Оксациллин - антибиотик из группы полусинтетических пенициллинов. Действует бактерицидно, подавляя синтез клеточной стенки бактерий. Устойчив к действию пенициллиназы. Активен в отношении грамположительных бактерий: Staphylococcus spp. (в т.ч. продуцирующих пенициллиназу), Streptococcus spp. (в т.ч. Streptococcus pneumoniae), Corynebacterium diphtheriae, Bacillus anthracis; грамотрицательных бактерий: Neisseria gonorrhoeae, Neisseria meningitidis; анаэробных бактерий: спорообразующие палочки, Actinomyces spp. К оксациллину устойчивы большинство грамотрицательных бактерий, риккетсии, вирусы, простейшие, грибы.
Ампициллин - антибиотик из группы полусинтетических пенициллинов. Действует бактерицидно, подавляя синтез клеточной стенки бактерий. Активен в отношении грамположительных бактерий: Staphylococcus spp. (за исключением штаммов, продуцирующих пенициллиназу), Streptococcus spp. (в т.ч. Enterococcus spp.), неспорообразующие бактерии (в т.ч. Listeria monocytogenes); грамотрицательных аэробных бактерий: Neisseria gonorrhoeae, Neisseria meningitidis, Escherichia coli, Shigella spp., Salmonella spp., Bordetella pertussis, некоторых штаммов Haemophilus influenzae.
Ампициллин разрушается под действием пенициллиназы.
Сочетание ампициллина с оксациллином является рациональным, т.к. последний, угнетая активность пенициллиназы, уменьшает тем самым разрушение ампициллина. Спектр действия при таком сочетании становится более широким.
— ожоговая болезнь;
— ангина.
Профилактика послеоперационных осложнений при хирургических вмешательствах.
Профилактика и лечение инфекций у новорожденных.
Показания к применению
инфекции дыхательных путей (в т.ч. бронхит, пневмония, бронхоэктатическая болезнь);
заболевания желчевыводящих путей (в т.ч. холангит, холецистит);
инфекции мочевыводящих путей и почек (в т.ч. пиелит, пиелонефрит, цистит);
инфекции кожи и мягких тканей (в т.ч. инфицированные раны);
ожоговая болезнь;
ангина.
Профилактика послеоперационных осложнений при хирургических вмешательствах.
Профилактика и лечение инфекций у новорожденных.
Противопоказания
повышенная чувствительность к компонентам препарата и другим антибиотикам из группы пенициллинов.
Способ применения и дозы
Оксамп-натрий вводят в/м или в/в (струйно или капельно).
Разовая доза для взрослых составляет 0.5-1 г, суточная доза - 2-4 г.
Новорожденным, недоношенным детям и детям в возрасте до 1 года препарат назначают в суточной дозе 100-200 мг/кг массы тела; 1-7 лет - 100 мг/кг/сут.; 7-14 лет - 50 мг/кг/сут.; подросткам старше 14 лет назначают дозу для взрослых.
В/в Оксамп-натрий вводят в течение 5-7 дней с последующим переходом (при необходимости) на в/м введение.
Побочное действие
Аллергические реакции: кожная сыпь, крапивница, отек Квинке; редко - анафилактический шок.
Местные реакции: при в/в введении возможно развитие флебитов и перифлебитов; при в/м введении - болезненность на месте инъекции.
Особые указания
При возникновении аллергических реакций необходимо прекратить введение Оксамп-натрия и провести десенсибилизирующую терапию.
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Информация предоставляется в справочных целях. Не занимайтесь самолечением. При первых признаках заболевания обратитесь к врачу.
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