127.2 📚 國考版

127.2.0.1 必背 Empirical Antibiotics

情境 經驗治療
Septic shock 䞍明 source Pip-tazo or Cefepime + Vancomycin
Suspected ESBL Carbapenem (meropenem) + Vancomycin
Suspected CRE Ceftazidime-avibactam, Meropenem-vaborbactam, Cefiderocol
Bacterial meningitis < 50 Ceftriaxone + Vancomycin (+ Dexamethasone)
Bacterial meningitis ≥ 50 + Ampicillin (Listeria)
Necrotizing fasciitis Vanco + Pip-tazo + Clindamycin
TSS (Staph or Strep) Cefazolin / Penicillin + Clindamycin + IVIG
Severe falciparum malaria IV artesunate

127.2.0.2 必背 Time Targets

情境 必達時間
Sepsis bundle 1 hr
Bacterial meningitis 1 hr
Necrotizing fasciitis surgery 6 hr
Severe sepsis source control 6-12 hr