154.4 📌 章末速蚘

  • Strep-like but bile esculin + + 6.5% NaCl +
  • UTI #1, IE #3 cause
  • Intrinsic R: ceph, clinda, TMP-SMX, low-aminoglycoside
  • E. faecalis: amp first; E. faecium: 倚 amp-R → vanco
  • IE: amp + gent × 4-6 wk 或 amp + ceftriaxone × 6 wk (HLAR)
  • VRE (vanA/B): linezolid 或 daptomycin (HD 10-12 mg/kg)
  • vanco/ceph use = VRE risk
  • HLAR (gent > 500) → no synergy → 改 amp + ceftriaxone