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. 2020 Mar 26;8:Doc16.
doi: 10.3205/id000060. eCollection 2020.

Calculated Initial Parenteral Treatment of Bacterial Infections: Safety and Tolerabilty

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Free PMC article

Calculated Initial Parenteral Treatment of Bacterial Infections: Safety and Tolerabilty

Ralf Stahlmann et al. GMS Infect Dis. .
Free PMC article

Abstract

This is the fourth chapter of the guideline "Calculated initial parenteral treatment of bacterial infections in adults - update 2018" in the 2nd updated version. The German guideline by the Paul-Ehrlich-Gesellschaft für Chemotherapie e.V. (PEG) has been translated to address an international audience. Safety and tolerability of antimicrobial agents will be discussed in this chapter. Toxic, allergic and biological effects can be differentiated on the basis of their pathogenesis. The question of differences in the tolerability of specific antibiotics is of particular importance. However, due to limitations of the available data, it cannot be answered for most agents with the desired accuracy. For an assessment of rare side effects, results from the postmarketing surveillance have to be used.

Dies ist das vierte Kapitel der von der Paul-Ehrlich-Gesellschaft für Chemotherapie e.V. (PEG) herausgegebenen S2k Leitlinie „Kalkulierte parenterale Initialtherapie bakterieller Erkrankungen bei Erwachsenen – Update 2018“ in der 2. aktualisierten Fassung.Die Sicherheit und Verträglichkeit von antimikrobiellen Wirkstoffen werden in diesem Kapitel diskutiert. Toxische, allergische und biologische Wirkungen können auf der Basis ihrer Pathogenese unterschieden werden. Die Frage nach Unterschieden in der Verträglichkeit verschiedener Antibiotika ist von besonderer Bedeutung. Sie kann jedoch häufig nicht mit der gewünschten Genauigkeit beantwortet werden, weil die verfügbaren Daten limitiert sind. Für eine Bewertung seltener Nebenwirkungen müssen die Ergebnisse aus der Überwachung nach der Zulassung herangezogen werden.

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Table 1
Table 1. Embryo-fetal risks when using antibiotics

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