Outlet Free Shipping Cheap Wholesale Price Sneakers for Women On Sale Bright Crimson Pink Canvas 2017 US 5 EU 36 US 55 EU 365 US 65 EU 375 Converse Limited Edition Cheap Price Latest Collections Online eqKFw

SKU052588893286165355066
Sneakers for Women On Sale, Bright Crimson Pink, Canvas, 2017, US 5 (EU 36) US 5.5 (EU 36.5) US 6.5 (EU 37.5) Converse
Sneakers for Women On Sale, Bright Crimson Pink, Canvas, 2017, US 5 (EU 36) US 5.5 (EU 36.5) US 6.5 (EU 37.5) Converse

DURARÁ CASI CUATRO HORAS

La luna se teñirá de rojo el próximo 27 de julio a consecuencia de un eclipse lunar que podrá verse desde casi toda Europa, África, Oriente Medio y algunos países de Asia Central. El fenómeno durará cerca de cuatro horas y no hará falta utilizar protección para verlo.

Eurocopa 2016 10 de junio

Porquerecuerda: los partidos de la Copa Euro se emitirán en directo en los canales de Telecinco y Cuatro (un total de 23 partidos, uno al día). El resto de partidos se emitirá directamente desde la Womens 24462 Closed Toe Heels Soft Line Browse Sale Online Choice Fast Delivery Online Free Shipping Countdown Package O1lTGD
.

los partidos de la Copa Euro se emitirán en directo en los canales de Telecinco y Cuatro
Cómo ver fútbol desde Android y no perderte ni un partido
El balompié es un lenguaje universal y es posible ver fútbol desde Android. A través de tu dispositivo puedes no perderte ni un sólo partido del mundo

Empecemos por la aplicación imprescindible para cualquier futbolero que tenga pensado seguir la Eurocopa en directo desde el móvil. Mitele es la aplicación oficial del grupo Mediaset, y permite ver tanto el canal de Telecinco como el canal de Cuatro en tiempo real . Para el primer partido de la Copa (Francia Rumanía), por ejemplo, será Telecinco la que emitirá la retransmisión del encuentro a partir de las 21:00 del 10 de junio.

Mitele ver tanto el canal de Telecinco como el canal de Cuatro en tiempo real

El apartado para ver los canales en directo está disponible bajo el cuarto icono (el de una señal WiFi) de la franja que aparece en la parte inferior de la pantalla. Una vez pulsemos ahí, lo siguiente que tenemos que hacer es escoger el canal que queremos ver y, después, pulsar sobre el botón de reproducir.

El único aspecto negativo de la aplicación de Mitele es que requiere que registremos una cuenta para poder ver los canales en directo.Lo que, por otra parte, se soluciona recurriendo a una dirección de correo electrónico temporal. Y si lo que buscamos es la aplicación oficial de Mediaset para ver la Eurocopa en directo, entonces podemos limitarnos a descargar solamente la aplicación de Mediaset Sport- Eurocopa .

Mediaset Sport- Eurocopa
cutout laceup shoes Black Marsèll Outlet Cost 100% Original Sale Online 3jQprP
Versión: 3.2.7
Autor: Mediaset España
Requiere 4.2 y versiones posteriores
INSTALAR
INSTALAR
INSTALAR APK
Tamaño: 13M
Loafers in 100 leather Peter Hahn exquisit blue Peter Hahn Marketable Sale Online Hard Wearing Low Cost JLkaLBmjg
Versión: 1.26.1
Autor: Mediaset España
Requiere 4.1 y versiones posteriores
INSTALAR
INSTALAR
Tamaño: 7,2M
¿Buscas anonimato? Aplicaciones de correo electrónico temporal
Si quieres enviar un correo electrónico temporal de Android, estas 3 aplicaciones pueden resultarte de mucha ayuda. Son anónimas, temporales y desechables.

¿Qué mejor forma de estar al tanto de todo lo que ocurre en la Eurocopa de 2016 que recurrir a la aplicación oficial? La aplicación oficial de la UEFA Euro 2016 es el centro de encuentro de todo lo relacionado con los partidos que se celebrarán durante las próximas semanas en Francia. Incluye horarios, alineaciones, marcadores, noticias… y, por si fuera poco, un diseño que respeta el Womens Midi Tape Trainers New Look Discount For Cheap Really Online 3yMzIDYqa
.

Save this PDF as:
Best Seller Cheap Price FOOTWEAR Lowtops amp; sneakers Pierre Darre Outlet Pictures Official Site For Sale Shop Offer GTfzopF
Share
Size: 728x946 px
Start display at page:
Download "GUIDE TO ANTIMICROBIALS"

Transcription

1 GUIDE TO ANTIMICROBIALS San Francisco VA Medical Center 2017

2 Guide to Antimicrobials 2017 Daniel Maddix, Pharm.D. Harry Lampiris, M.D. Mai Vu, Pharm.D. Drug Category may be changed from time to time. Please consult the hospital computer for current classification. Category I agents are available without prior approval although some restrictions may apply. Category II agents are restricted and require approval prior to use. To obtain approval for a Category II agent, page digital beeper (415) prior to ordering. Current antimicrobial sensitivity patterns and UCSF/SFGH/VASF Guidelines for Antimicrobial Use in Adults are available on the Antibiotic Stewardship Program page on Sharepoint (http://vaww.visn21.portal.va.gov/sanfrancisco/ic/sitepages/antibioticste wardship.aspx ). Acknowledgments: Thanks to past and current staff of the Pharmacy Service and Infectious Diseases Section for preparing, compiling, and reviewing the materials contained in this pamphlet. This material has been endorsed by the San Francisco VA Medical Center Infectious Diseases Section, and represents recommended Medical Center policy.

3 Table of Contents I. Sensitivity Patterns of Unique Isolates 2 II. Guidelines for the Use of Antimicrobial Agents in Febrile 4 Neutropenic Cancer Patients III. Guidelines for the Use of Antimicrobial Agents in the 5 Prevention of Bacterial Infection in Cirrhotic Patients IV. Guidelines for the Empiric Therapy of Community-Acquired 7 Pneumonia and Urinary Tract Infections V. Guidelines for the Treatment of Diarrhea Associated with 8 Clostridium difficile Infection 8a Va. SSTI Empiric Therapy Guidelines VI. Administration of ß-lactam antibiotics to penicillin-allergic patients 9 VII. Antimicrobial Agents Acyclovir Amikacin Amoxicillin/Clavulanic Acid Amphotericin B Atovaquone. Aztreonam. Cefazolin. Cefepime.... Ceftazidime. Ceftriaxone. Cidofovir.... Ciprofloxacin..... Clindamycin... Dapsone Daptomycin Ertapenem Ethambutol.. 26 Fluconazole Foscarnet 29 Ganciclovir.. 31 Gentamicin/Tobramycin Imipenem/Cilastatin Isoniazid.. 34 Itraconazole Levofloxacin Linezolid.. 38 Meropenem.. 39 Metronidazole 40 Micafungin. 41 Nafcillin 42 Nitrofurantoin Pentamidine.. 44 Piperacillin/Tazobactam.. 45 Posaconazole 46 Primaquine Pyrazinamide 49 Pyrimethamine.. 50 Rifabutin Rifampin.. 53 Sulfadiazine 55 Trimethoprim-Sulfamethoxazole 56 Vancomycin. 58 Voriconazole 59 Adverse Effects of ß-Lactam Antibiotics VIII. Drugs for HIV Infection Antiretroviral Agent Dosing Guidelines.. 62

4 Sensitivity Patterns of NON-URINE Isolates (First isolate per patient per organism) San Francisco VA Medical Center January-December 2016 Confidential: For official use by San Francisco VA Medical Center Employees and Students only. Percent Sensitive TOTAL ORGANISM #ISO* AMP ZOS ERTA CIP T/S CTRI CPIM GEN Enterobacter cloacae 23 NA NA NA 100 Escherichia coli Klebsiella pneumoniae Proteus mirabilis Pseudomonas aeruginosa 51 NA 82 NA 90 NA NA VANC OXAC T/S ERYT CLIN TCN Staphylococcus aureus MRSA NA MSSA NA Staphylococcus coag neg NA = not available AMP - ampicillin, ZOS - Zosyn, ERTA - ertapenem, CIP - ciprofloxacin, T/S - trimethoprim/sulfamethoxazole, CZOL - cefazolin, CTRI - ceftriaxone, CPIM - cefepime ERTA - ertapenem, GEN - gentamicin, TOB - tobramycin, VANC - vancomycin, OXAC - oxacillin, ERYT - erythromycin, CLIN - clindamycin, TCN - tetracycline *Statistical validity of % susceptible is decreased if fewer than 30 isolates are tested. 7.8% (33/424) of all enterococcal isolates were vancomycin-resistant Extended-Spectrum Beta-Lactamase (ESBL) Positive - E. coli - 13%; K. pneumoniae - 6% 2 Prepared by D. Maddix, Pharm.D. 1/08/2017

B. University of New Haven. PCR testing using the TaqMan assay for Borrelia 16S rRNA sequence was positive in blood culture pellets from seven of nine patients tested ( Largest Supplier For Sale Sarah Swarovski Crystalembellished Satin And Metallic Leather Sandals Silver Pedro Garcia Huge Surprise For Sale Clearance Brand New Unisex KsaY7nt
). Patients 1 and 5 had negative results in blood culture pellets using the TaqMan assay, but both were positive by nested PCR for the pyrG gene. In addition, nested PCR targeting the fla gene was performed on blood culture pellets from Patients 2, 3 and 4, and nested PCR targeting the 16S rRNA gene was performed on the blood culture pellet from Patient 6. The samples were positive, and sequencing revealed 99–100% homology with Bb sensu stricto strain B-31 ( lowheel boots Black Sarah Chofakian Drop Shipping Free Shipping Real P8omosnyQ0
). See CTM Bag Stylish Women quilted leather 1065x670x435 Genuine leather 100 Made in Italy Chicca Tutto Moda Discount Cheap VLJFTz
, data file 7.

Table 5. A: Real time PCR testing of genital culture concentrates performed by Australian Biologics. ND, not done. See Mens Arvee 15 Tech LowTop Sneakers White 8 UK KSwiss Factory Price Enjoy Sale Online New Arrival Cheap Online Sale Release Dates 0MYDGgX
, data file 5. B: Real time and nested PCR testing of blood and genital culture concentrates performed by University of New Haven. See Best Seller Sale Online Discount Low Price FOOTWEAR Lowtops amp; sneakers Philipp Plein Discount From China VcDLj
, data file 7. ND, not done.

PCR testing using the TaqMan assay for Borrelia 16S rRNA sequence was negative in all four control genital culture pellets, and nested PCR targeting the pyrG and fla genes was negative in all four control samples, confirming the results of the TaqMan assay ( Explore Womens Janis Closed Toe Heels Liu Jo Buy Cheap Shopping Online Buy Cheap Collections Sale Footlocker Free Shipping Brand New Unisex cDm7AT
). In contrast, eight of nine patients were positive for TaqMan 16S rRNA sequence in the genital culture pellets. Patient 6 was negative using the TaqMan assay for 16S rRNA sequence but positive using nested PCR targeting a different portion of the 16S rRNA gene ( Plant Mens Chelsea Boots Hudson Best Place Online Clearance Wide Range Of Q5vFeryC
). Nested PCR targeting the fla gene (Patient 3) and the 16S rRNA gene (Patients 3 and 7) was also performed on genital culture pellets and was positive in those patients, confirming the results of the TaqMan assay. Patient 12 had positive PCR targeting the pyrG gene with confirmatory sequencing (see below).

PCR isolates of the vaginal culture from Patient 1 (Australian Biologics) and the seminal culture from Patient 3 (University of New Haven) were subjected to Sanger sequencing and BLAST analysis and showed 97–99% homology with Bb sensu stricto strain B-31 ( 0775711 Womens Heels Sandals Andrea Conti Cheap Best Wholesale xat5X
and cutout flats Yellow amp; Orange Marsèll Buy Cheap Enjoy Free Shipping Footlocker 7PidK
). See
Sale Outlet Outlet Store Cheap Price Sneakers for Men On Sale in Outlet Midnight Blue suede 2017 8 9 95 Diadora Clearance Best Store To Get Free Shipping With Mastercard With Mastercard hggzsC
Women Dress Esprit Release Dates Sale Online 2018 Cheap Price Buy Cheap Many Kinds Of m7gMa8aM
New Online Big Sale Sale Online W118 By Walter Baker Woman Kristen Oneshoulder Ruffled Striped Cottonblend Top White Size L W118 by Walter Baker Sale Big Sale Discount Brand New Unisex hxcJx
Cheap Sale Shop Offer Websites For Sale leather sneakers Brown Osklen 2FXGr
, data files 6 and 7. PCR isolates of blood cultures from Patients 2, 3, 4 and 6 were subjected to Sanger sequencing and BLAST analysis at University of New Haven and showed 99–100% homology with Bb sensu stricto strain B-31 ( Clearance New Styles Buy Cheap Visit New Heidi Klum Intimates Woman Layered Lace And Stretchjersey Triangle Underwired Bra Blue Size 36 C Heidi Klum Intimates wl49mI
). See Sneakers for Women On Sale Black Leather 2017 25 3 35 4 45 55 6 75 Saint Laurent Brand New Unisex Online YJAzSWm
, data file 7.

PCR isolates of genital cultures from three couples having unprotected sex (Patients 6-7, 10-11 and 12-13) were subjected to Sanger sequencing and BLAST analysis. Patients 6, 7, 10, 11 and 13 had sequencing done at Australian Biologics, while Patient 12 had sequencing done at University of New Haven. Sequencing revealed that the first and third couples had Borrelia strains that matched Bb sensu stricto strain B-31 ( Mens NPC UK Pfr Fitness Shoes Reebok Discount In China Buy Cheap Low Cost Free Shipping Best Wholesale QSp7fjGfKl
). In contrast, the second couple had PCR sequences that matched B. hermsii strain YOR. Thus the Borrelia strain shared by this couple differed significantly from the strains identified in the other couples. See polo dress Moncler Discount Cheap Sale Deals Outlet Fashionable dDum3e0k0j
, data file 6.

CONTACT INFO

Omega Bio-tek, Inc.400 Pinnacle Way, Suite 450Norcross, GA 30071

M-F 8:00 a.m.-5:30p.m. ESTPhone: (770) 931-8400Toll Free: (800) 832-8896Fax: (770) 931-0230Email: Free Shipping Inexpensive Popular FOOTWEAR Sandals Paloma Barceló New Arrival Fashion Cheap 100% Original To Buy ANNVPa

FOLLOW US

PRODUCTS
QUICK LINKS
©2017 Omega Bio-tek, Inc All Rights Reserved. ISO 9001:2008 certified. For Research Use Only. Not for use in diagnostic procedures.