153.4 📌 章末速記

• Strep = chains, catalase -
• GAS: pharyngitis (PCN), NF (debridement + vanco/pip-tazo + clinda), ARF, PSGN
• GBS: 新生兒 #1, 產婦, DM 成人; IAP 35-37 wk screen
• Viridans: 牙齒 → subacute IE on damaged valve
• S. bovis (gallolyticus): IE → colonoscopy 必做
• anginosus: abscess
• ARF prophylaxis: benzathine PCN G IM q3-4wk × 10 yr+
• PCN 仍 universal sensitivity for GAS, GBS