Saturday, January 12, 2008

How diagnosis of cirrhosis with sepsis?

Patients with cirrhosis of unknown cause sudden shivering high fever, elevated white blood cell count without levy of local infection, the drug should be considered. Diagnosis depends on blood culture. Any suspected sepsis, and we should not use antibacterial drugs before the blood culture. Sepsis invasive blood in the number of bacteria within 24 hours vary, So even within 24 hours for two to three training can increase the rate of positive culture. Each 5 ~ 10ml blood should be injected directly into the bedside broth medium. One time a blood sample to be elected in the event of shivering high fever, now circulating blood volume from the largest positive culture rate. Penicillin has been used on patients that the use of penicillin-containing medium. Growth should cultivate bacteria antibiotic susceptibility test line, each drug should be several concentration, most arrived understanding inhibitory concentration (MIC), as clinical reference dose.

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