137.2 📚 國考版

137.2.0.1 必背 — SBP

• Cirrhotic ascites + PMN ≥ 250/μL = SBP
• Treatment: Ceftriaxone 2g IV × 5 d + albumin 1.5/1 g/kg day 1/3
• Prophylaxis: norfloxacin / ciprofloxacin

137.2.0.2 必背 — Empirical

• Community 2° peritonitis: Ceftriaxone + Metronidazole OR Ertapenem
• Severe: Pip-tazo OR Meropenem

137.2.0.3 必背 — Duration

• STOP-IT 2015: 4 days post-source control non-inferior

137.2.0.4 必背 — 台灣 K. pneumoniae Liver Abscess

• Hypervirulent K. pneumoniae (hvKp) — string test +
• 多 DM 病人
• Metastatic infection: eye (endophthalmitis), CNS (meningitis), lung
• Treatment: ceftriaxone or pip-tazo + drainage

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