Sandbox Maliha

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Heading

Heading2

Heading3

Heading4

• Example

• Example2

• Example3

• Hepatitis

Treatment

===Overview===Empiric antimicrobial therapy for Mycotic Aneurysm include intravenous Vancomycin and either Ceftriaxone, Piperacillin-Tazobactam or Ciprofloxacin for 6 weeks. Alternative regimens include [[Cefepime[[, Imipenem-Cilastatin, Meropenem, or Ertapenem for Gram-negative bacteria.

Antimicrobial Regimen

• Empiric antimicrobial therapy

• Preferred regimen: Vancomycin 2 g/day IV divided q6-12h targeting trough concentration of 15-20 μg/mL for 6 weeks (for critically ill patient, start with a loading dose of 25 mg/kg followed by 15 mg/kg q12h) AND (Ceftriaxone 2 g IV q24h for 6 weeks OR Piperacillin-Tazobactam 3.375 g IV q6h for 6 weeks OR Ciprofloxacin 400 mg IV q12h for 6 weeks)
• Alternative regimen: Consider substituting Daptomycin for Vancomycin. Consider Cefepime, Imipenem-Cilastatin, Meropenem, or Ertapenem for Gram-negative bacteria.

The treatment for chronic fibrosing mediastinitis is somewhat controversial, and may include either steroids or surgical decompression of the affected vessels.

Treatment of COPD requires a careful and thorough evaluation by a physician. The most important aspect of treatment is avoiding tobacco smoke and removing other air pollutants from the patient’s home or workplace. Symptoms such as coughing or wheezing can be treated with bronchodilator medications like Beta 2 receptor agonist, anticholinergic drugs. The drugs used cause benefit via relaxation of smooth muscle or decreasing inflammatory factors. . Respiratory infections should be treated with antibiotics, if appropriate. Patients who have low blood oxygen levels in their blood are often given supplemental oxygen. Currently, no treatment has been found to be totally curative against COPD except lung transplant. The treatments aim to improve lung function and quality of life. The initial treatment can be done either with Beta 2 agonist or anticholinergic. Both anticholinergics or Beta adrenergic receptor agonists have proved to be equally beneficial but the combination of the two has shown synergistic effects. Long acting bronchodilators are more beneficial than short-acting ones [1], [2].