176.2 📚 國考版

176.2.0.1 必背 — Microbiology

  • Gram - coccobacillus (易誀認 gram + cocci)
  • Oxidase NEG (vs Pseudomonas +)
  • Aerobic, non-motile, dry surface 1 month+

176.2.0.2 必背 — 高 risk

  • ICU / vent / VAP
  • Burn, trauma (戰堎)
  • Catheter / device
  • 眕芋 community CAP in tropical Asia

176.2.0.3 必背 — MDR / CRAB Treatment

  • Sulbactam-durlobactam (Xacduro) — FDA 2023, breakthrough
  • Cefiderocol — alternative
  • High-dose amp-sulbactam (sulbactam intrinsic)
  • Polymyxin / colistin last resort
  • Combination therapy common for PDR

176.2.0.4 必背 — 區分 from Pseudomonas

Pseudomonas Acinetobacter
Oxidase + -
Pigment Pyocyanin green None
Motility + -
Form Rod Coccobacillus

176.2.0.5 必背 — OXA Carbapenemases

  • Acinetobacter-specific
  • OXA-23, OXA-24/40, OXA-58 䞻芁
  • Plasmid + chromosomal