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Create: 2021-07-20 Update: 2024-04-26 05:18:50

السلام عليكم
رجاءا لا دور للازثرومايسين في علاج الاصابات سواء خفيفة او متوسطة او المتقدمة
هذا ما نتبعه منذ اكثر من ٨ شهور و قد نشرته في حينها حيث وجدنا عدم فعاليته
و هذا ما اكدته دراستين حديثة الاولى نشرت في لانسيت يوم ٩ من هذا الشهر
والأخرى نشرت في JAMA الأمس

الإصرار على استعماله فقط سيعرض المريض الى اضرار جانبية في غنى عنها
اضافة لا يوجد اي دليل علمي على استخدام بروفيلاكسز

فقط للتوضيح ان استخدامه في البداية لكون دراسات سابقة نوهت على امكانيته تحفيز انتي فايرال في خلايا القصبات الهوائية و ليس كمضاد حيوي بكتيري
اذا تشك اكو التهاب بكتيري على الاغلب هو CAP واللي اغلبه GRAM Positive نستعمل برود سبيكتروم( كو اموكسيكلاف مع او بدون كلاري ) و تبقى كل حالة حسب حالتها و وجود حساسية بنسلين ام لا

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السلام عليكم

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