Hướng dẫn điều trị Enterobacterale sản sinh ESBL theo IDSA 2024

Giới thiệu ESBLs (beta-lactamase phổ rộng) là các enzym bất hoạt hầu hết penicillin, cephalosporin và aztreonam. ESBL-E nhìn chung vẫn còn nhạy với carbapenem. ESBLs không ức chế các kháng sinh ngoài nhóm beta-lactam (vd: ciprofloxacin, TMP-SMX, gentamicin). Tuy nhiên, các vi khuẩn mang gen ESBL thường có thêm các gen khác hoặc đột biến gen làm mở rộng phổ kháng thuốc ra các nhóm kháng sinh khác.
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Cuộc đời thì ngắn, mà nghề thì miên man;cơn bệnh phập phù;kinh nghiệm hiểm nguy, còn quyết định thì thật khó.Người thầy thuốc không phải chỉ chuẩn bị để tự mình làm đúng, mà còn khiến cho bệnh nhân, người đi theo và các yếu tố xung quanh hợp tác hài…
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_WidgetManager._RegisterWidget('_ContactFormView', new _WidgetInfo('ContactForm0000001', 'sec_Theme_Hidden', document.getElementById('ContactForm0000001'), {'contactFormMessageSendingMsg': '\u0110ang g\u1eedi...', 'contactFormMessageSentMsg': 'Th\u01b0 c\u1ee7a b\u1ea1n \u0111\xe3 \u0111\u01b0\u1ee3c g\u1eedi.', 'contactFormMessageNotSentMsg': 'Kh\xf4ng th\u1ec3 g\u1eedi th\u01b0.\xa0Vui l\xf2ng\xa0th\u1eed l\u1ea1i sau.', 'contactFormInvalidEmailMsg': 'C\u1ea7n nh\u1eadp \u0111\u1ecba ch\u1ec9 email h\u1ee3p l\u1ec7.', 'contactFormEmptyMessageMsg': 'Tr\u01b0\u1eddng th\u01b0 kh\xf4ng th\u1ec3 \u0111\u1ec3 tr\u1ed1ng.', 'title': 'Bi\u1ec3u m\u1eabu li\xean h\u1ec7', 'blogId': '6712670173064621179', 'contactFormNameMsg': 'T\xean', 'contactFormEmailMsg': 'Email', 'contactFormMessageMsg': 'Th\xf4ng b\xe1o', 'contactFormSendMsg': 'G\u1eedi', 'contactFormToken': 'AOuZoY4p5j7YExW-qqivGOc_3FKT8EBmIA:1740660577090', 'submitUrl': 'https://www.blogger.com/contact-form.do'}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_LinkListView', new _WidgetInfo('LinkList0000002', 'sec_Addon_Widgets', document.getElementById('LinkList0000002'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_LinkListView', new _WidgetInfo('LinkList7', 'sec_Addon_Widgets', document.getElementById('LinkList7'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML22', 'sec_Addon_Widgets', document.getElementById('HTML22'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image5', 'sec_Addon_Widgets', document.getElementById('Image5'), {'resize': false}, 'displayModeFull'));
</script>
</body>
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