ab penisiln 2. powerpoint presentation

35
ANTI BIOTIKA PENISILIN DRS JUZRAL JIVAI MS APT FAKULTAS KEDOKTERAN UNIVERSITAS BAITURRAHMAH

Upload: rekihendika

Post on 07-Jul-2018

215 views

Category:

Documents


0 download

TRANSCRIPT

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 1/35

ANTI BIOTIKAPENISILIN

DRS JUZRAL JIVAI MS APT

FAKULTAS KEDOKTERANUNIVERSITAS BAITURRAHMAH

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 2/35

FARMAKOLOGI :  FARMAKODINAMI  ANTASID

 ANTIHISTAMIN  ANTIPIRETIKA  ANTITUSIV  ANTIBIOTIKA

SPEKTRUM : SEMPIT ; Penisilin

LUAS ; Ampisilin

GOLONGAN : PENISILIN – SEFALOSPORIN

 TETRASIKLIN – KLORAMFENIKOL

AMINOGLIKOSIDMAKROLID

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 3/35

 FARMAKOKINETIK  LIBERASI  ABSORBSI  DISTRIBUSI  METABOLISME  EKSKRESI

Efe O!"# A"n Te$%"&i Ap"!il" O!"# Men'"p"i T"$(e#

Den("n D)sis *"n( Tep"#

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 4/35

  AM AM

  M H

H KEADAAN FISIK

M SIFAT SIFAT

AM MEKANISME KER+ADOSIS

,AKTU PEMBERIAN

-ARA PEMBERIAN

LAMA PEMBERIAN

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 5/35

  S -H.

  H – NH – -H -H - – -H.

O / - N -H – -OOH

-0H12N2O.S

As"m 34"min) Penisilin"# 534APA6

S -H.

  C6H5.CH2.CO7NH – -H -H - – -H.

O / - N -H – -OOH

-13H10N2O8S

  Benil Penisilin / Penisilin G

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 6/35

  S -H.

  C6H5.CH(NH2).CO7NH – -H -H - – -H.

O / - N -H – -OOH

-13H1N.O8S

  Ampisilin

S -H.

HO7C6H4.CH(NH2).CO7NH – -H -H - – -H.

O / - N -H – -OOH

-13H1N.O<S

  Am)silin

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 7/35

PENEMU I PENISILIN FLEMING 51206 LONDON

FLORE* UNIV7 O=FORD O!"# #e$"pi Sis#emi

Bi""n Peni'illi>m n)#"#>m

PD7 II Ke!>#>?"n Penisilin menin("#Peni'illi>m '?$@s)(en>m 5Penisilin #e$!"i6

Be$&"s"$"n Pem!>"#"nn@" :

Al"mi : Penisilin G Ben"#in PenisilinSemisin#e#i : Ampisilin Kl)s"silin

Be$&"s"$"n Spe#$>m :

Sempi# : Benil Pen7 Ben"#in Pen75G$"m 6

L>"s : Am)sisilin Ampisilin

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 8/35

Pen(()l)n("n Penisilin :

Kel7 1 : Penisilin G Penisilin V &"n Penisilin B7

Spe#$>m Sempi#

 Ti&" T"?"n Penisilin"se

 T"?"n As"m Ke'>"li Penisilin G

Kel7 2 : Penisilin An#i S#"Cl))>s

Me#isilin N"fsilin

Spe#$>m Sempi#

 T"?"n Penisilin"se

 Ti&" T"?"n As"m

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 9/35

Kel7 . :Penisilin Is)s")l

Os"silin Kl)s"silin Dil)s"silinFl>l)s"silin

Spe#$>m Sempi# T"?"n Penisilin"se

 T"?"n As"m

Kel7 8 :Amin) Penisilin

Ampisilin Am)silin Es#e$ Ampisilin 5Pi"mpisilin B""mpisilin T"l"mpisilin6

Spe#$>m L>"s

 Ti&" T"?"n Penisilin"se

 T"?"n As"m

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 10/35

Kel7 < : Penisilin An#i Pse>&)m)n"s

K"$!enisilin Ti"$silin Al)silin

Spe#$>m L>"s

 Ti&" T"?"n Penisilin"se Ti&" T"?"n As"m

 Kel7 3 : Penislin &en("n Spe#$>m &ipe$l>"s

Mel)silin Pipe$silinSpe#$>m L>"s

 Ti&" T"?"n Penisilin"se

 Ti&" T"?"n As"m

Le!i? >"# ># Pse>&)m)n"s "e$>(in)s"&"$i K"$!enisilin &"n !"i ># ($"m 4

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 11/35

Me!"#$%e Ke&'!

Penisilin men(?"m!"# sin#esis &in&in( sel Mi$)!"5P"&" pem!en#>"n M>)pep#i&"6

Pe"#$##" (A!%#)B"#e$i)s#"#i &"n B"#e$i)si&

Efe#if #e$?"&"p !"#e$i G$"m P)s &"n Spi$)'?"e#" %>(" G)n))>s 5K)>s G$"m Ne( @( #& men(?sl

Penisilin"se6Penisilin G 5("$"m N"K6 S"n("# l"$># &"l"m "i$

L"$>#"n 1 5pH << – <6 I"#"n P$)#ein 8< – 3<

Es$esi 'ep"# mel"l>i #>!>l>s (in%"l 5)$"l 2 IM

346

Ben#> se&i""n O!"# In%esi )$"l >li# m"#"

Di"n#"$" G$"m P)s7 efe p"lin( $en&"? "&"l"?En#e$))>s 

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 12/35

Pe"#$##" V (!!%#)

AM >m>mn@" s"m" &en("n Pen7G se&ii# le!i?"#if #e$?"&"p S#"Cl))>s se&ii# >$"n( "#if

#e$?"&"p S#$ep#) )>s &"n le!i? >$"n( "#if#e$?"&"p G$"m Ne(7

S>"$ l"$># &"l"m "i$ l"$>#"n < 5pH 28 – 86

A!s)$!si >m>mn@" 'ep"# &"n le!i? )mpli# 5O$"l6

I"#"n p$)#ein << – 0

Es$esi mel"l>i (in%"l 52–.< 6 se&ii# empe&>

G"$"m -" &"n ("$"m K "!s)$!si le!i? 'ep"#

Ben#> se&i""n )$"l

Pne>m))>s '>>p sensi#if &en("n Penisilin G#i&" &i (>n""n Penisilin V 5Menin(i#isEn&)"$&i#is Pnem)ni6

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 13/35

Fe"e*#$##" (Pe"#$##" B.) 

AM >m>mn@" s"m" &en("n Pen7G &"n VM>&"? l"$># &"l"m "i$ l"$>#"n 1 5pH <<–<6

A!s)$!si le!i? )mpli# &"$i Pen7G >m>mn@"'ep"#

I"#"n Pl"sm" <

Es$esi mel"l>i (in%"l 5s"mp"i 3 6

Ben#> se&i""n )$"l

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 14/35

  Me*#$##" N!+ ($e%#$#"*e*#)

AM !"#e$i)si& #e$?&p s#"Cl)) "#if #e$?"&"pS#$ep#)

)>s J4?em)li#i>s ($>p A s#$ep#7i$i&"ns pne>m)M>&"? l"$># &"l"m "i$ l"$>#"n 1 5pH << – < 6

A!s)$!si 'ep"# 5IM6 I"#"n Pl"sm" 8

Es$esi mel"l>i (in%"l 53 6 Empe&> 52 6

Ben#> se&i""n O!"# In%esi m"#"N!,$##" N! ($e%#$#"*e*#)

AM>m>mn@" s"m" &en("n Kl)s"silin

M>&"? l"$># &"l"m "i$ l"$>#"n . 5pH <–6

A!s)$!si !"i mel"l>i IM &"n #i&" )mpli# mel"l>i O$"l

I"#"n Pl"sm" s"mp"i

Es$esi mel"l>i empe&> (in%"l 1 7

Ben#> se&i""n O!"# In%esi O$"l

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 15/35

K-$!$##" N! ($e%#$#"*e*#)

AM B"#e$i)si& "#if #e$?"&"p !"#e$i G$"m P)s Neisse$i"

5>$"n( "#if &"$i Pen7G6 #e#"pi #e$?&p S#"Cl)) @"n($esis#en pe" Penisilin "#ifn@" 8 – 0 "li Me#isilin

M>&"? l"$># &"l"m "i$ l"$>#"n 1 5pH <4 67

A!s)$!si !"i !e$>$"n( "&"n@" m""n"n 5IM le!i? !"i6

I"#"n Pl"sm" 8

Es$esi mel"l>i (in%"l 5. IM 2 )$"l6 1 empe&>

Ben#> se&i""n In%esi O$"l #elin("

O$!$##" N! ($e%#$#"*e*#)

AM >m>mn@" s"m" &en("n Kl)s"silin N"

M>&"? l"$># &"l"m "i$ l"$>#"n 1 5pH 8<4<6

A!s)$!si !e$>$"n( "&"n@" m""n"n 5IM le!i? !"i6

I"#"n Pl"sm" 8

Es$esi mel"l>i (in%"l empe&>

Ben#> se&i""n In%esi &"n O$"l

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 16/35

D#-$!$##" N! ($e%#$#"*e*#)

AM s"m" &en("n Kl)s"silin7 M>&"? l"$># "i$7

A!s)$!si le!i? !"i &$ Kl)s"si !e$>$"n( "&"n@"

mn"nI"#"n Pl"sm" 3 7 Es$esi mel"l>i (in%"l 567

Ben#> se&i"n O$"l

  F-$!$##" N! ($e%#$#"*e*#)

AM s"m" &en("n Kl)s"silin7

M>&"? l"$># &"l"m "i$ l"$>#"n 1 5pH 36

A!s)$!si le!i? !"i &"$i Kl)s" !e$>$"n( "&"n@"mn"n

I"#"n Pl"sm" < 7 Es$esi mel"l>i (in%"l 5< 6

Ben#> se&i""n In%esi &"n O$"l

# ## ( # # #)

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 17/35

A%/#$##" ($e%#$#"*e*#) 

AM !"#e$i)si& !"i #e$?"&"p !"#e$i G$"m P)s G$"mNe( Lis#e$i" #e#"pi #i&" "#if #e$?"&"p Pse>&)m)n"s7

S>"$ l"$># &"l"m "i$ l"$>#"n 2< 5pH .< 4 <<67A!s)$!si !"i !e$>$"n( "&"n@" m""n"n

I"#"n Pl"sm" 2< Es$esi mel"l>i (in%"l empe&> C'es

Ben#> se&i""n O!"# in%esi )$"lA%-$##" ($e%#$#"*e*#)

AM !"#e$i)si& >m>mn@" / Ampisilin se&ii# le!i?"#if

#e$?"&"p S#$ep#) P$)#e>s Se$$"#i" &"n S"lm)nell"7S>"$ l"$># &"l"m "i$ l"$>#"n 2 5pH .< – <<6

A!s)$!si !"i #i&" &ipen("$>?i m""n"n

Es$esi mel"l>i (in%"l 53 6

Ben#> se&i""n O!"# In%esi )$"l

P# # ## HC ( # # #) E A # ##

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 18/35

P#0!%/#$##" HC ($e%#$#"*e*#) E$*e& A%/#$##"

AM s"m" &en("n Ampisilin M>&"? l"$># &"l"m "i$

A!s)$!si !"i #i&" &ipen("$>?i m""n"n &"l"m

&"$"? &"n %"$in("n m>&"? &i?i&$)lis" men%"&i AmpisilinEs$esi mel"l>i Gin%"l 5 6

Ben#> se&i""n O$"l

T!!%/#$##" HC ($e%#$#"*e*#) E$*e& A%/#$##"

AM s"m" &en("n Ampisilin M>&"? l"$># &"l"m "i$A!s)$!si !"i #i&" &ipen("$>?i m""n"n &"l"m&"$"?

&"n %"$in("n m>&"? &i?i&$)lis" men%"&i Ampisilin

Es$esi mel"l>i Gin%"l 5 6Ben#> se&i""n O$"l

1 # ## ( # # #)

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 19/35

K!&1e"#$##" ($e%#$#"*e*#)

 Ti&" T"?"n As"m #e#"pi K"$in&"silin5K"$!enisilin4in&"nil6

K"$fenisilin 5K"$!enisilin4fenil6 #"?"n As"mAM !"#e$i)si& efe#if #e$?& Pse>&)m)n"ss#$"in P$)#e>s

@"n( Resis#en Ampisilin 5P$)#e>s Mi$"!ilis6M>&"? l"$># &"l"m "i$ l"$>#"n 1 5pH 3406

I"#"n P$)#ein <

Es$esi mel"l>i >$in 50 6

T#!&$##" N! ($e%#$#"*e*#)

AM s"m" &en("n K"$!enisilin #e#"pi "#iC#"s

#e$?"&"p Pse>&)m)n"s mele!i?i K"$!enisilin

S 1 # ## N ( # # #)

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 20/35

S1e"#$##" N! ($e%#$#"*e*#)

AM "#iC#"sn@" #e$?"&"p E7 ')li &"n P$)#e>s /K"$!enisilin #e$?"&"p Pse>&)m7 "e$>(in)s"

se&ii# mele!i?i K"$!enisilinA-$##" ($e%#$#"*e*#)

AM #e$?"&"p Pse>&)m)n"s 1 le!i? >"# &$K"$!enisilin

Me-$##" ($e%#$#"*e*#)

AM #e$?"&"p Pse>&)m)n"s se!"n&in( &en("nK"$!enisilin

#e#"pi #e$?"&"p Kle!siel" le!i? >"# &"$iK"$!enisilin

P#/e&$##" ($e%#$#"*e*#)

AM #e$?"&"p Pse>&)m)n"s / Al)silin

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 21/35

ANTI BIOTIKA

SEFALOSPORIN

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 22/35

 

S

H – NH –-H 0-H 2-H2 J

  O / 3- <N .- – -H27O7-O7-H.

  8- – -OOH

-1H12N2O<S

4 "min) Sef"l)sp)$in"# 5 – A-A6

/ -in'in Di?i&$)#i"in

J / -in'in J l"#"m

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 23/35

Sef"l)sp)$i n #e$&i$i &"$i

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 24/35

Sef"l)sp)$i n #e$&i$i &"$i :

e"e&!$# 3   Sef"l)#in Sef"pi$in Sef")linSef"lesin Sef$"&in Sef"&$)sil

A#if #e$?"&"p B"#e$i G$"m P)s &"n !"#e$i pen(?"silPenisi lin"se 5Be$!e&" &en("n Penisilin6

Efe#if ># S#"Cl))>s S#$ep#) p@)(enes S#$epi$i&"ns S#$ep pne>m)nie %>(" ># >m"n ($"m p)s S#"n"e$)! -l)s#$i&i>m pe$f$in(ens Lis#e$i"m)n)'@#)(enes ')$@n) !"'#e$ &ip?#e$i"e

Se,!-*#"  T"?"n Penisilin"se (IV+ IM)

AM se&ii# le!i? "#if #e$?"&"p S#"Cl))>s ">$e>s #e#"p#i&" !e$m"nf""# >n#> #e$"pi Menin(i#is "$en" #i&"men'"p"i '"i$"n )#" E -)li P$ Mi$"!ilis &"n #i&" "#if#e$?"&"p B f$"(ilis s"l>$"n 'e$n"7

I"#"n P$)#ein Es$esi mel7 Gin%"l !# >#>?

S , # # (IV IM)

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 25/35

Se,!/#&#" (IV+ IM)

AM s"m" &en("n Sef"l)#in

Se,!-#" (IV+ IM)

AM s"m" &en("n Sef"l)#in "&"$ )!"# &lm &"$"?< le!i? #in((i &"$i Sef"l)#in &"n #e$?"&"p E ')liLe!i? "#if &"$i Sef"l)#in

A!s)$!si >$"n( !"i 5IMIV6 I"#"n Pl"sm" 0<

Es$esi mel"l>i >$in 50 6

Se,!e$#" (O&!)

K>$"n( "#if #e$?&p S7">$e>s pen(?"sil Penisilin"se

Se,&!#" (O&!+ IV+ IM)AM mi$ip Sef"lesin 5in i#$)6

Se,!&-$# (O&!)

AM mi$ip Sef"lesin "&"$ pl"sm" le!i? #in((i

e"e&!$# 2 Sef"m"n&)l Sef)si#in Sef"l)$

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 26/35

e"e&!$# 2   Sef"m"n&)l Sef)si#in Sef"l)$Sef>$)sim Sef)nisi& Sef)$"ni& Sef)le#"n

K>$"n( "#if ># >m"n G$"m p)s &i!"n&in("n

Gene$"si 1 #e#"pi le!i? "#if ># >m"n G$"m ne( 5Hin>en" P$ mi$" !ilis E ')li Klensiell"6 &"n #i&""#if ># Ps ">$e(in)s" En#e$))>s

Se,!%e"- (IV+ IM)

AM le!i? "#if &"$i Gene$"si 1 #e$?"&"p G$"m ne(5H in> en" sp en#e$)!"'#e$ P$)#e>s in&)l E')li sp Kle!siel"6 sensi#if ># se!"(i"n !es"$)>s ($"m p)s7

Se,-$#*#" (IV+ IM)K>$"n( "#if ># sp en#e$)!"'#e$ H in>en"&i!"n&in("n Sef"men&)l &"n >$"n( "#if >#>m"n G$"m p)s &i!"n&in("n &(n Sef"men&)l &"n

Gene$"si 1

#e#"pi ># >m"n "n"e$)! 5B f$"(ilis6 le!i? "#if &"$i

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 27/35

  #e#"pi ># >m"n "n"e$)! 5B f$"(ilis6 le!i? "#if &"$iGen71 &"n Gen72 l"inn@" %>(" efe#if ># N()n)$$?)e"e pen(?"sil Penisilin"se7

Se,!-& (O&!)AM le!i? "#if ># H in>en" &"$i p"&" Gen7 1

Men(?"sil"n "&"$ &"l"m &"$"? < &i!"n&in("n Sef"lesin 5Gen7 16 &en("n &)sis

s"m"Se,&-$#% (IV+ IM)

AM mi$ip Sef"men&)l efe#if ># #e$"pi menin(i#is)le?

H inf>len" N menin(i#i"e S#$ep#) pne>m)ni"e "$en" "&"$ )!"# &"l"m '"i$"n se$e!$)spin"l 1 &$ &lm pl"sm"

e"e&!$# 2 !#""! mi$ip Sef"men&)l >m>mn@">$"n( "#if ># H in>en"

e"e&!$# 7 Sef)#"sim M)s"l"#"m

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 28/35

e"e&!$# 7 Sef)#"sim M)s"l"#"mSef#i)sin

  Sef#$i")n Sef"pe$")n Sef#"i&in

SeCsinAM #e?"&"p >m"n G$"m p)s >m>mn@" >$"n("#if &"$i p"&" Gen7 1 #e#"pi %">? le!i? "#if >#En#e$)!"'#e$ #e$ms s#$"in pen(?"sil penisilin"s

&"n p"&" ()l)n("n ini "&" @( "#if >#Pse>&)m)n" "e$>(in)s"

Se,-*!$#% IV+ IM

AM "#if ># G$"m p)s &"n G$"m ne( "n"e$)!A#ii#"s ># B f$"(ilis s"n("# lem"?5&i!"n&in("n &(n Klin&"misin Me#$)ni&")l6

Efe#if ># menin(i#is )le? >m"n G$"m ne(

M-$!!*!% IV IM

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 29/35

M-$!!*!% IV+ IM

AM Te$?"&"p >m"n G$"m ne( 5H in>en" &"n En#e$)!"'#e$6 >$"n( "#if &i!"n&in("n &(n Sef)#"sim  #e#"pile!i? "#if ># Ps "e$>(in)s" &"n B f$"(ilis

D"p"# men@e!"!"n Hip)p$)#$)m!inemi" &"n &isf>n(si#$)m!)si# 5Pe$&"$"?"n6 pe$l> &i#"m!"? Vi#"min K

Se,*&#!$-" IV+ IM

AM >m>mn@" "#if ># >m"n G$"m p)s #e#"pi >$"n("#if &i!"n&in("n &(n Gen7 17 I"#"n p$)#ein 0. – 3

Se,-/e&!-" IV+ IM

AM P"&" Ps "e$>(in)s" le!i? "#if &i!"n&in("n &(nSef) #"sim &"n M)s"l"#"m &"n &"p"# ># #e$"pi

menin(i#is

Es$esi mel"l>i empe&> 5#e$#in((i6

I"#"n p$)#ein 02 – .

Se,*!##% IV IM

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 30/35

Se,*!##% IV+ IM

AM ># >m"n G$"m p)s #i&" se!"iSef)#"sim #e#"pi "#ii#"s ># Ps "e$>(in)s"

 %">? mele!i?i Sef)#"simSe8$#" O&!

AM mi$ip &(n Sef)#"sim #i&" "#if ># S">$e>s En#e$) )>s Pne>m))>s @( $esis#enPenisilin Pse> &)m)n"s L m)n)'@#)(enesA'in)#)!"'#e$ B f$"(ilis

S#"!il #e$?"&"p Be#" L"#"m"se

e"e&!$# 4 : Sefepim

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 31/35

Te&#%!!$#9 

Se,!-&##" (IM)

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 32/35

Se,!-&##" (IM) 

M>&"? l"$># "i$ l"$>#"n 1 5pH 8436 AMB"#e$i)si& "#if #e$?"&"p !"#e$i G$"m P)s7 Ne(

  S>"$ &i"!s)$!si 5&i!e$i"n IM6 I"#"n P$)#ein 2 7Es$esi mel"l>i (in%"l 50 6

Se,!-*#" N! (IM) 

M>&"? l"$># "i$ l"$>#"n 1 5pH 8<46 AM

B"#e$i)si& "#iC#"s s"m" &en("n Sef"l)$i&in #e#"pi>$"n( #e$?"&"p !"#e$i G$"m P)s7

S>"$ &i"!s)$!si 5&i!e$i"n IMIV6 I"#"n P$)#ein < Sef"l)$i&in 2 7 Es$esi mel"l>i (in%"l 53 6

Se,!/#&#" (IV+ IM)

M>&"? l"$># "i$ AM i&en#i &en("n Sef"l)#in

A!s)$!si >$n( !"i I#n Pl"sm" < Es$esimel"l>i >$in

Se,!e$#" (-&!)

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 33/35

Se,!e$#" (-&!)

M>&"? l"$># "i$ l"$>#"n < 5pH .<4<<6 AM s"m"&en("n Sef"l)$i&in "#"> Sef"l)#in #e$?"&"p !"#e$i

G$"m P)s7 &"n Ne(7 A!s)$!si ?"mpi$ )mpli#&ipen("$>?i )le? m""n"n7 I"#"n Pl"sm" 141< Es$esi mel"l>i >$in 0

Se,&!#" (-&!)

M>&"? l"$># "i$ AM s"m" &en("n Sef"lesinA!s)$!si 'ep"# I"#"n Pl"sm" 342 Es$esimel"l>i >$in 5?"mpi$ 1 6

Se,!-:#$#" (-&!)

Se&ii# l"$># "i$ AM B"#e$i)si& s"m" &en("nSef"l)$i&in "#"> Sef"l)#in 5>$"n( >"#6 se&ii# le!i?"#if &"$i Sef"lesin #e$?"&"p !"#e$i G$"m P)s7

A!s)$!si >$"n( !"i I"#"n Pl"sm" se&ii# Es$esi

mel"l>i >$in 5. 6

Se,!$e*&# N! (IM;IV)

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 34/35

Se,!$e*&# N! (IM;IV)L"$># "i$ AM B"#e$i)si& s"m" &en("n

Sef"l)$i&in

A!s)$!si >$"n( !"i 5IMIV6 Es$esi mel"l>i>$in 5?"mpi$ 1 6Se,!-#" N! (IM;IV)L"$># "i$ AM B"#e$i)si& s"m" &en("n

Sef"l)$i&inLe!i? "#if &"$i Sef"l)#in #e$?"&"p E7')li7A!s)$!si >$"n( !"i 5IMIV6 I"#"n Pl"sm" 5

6 Es$esi mel"l>i >$in 50 6

Sef"l)sp)$in"se &"$i Kle!siel" $in("n #e$?"&"p

8/18/2019 AB Penisiln 2. PowerPoint Presentation

http://slidepdf.com/reader/full/ab-penisiln-2-powerpoint-presentation 35/35

Sef"l)sp)$in"se &"$i Kle!siel" $in("n #e$?"&"pSef"l)$i&in 11 "li le!i? >"# #e$?"&"pSef")lin menen("? #e$?"&"p Sef"l)#in &"n

Sef"se#$il7 Se!"(i"n !es"$ Sef"l)sp)$in"sememp>n@"i sif"# Penisilin"se

Be!e$"p" mi$)!" #e$#en#> men(?"sil"n 1 %enis enim J4l"#"m"se @"n( !ee$%" p"&"

Penisilin &"n Sef"l)sp)$in se&"n("n %enismi$)!" l"in men(?"sil"n %enis enim J4l"#"m"se–Penisilin"se "#"> J4l"#"m"se–Sef"l)sp)$in"se7