JOURNAL OF KAOHSIUNG MEDICAL ASSOCIATION 2013. vol.21, No.

(
Mycoplasma pneumonia)

Mycobacterium
tuberculosis

:2~3

()

(Community Acquired Pneumonia)

(Mixed infection)
B
Group B Streptococcus

2~1

Toxic sign

acute ill-looking

:11
>60/min1~4>40/min5

140

>30/min

nasal aringgrunting
retraction
acidosis

wheezing
walking pneumonia

(2)

acute phase reactant

swab

blood culture

30%

IgG
IgMIgG

IgM

cold
agglutinin

Rapid
test

(1)
X

Alveolar pattern
interstitial pattern
lobar

(3)

141

 JOURNAL OF KAOHSIUNG MEDICAL ASSOCIATION 2013. vol.21, No.2

invasive procedure

non-invasive

7~10

fibrinolytic
agent
Vi d e o - a s s i s t e d
thoracoscopic surgery-VATS

Empirical
Therapy

48

23
PPV 23 2

PCV 7 10
PCV1013PCV13

142

()

<1

B
(Escherichia coli)

(Listeria monocytogenes)

21

25

6 - 18

()

<2

Ampicillin + aminoglycosides

Ampicillin + cefotaxime ceftriaxone

Chlamydia trachomatis
macrolides

31

Amopicillin
Amoxicillin/clavulanate
Ampicillin/sulbactam

2 cephalosporinscefotaxime
ceftriaxone

143

 JOURNAL OF KAOHSIUNG MEDICAL ASSOCIATION 2013. vol.21, No.2

25

Penicillin
Ampicillin
Amoxicillin/clavulanate
Ampicillin/sulbactam
Macrolides

Amoxicillin/clavulanate
Ampicillin/sulbactam

6 18

Penicillin Macrolides

Amoxicillin/clavulanateAmpicillin/
sulbactam
2 3cephalosporins

()

Streptococcus pneumonia
Penicillin MIC
< 1 g/mL
1 and < 4 g/mL
4 g/mL

Penicillinampicillin
Amoxicillin
Penicillinampicillin
Amoxicillin
3 4cephalosporins
vancomycin teicoplanin

1cephalosporin
3 4cephalosporins
Vancomycin teicoplanin
rifampicin
Linezolid

Haemophilus inuenzae
-lactamase(-)
-lactamase(+)

Ampicillin amoxicillin
Amoxicillin/clavulanate
ampicillin/sulbactam
2cephalosporinse

New macrolidesc TMP/SMX

3cephalosporins new
macrolides

Moraxella catarrhalis

Amoxicillin/clavulanate
ampicillin/sulbactam 2
cephalosporins

Erythromycinnew macrolides
3 cephalosporins

Staphylococcus aureus
Oxacillin-sensitive
Oxacillin-resistant

Oxacillin1 cephalosporin
Vancomycin teicoplanin

Vancomycin teicoplanin
Linezolid

Mycoplasma pneumoniae

Erythromycin new
macrolides

tetracyclines

Chlamydia pneumoniae

Erythromycin new
macrolides

tetracyclines

Legionella species

New macrolides

Erythromycin new macrolies

+ rifampicinuoroquinolones

144