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قناة تعليمية، سريرية، تهتم بنشر ملاحظات علاجية تحتوي على ما يفيدك كطالب أو دكتور..📋 للاستفسار عن معلومة أو مصدر 👇 @Twasl2_1bot قناتنا الثانية خاصة بالكتب والمراجع👇🏻👇🏻👇🏻👇🏻 📋Clinical Pharmacy Studies 🔎 @Clinical_Pharmacy_Study

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تقبل الله منكم صالح الأعمال وعيدكم مبارك وكل عام وأنتم بخير.. 🌷

2	رمضان كريم وكل عام وأنتم من الذين شملتهم مغفرة الله ورحمته، وجعلنا وإياكم من عتقائه..💛🙏	695
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11	⭕Initial Treatment Strategies for Inpatients with Community-acquired Pneumonia by Level of Severity and Risk for Drug Resistance (MRSA) : ⬅️أولا: إذا كان المريض ⭕Nonsevere inpatient pneumonia: نعطيه ✔️b-Lactam + macrolide Or ✔️ respiratory fluroquinolone و إذا كان المريض : ✅Prior Respiratory Isolation of MRSA: ✔️Add coverage of MRSA drugs and obtain cultures/nasal PCR to allow deescalation or confirmation of need to continued therapy. أما إذا كان المريض ✅Recent Hospitalization and Parenteral Antibiotics and Locally Validated Risk Factors for MRSA: ✔️Obtain cultures but withhold MRSA coverage unless culture results are positive. If rapid nasal PCR is available, withhold additional empiric therapy against MRSA if rapid testing is negative or add coverage if PCR is positive and obtain for culture. ⬅️ثانيا: إذا كان المريض : ⭕Severe inpatient pneumonia: نبدأ نعطيه ✔️b-Lactam + macrolide Or ✔️ b-lactam + fluroquinolone وإذا كان : ✅Prior Respiratory Isolation of MRSA: ✔️ MRSA coverage and obtain cultures/nasal PCR to allow deescalation or confirmation of need for continued therapy أما إذا كان : ✅Recent Hospitalization and Parenteral Antibiotics and Locally Validated Risk Factors for MRSA : ✔️Add MRSA coverage obtain nasal PCR and cultures to allow deescalation or confirmation of need for continued therapy. 🔆#IDSA guideline 🔰Therapeutic Notes🔰 🟡@WikipharmaDr 🟡	3 633
12	شباب قناتنا التي نرسل فيها الكتب تم حظرنا من الإرسال فيها بسبب البلاغات نرجوا من يملك تلجرام مميز يعزز القناة بالقدر الذي يستطيع🙏 على هذا الرابط https://t.me/boost/Clinical_Pharmacy_Study كي نستمر بالنشر ولكم جزيل الشكر 🙏	736
13	مساء الخير ياشباب ممكن تنضموا للبوت هذا 👇 t.me/catsgang_bot/join?startapp=BzNpk8piRtDGgHhoUdKoj Meow, lets see who is OG 😼 عملة رقمية ادخل واسحب مباشرة على المنصات المركزية مثل باي بت واوك اكس او الانتضار لبعد غدا والسحب على محفظة تونكيبر وحولها دولار واسحب ريال يمني 😍 وروح خزن يوم ٣٠ 👍 هذه العملة لا تقل اهمية عن عملة Dogs الذي سحبناها وحصلنا منها مبلغ محترم 😌	353
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19	⭕Duration of Therapy: ✅ Antimicrobial therapy of established infection should be limited to 4 days, unless it is difficult to achieve adequate source control. Longer durations of therapy have not been associated with improved outcome. ✅For acute stomach and proximal jejunum perforations, in the absence of acid-reducing therapy or malignancy and when source control is achieved within 24 hours, prophylactic anti-infective therapy directed at aerobic gram-positive cocci for 24 hours is adequate. ✅ Bowel injuries attributable to penetrating, blunt, or iatrogenic trauma that are repaired within 12 hours and any other intraoperative contamination of the operative field by enteric contents should be treated with antibiotics for ≤24 hours . ✅Acute appendicitis without evidence of perforation, abscess, or local peritonitis requires only prophylactic administration of narrow spectrum regimens active against aerobic and facultative and obligate anaerobes; treatment should be discontinued within 24 hours . ✅ The administration of prophylactic antibiotics to patients with severe necrotizing pancreatitis prior to the diagnosis of infection is not recommended. 🔰Therapeutic Notes🔰 🟡@WikipharmaDr 🟡	1 138
20	⭕#Note ✅Ampicillin/sulbactam is not recommended for use because of high rates of resistance to this agent among community-acquired E. coli. ✅Quinolone-resistant E. coli have become common in some communities, and quinolones should not be used unless hospital surveys indicate 90% susceptibility of E. coli to quinolones. 🔰Therapeutic Notes🔰 🟡@WikipharmaDr 🟡	888

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