity. The choice of the most effective of them depends on many factors, primarily on the accuracy of identification of the causative agent of pneumonia, its sensitivity to antibiotics and the early onset of adequate treatment of pneumonia with antibiotics. Activity of antibacterial drugs against the most likely pathogens of pneumonia, Aminopenicillins (amoxicillin, amoxiclav, ampicillin / sulbactam, etc. Macrolides are a group of antibiotics that are highly active against gram-positive cocci (streptococci, pneumococci, golden and epidermal staphylococci), some gram-negative bacteria (hemophilic rod), some anaerobes (B./ragilis, clostridia, etc. The clinical manifestations of sigmoiditis depend on a number of factors, such as: However, there are common characteristic symptoms of sigmoiditis: However, one should take into account the anatomical features of the structure of the sigmoid colon. Thus, the ability of unimpeded removal of sputum from the respiratory tract is primarily determined by its rheological properties, the water content in both phases of the bronchial secretion (gel and sol), and by the intensity and coordination of the activity of the cilia of the ciliated epithelium. Another characteristic symptom is diarrhea (up to 10-12 times per day) and the presence of blood in the feces. For reasons of occurrence, inflammatory lesions of the sigmoid colon can be divided into several groups: one. The liquid stool is caused by a violation of the reverse suction of water, and the bleeding is caused by an ulcerative lesion of the intestine. Buy augmentin 875 mg tablets online in US. In addition, bromhexine is able to stimulate the formation of surfactant type II alveolocytes. ), Amoxicillin ("unprotected" aminopenicillin), Methicillin-resistant Staphylococcus strains, Intracellular pathogens (mycoplasma, chlamydia, legionella), Gram-negative enterococci (intestinal group), Anemia (hemoglobin <90 g / l or hematocrit <30%), Social indications (impossibility of caring for a patient at home). The branch of medicine that deals with the causes or origins of disease. The skin above the nodes initially has a purple-blue tint, then turns yellow, and becomes normal. The latter, as is known, can not be detected by classical routine methods of microbiological research, which creates serious difficulties in the selection of adequate etiotropic treatment. Due to the ability of clavulonic acid to inhibit the negative effect of beta-lactamase bacteria, the spectrum of action is significantly expanded and the activity of amoxicillin significantly increases with respect to the majority of staphylococci, gram-negative bacteria, non-spore forming anaerobes and some strains of Klebsiella spp.

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