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1、DrugsofChoice,FirstChoice,Alternative(s)GRAM-POSITIVECOCCIEnterococcusfaecalis(generallynotasresistanttoantibioticsasEnterococcusfaecium)Seriousinfection(endocarditis,meningitis,pyelonephritiswithbacteremia)Ampicillin(orpenicillinG)+(gentamicinorstreptomycin)
2、Vancomycin+(gentamicinorstreptomycin),linezolid,daptomycin,tigecyclineUrinarytractinfection(UTI)Ampicillin,amoxicillinFosfomycinornitrofurantoinE.faecium(generallymoreresistanttoantibioticsthanE.faecalis)Recommendconsultationwithinfectiousdiseasespecialist.Li
3、nezolid,quinupristin/dalfopristin,daptomycin,tigecyclineStaphylococcusaureus/StaphylococcusepidermidisMethicillin(oxacillin)-sensitivePRPaFGC,b,ctrimethoprim-sulfamethoxazole,clindamycin,dampicillinsulbactam,oramoxicillin-clavulanateMethicillin(oxacillin)–res
4、istantVancomycin±(gentamicinorrifampin)Trimethoprim-sulfamethoxazole,doxycyclineeorclindamycind,Linezolid,quinupristin-dalfopristin,daptomycin,ortigecyclineStreptococcus(groupsA,B,C,G,andStreptococcusbovis)PenicillinGforVgorampicillinFGC,b,cerythromycin,azith
5、romycin,clarithromycin,hStreptococcuspneumoniaePenicillin-sensitive(MIC<0.1mcg/mL)PenicillinGorVorampicillinErythromycin,FGC,b,cdoxycycline,azithromycin,clarithromycinhPenicillinintermediate(MIC0.1–1.0mcg/mL)High-dosepenicillin(12millionunits/dayforadults)orc
6、eftriaxonecorcefotaximecLevofloxacin,imoxifloxacin,igemifloxacin,itelithromycin,orvancomycinPenicillin-resistant(MIC≥1.0mcg/mL)Recommendconsultationwithinfectiousdiseasespecialist.Vancomycin±rifampinPersensitivities:TGC,c,jtelithromycin,levofloxacin,imoxiflox
7、acin,iorgemifloxaciniStreptococcus,viridansgroupPenicillinG±gentamicinkTGC,c,jerythromycin,azithromycin,clarithromycin,horvancomycin±gentamicinGRAM-NEGATIVECOCCIMoraxella(Branhamella)catarrhalisAmoxicillin-clavulanate,ampicillin-sulbactamTrimethoprim-sulfamet
8、hoxazole,erythromycin,azithromycin,clarithromycin,hdoxycycline,eSGC,c,lTGC,c,jorTGCPOc,mNeisseriagonorrhoeae(alsogiveconcomitanttreatmentforChlamydiatrachomatis)Disseminatedgonococcalinfe