{"id":4081,"date":"2026-02-16T16:35:51","date_gmt":"2026-02-16T16:35:51","guid":{"rendered":"https:\/\/doktorica.org\/?p=4081"},"modified":"2026-02-16T16:51:25","modified_gmt":"2026-02-16T16:51:25","slug":"znate-li-kada-metronidazol-nije-potreban-i-kad-se-pogresno-daje","status":"publish","type":"post","link":"https:\/\/doktorica.org\/index.php\/2026\/02\/16\/znate-li-kada-metronidazol-nije-potreban-i-kad-se-pogresno-daje\/","title":{"rendered":"Znate li kada metronidazol nije potreban i kad se pogresno daje?"},"content":{"rendered":"<div class=\"entry\">\n\n\n<p><\/p>\n\n\n\n<p>Davati metronidazol uz peneme (meropenem, imipenem)&nbsp; je kao da naru\u010dite trostruki espreso dok pijete kafu koja ve\u0107 sadr\u017ei kofein. Efekt je isti, a samo stvara nepotreban nered u organizmu.<\/p>\n\n\n\n<p><strong>Metronidazol definitivno nije potreban:<\/strong><br \/>-uz peneme (Meropenem, Imipenem, Ertapenem), jer oni ve\u0107 pokrivaju anaerobe pa je dodavanje metronidazola je suvi\u0161no.<\/p>\n\n\n\n<p>-uz \u0161irokospektarske cefalosporine 3. i 4. generacije (npr. Ceftriaxone, Cefepime) za rutinske infekcije.&nbsp; Ne treba ga dodavati ako anaerobi nisu vjerovatni, npr: <br>obi\u010dna pneumonija bez aspiracije<br>urosepsa<br>sepsa iz urinarnog trakta<br>meningitis (ceftriakson ili cefepime sami)<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>-uz amoksicilin\/klavulonsku kiselinu. Oba djeluju na anaerobe, dvostruka doza nije potrebna.<\/p>\n\n\n\n<p>&#8211; uz piperacilin\/tazobaktam, jer njihov spektar uklju\u010duje gram-pozitivne, gram-negativne bakterije i anaerobe, stoga nema potrebe za metronidazolom.<\/p>\n\n\n\n<p>-uz kombinacije za obi\u010dne intraabdominalne infekcije, osim ako postoji rijetka, rezistentna anaerobna bakterija, metronidazol se mo\u017ee izostaviti.<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"225\" height=\"300\" data-id=\"4079\" src=\"https:\/\/doktorica.org\/wp-content\/uploads\/2026\/02\/34fd23820acd92ca3229a02f2977c2ff5512964110855149818-225x300.jpg\" alt=\"\" class=\"wp-image-4079\" srcset=\"https:\/\/doktorica.org\/wp-content\/uploads\/2026\/02\/34fd23820acd92ca3229a02f2977c2ff5512964110855149818-225x300.jpg 225w, https:\/\/doktorica.org\/wp-content\/uploads\/2026\/02\/34fd23820acd92ca3229a02f2977c2ff5512964110855149818.jpg 474w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/figure>\n<\/figure>\n\n\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Davati metronidazol uz peneme (meropenem, imipenem)&nbsp; je kao da naru\u010dite trostruki espreso dok pijete kafu koja ve\u0107 sadr\u017ei kofein. Efekt je isti, a samo stvara nepotreban nered u organizmu. Metronidazol definitivno nije potreban:-uz peneme (Meropenem, Imipenem, Ertapenem), jer oni ve\u0107 pokrivaju anaerobe pa je dodavanje metronidazola je suvi\u0161no. -uz \u0161irokospektarske cefalosporine 3. i 4. generacije &#8230;<\/p>\n","protected":false},"author":1,"featured_media":4080,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,15],"tags":[1020,1019],"class_list":["post post-4081","anons"],"_links":{"self":[{"href":"https:\/\/doktorica.org\/index.php\/wp-json\/wp\/v2\/posts\/4081","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doktorica.org\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/doktorica.org\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/doktorica.org\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/doktorica.org\/index.php\/wp-json\/wp\/v2\/comments?post=4081"}],"version-history":[{"count":4,"href":"https:\/\/doktorica.org\/index.php\/wp-json\/wp\/v2\/posts\/4081\/revisions"}],"predecessor-version":[{"id":4085,"href":"https:\/\/doktorica.org\/index.php\/wp-json\/wp\/v2\/posts\/4081\/revisions\/4085"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/doktorica.org\/index.php\/wp-json\/wp\/v2\/media\/4080"}],"wp:attachment":[{"href":"https:\/\/doktorica.org\/index.php\/wp-json\/wp\/v2\/media?parent=4081"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doktorica.org\/index.php\/wp-json\/wp\/v2\/categories?post=4081"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doktorica.org\/index.php\/wp-json\/wp\/v2\/tags?post=4081"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}