دانلود کتاب اصول اولیه آنتی‌بیوتیک‌ها برای پزشکان – الفبای انتخاب عامل ضدباکتری مناسب، جلد چهارم

Which is more difficult: learning a large body of information or applying the newly learned information? Although the answer is debatable, it is clear that health care professionals must do both. Most health care training programs consist of an initial phase of classroom lectures and small group sessions in which the intricacies of cranial nerves, the Krebs cycle, and renal physiology are mastered. Following this phase, trainees suddenly are immersed in the real world of patients who present with complaints of a cough, a painful lower back, or a fever. As an infectious disease subspecialist, I have often seen this culture shock expressed as the blank look of a medical student when asked, “So, what antibiotic should we start this patient on?” Obviously, a basic understanding of the principles of pharmacology and microbiology is insufficient for most trainees when suddenly faced with the complexities of an infected patient. This book not only is meant to be a guide to antibiotics for students studying to be physicians, nurses, physician assistants, pharmacologists, or medical technologists but should also prove useful for residents, fellows, and practicing clinicians. It is designed to serve as a bridge between the book knowledge acquired during the initial phases of training and the reflexive prescribing habits of experienced practitioners. Just as the initial bewildering complexities of electrocardiograms and chest radiographs disappear when the first principles underlying these tests are appreciated and understood, so too do the difficulties of antibiotic selection. This book provides the rationale behind antibiotic selection for many common bacterial pathogens and infectious disease presentations so that much of the memorization (and magic and mystery) that usually accompanies proper prescribing of antibiotics is eliminated. Where memorization is unavoidable, learning aids are presented that make the process a little less painful. This book can be easily read and comprehended in 3 or 4 weeks by a busy student or practitioner. As a result, it is not a comprehensive guide to the antibiotic metropolis but merely an outline of the major thoroughfares of antibiotic therapy so that readers can more easily fill in the residential streets and alleys as they gain experience. In terms of the war analogy used throughout the book, the emphasis is on strategy, not tactics. Thus, only commonly used antibiotics are mentioned, and some oversimplifications and omissions are unavoidable. It is hoped that the reader will be able to master the major concepts and rules so that with subsequent clinical exposure and practice, the nuances and exceptions to these rules may be assimilated. The fourth edition of this book has been updated and expanded to include newer antibiotics that have become available during the past 5 years. Likewise, sections have been updated to reflect recent changes in treatment guidelines, such as those pertaining to pneumonia and tuberculosis. Where necessary, updated references have been added. After completing this book, it is hoped that readers will view antibiotics as valuable friends in the fight against infectious diseases and not as incomprehensible foes blocking their progress toward clinical competency. In addition, readers will obtain a foundation that can be built upon throughout their career, as new antibiotics become available.