9.陳女士懷孕12週,發生急性腎盂腎炎(acute pyelonephritis),下列何者最不建議用於其泌
尿道感染?
(A)amoxicillin and clavulanate potassium
(B)cefazolin
(C)nitrofurantoin
(D)ciprofloxacin
統計: A(254), B(666), C(1005), D(3630), E(0) #1152138
詳解 (共 10 筆)
5 懷孕末期三個月若感染急性膀胱炎,最宜使用下列那一個抗感染藥物?
(A) Doxycycline
(B) Norfloxacin
(C) Nitrofurantoin
(D) Trimethoprim-sulfamethoxazole
專技 - 藥物治療學- 100 年 - 100-2-藥師-藥物治療學#9921
答案:C
(A) Nitrofurantoin
(B) Chloramphenicol
(C) Ciprofloxacin
(D) Fluconazole
Nitrofurantoin 禁忌對象:
Because of the possibility of hemolytic anemia caused by immature erythrocyte enzyme systems (glutathione instability), the drug is contraindicated in pregnant patients at term (38 to 42 weeks gestation), during labor and delivery, or when the onset of labor is imminent; also contraindicated in neonates younger than 1 month of age.
UTI in pregnancy 最適用: penicillins, cephalosporins (如Amoxicillin-clavulanate, cephalexin)
Nitrofurantoin懷孕末期三個月仍可用
須避免使用FQ類,TMP-SMX
這不是矛盾嗎???
Nitrofurantoin禁忌:懷孕38-42週的孕婦、一個月以下嬰兒、G6PD缺乏患者
5 懷孕末三個月若感染急性膀胱炎,最宜使用下列那一個抗感染藥物?
(A) Doxycycline
(B) Norfloxacin
(C) Nitrofurantoin
(D) Trimethoprim-sulfamethoxazole
專技 - 藥物治療學- 100 年 - 100-2-藥師-藥物治療學#9921
答案:C