英訳できなくて困っています。
単語など調べてやってるのですが、なかなかうまく訳せなくて困っています。
今週中にやらないといけないものなので焦っています。
もしも訳していただけるのであれば有難いです。
我儘ですが、ネット上での翻訳の訳ではないものだと助かります。
この他にも何項目かあるので、そちらも訳していただけるのであれば嬉しいです。
よろしくおねがいいたします。
<Antibiotics>
The first treatment for CDAD is cessation of the suspected causative antibiotic. Although stopping the antibiotic may be effective, the reason the antibiotic was prescribed in the first place should be considered, and monitoring for recurrence or worsening of the underlying infection is essential.
Oral metronidazole, 250 to 500 mg 4 times a day for 7 to 14 days, is generally recommended as an initial treatment.29 Metronidazole can also be given intravenously. Administered by either route, the same dosage provides bactericidal levels of the drug in the bowel lumen.
Although equally effective as metronidazole when given orally, vancomycin, standard dosage 1 g/d for 10 days, is more expensive, and is therefore reserved for patients who can not tolerate metronidazole, are pregnant or breastfeeding, or have severe cases of CDAD.Alternative vancomycin dosing strategies may be effective for treatment of recurrent CDAD. A pulsed dosing regimen, intermittent delivery of between 125 and 500 mg every 3 days, and tapered dosing, administering the antibiotic over long periods at decreasing doses, may in some instances effectively eradicate vegetative C difficile cells.
In addition to its greater cost, a disadvantage of vancomycin is the occurrence of vancomycin-resistant strains. Intraluminal concentrations of vancomycin cannot be achieved by intravenous infusion as they can with metronidazole. However, vancomycin can be given via a nasogastric tube or as an enema. Instilling vancomycin as an enema can be challenging, particularly when a patient is experiencing diarrhea.
