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Hämastasiologie, Infektiologie (Subject) / Multiresistente Erreger (Lesson)

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• Problemkeime MRSA (Methicillinresistente Staph. aureus) VRE (vancomycinresistenter Enterococcus) MRGN (multiresistente gramneg. Erreger) Clostridium difficile
• Antibiotika bei MRSA Vancomycin, Daptomycin iv Linezolid iv, po Tigecyclin, Fosmfomycin iv Cortimoxacol iv, po rifampicin po
• Antibiotika bei Enterokokken E. faecalis: Vancomycin E. faecium: Vancomycin, Teicoplanin Vancomycin resistent: Linezolid, Daptomycin, Tigecyclin, Aminoglykoside
• Multiresistente gramnegative Erreger (MRGN) Enterobacteriaceae: E. coli, Klebsiella, Enterobacter spp., Enterobakterien, Proteus spp., Morganella, Serratia, Citrobacter-> Darm Pseudomonas aeruginosa: Lunge, Wasser Acinetobacter spp.: baumanii -> Haut
• Antibiotika bei Multiresistente gramnegative Erreger (MRGN) 3MRGN: Carbapeneme 4MRGN Acinetobacter baumanii: Colistin iv MRGN Stenotrophomonas spp.: Tigecyclin iv Stenotrophomonas spp.: Cotrimoxazol resistente Pseudomomaden, MRSA: Fosfomycin in Kombi ggf. Aminoglykoside (Cave: Toxozität)-> nach Resistogramm
• Risiko für C. difficile 4C: Cephalosporine, Chinolone, Clindamycin, Clarithromycin

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