肺部感染的抗菌药物应用(10)
3.有效抗生素的选择
有效的经验性治疗决不意味临床上可忽视或放弃病原学检查。因为成功的经验治疗常以先前所掌握的病原学知识为依据。由于受不同地区、医院抗菌药物应用差异和肺部感染病原学变迁的影响，经验治疗也不能以一应万。因此，在经验治疗的同时应积极开展病原学诊断，根据病原种类和药敏试验，选择和调整用药(表11)
参考文献
1.戴自英，刘裕昆，汪复。实用抗菌药物学，第2版，上海科学技术出版社。1998年，110-297
2.Winn RE.Respiratory infections in critical care units,Clinics in chest Medicine.1990;4(1):125-144
3.Gleeson K,Reynolds Hy.Life-threatening pneumonia,Clinics in chest Medicine.1994;15(3):581-602
4.Lynch JP.Community-aquired pneumonia.J Respir Dis.1992;13:1619
5.Liv HH.Antibiotic resistance in bacteria. A current and future problem, Advances in Experimental medicine and Biology .1999;455:387-396
6.Ball P.Therapy for pneumococcal infection at the millennium. doubts and certainties, American Journal of medicine.1999;101(IA):77s-85s
7.Lark RL.Chenaveth C. Antimicrobial resistance in community-acquired respiratory tract pathogens,Comprehensive therapy.1999;25(1):20-29
8.Witte W.Antibiotic resistance in grampositive bocteria:epidemiological aspects.1999;44 suppl A:1-9
9.Lerma AF.Modification of empiric antibiotic treatment in patients with pneumonia acquired in the intensive care unit.ICU-Acquired pneumonia Study Group,Intensive care Med .1996;22:387-394, 百拇医药(夏锡荣)
有效的经验性治疗决不意味临床上可忽视或放弃病原学检查。因为成功的经验治疗常以先前所掌握的病原学知识为依据。由于受不同地区、医院抗菌药物应用差异和肺部感染病原学变迁的影响，经验治疗也不能以一应万。因此，在经验治疗的同时应积极开展病原学诊断，根据病原种类和药敏试验，选择和调整用药(表11)
参考文献
1.戴自英，刘裕昆，汪复。实用抗菌药物学，第2版，上海科学技术出版社。1998年，110-297
2.Winn RE.Respiratory infections in critical care units,Clinics in chest Medicine.1990;4(1):125-144
3.Gleeson K,Reynolds Hy.Life-threatening pneumonia,Clinics in chest Medicine.1994;15(3):581-602
4.Lynch JP.Community-aquired pneumonia.J Respir Dis.1992;13:1619
5.Liv HH.Antibiotic resistance in bacteria. A current and future problem, Advances in Experimental medicine and Biology .1999;455:387-396
6.Ball P.Therapy for pneumococcal infection at the millennium. doubts and certainties, American Journal of medicine.1999;101(IA):77s-85s
7.Lark RL.Chenaveth C. Antimicrobial resistance in community-acquired respiratory tract pathogens,Comprehensive therapy.1999;25(1):20-29
8.Witte W.Antibiotic resistance in grampositive bocteria:epidemiological aspects.1999;44 suppl A:1-9
9.Lerma AF.Modification of empiric antibiotic treatment in patients with pneumonia acquired in the intensive care unit.ICU-Acquired pneumonia Study Group,Intensive care Med .1996;22:387-394, 百拇医药(夏锡荣)