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抗生素在上颌窦正常及病变黏膜中的渗透情况。

Penetration of antibiotics into the normal and diseased maxillary sinus mucosa.

作者信息

Ekedahl C, Holm S E, Bergholm A M

出版信息

Scand J Infect Dis Suppl. 1978(14):279-84.

PMID:100874
Abstract

A micro-method was developed for determination of the concentrations of antibiotics in the mucous membranes of the maxillary sinus in man. At different times after the administration of antibiotics (potassium phenoxymethylpenicillin, lymecycline and bacampicillin) the concentration was determined in serum and in pieces of maxillary sinus mucosa obtained at operation. It was found that the concentrations in the mucosa varied within wide ranges during the first 60 minutes after the operation but in samples taken at 90 minutes the fluctuations between the individuals were within the standard error of the method. Concentrations well above the MIC values for the majority of bacterias found in sinusitis were registered in the peaks. Six hours after the administration considerable amounts of active antibiotics were still detected in the maxillary sinus mucosa.

摘要

已开发出一种微量方法,用于测定人体上颌窦黏膜中抗生素的浓度。在给予抗生素(苯氧甲基青霉素钾、赖甲环素和巴氨西林)后的不同时间,测定血清以及手术时获取的上颌窦黏膜碎片中的浓度。结果发现,术后最初60分钟内,黏膜中的浓度变化范围很广,但在90分钟时采集的样本中,个体间的波动在该方法的标准误差范围内。峰值时记录到的浓度远高于在鼻窦炎中发现的大多数细菌的最低抑菌浓度值。给药6小时后,在上颌窦黏膜中仍检测到相当数量的活性抗生素。

相似文献

1
Penetration of antibiotics into the normal and diseased maxillary sinus mucosa.抗生素在上颌窦正常及病变黏膜中的渗透情况。
Scand J Infect Dis Suppl. 1978(14):279-84.
2
[Concentrations of antibiotics (ampicilline, doxycycline) in the chronic-hyperplastic alterated mucosa of the maxillary sinuses (author's transl)].[上颌窦慢性增生性改变黏膜中抗生素(氨苄青霉素、强力霉素)的浓度(作者译)]
Laryngol Rhinol Otol (Stuttg). 1979 Apr;58(4):347-52.
3
A pharmacokinetic study of bacampicillin in patients with chronic maxillary sinusitis.巴氨西林在慢性上颌窦炎患者中的药代动力学研究。
Infection. 1979;7 Suppl 5:S475-7. doi: 10.1007/BF01659776.
4
[Treatment of acute maxillary sinusitis with oral penicillin (author's transl)].口服青霉素治疗急性上颌窦炎(作者译)
Laryngol Rhinol Otol (Stuttg). 1977 Sep;56(9):756-9.
5
Bacampicillin in acute maxillary sinusitis: concentration in sinus secretion and clinical effect. A randomized, double-blind study of two dosage regimens.巴氨西林治疗急性上颌窦炎:在鼻窦分泌物中的浓度及临床疗效。两种给药方案的随机双盲研究。
Scand J Infect Dis. 1981;13(4):277-80. doi: 10.3109/inf.1981.13.issue-4.07.
6
Treatment of acute maxillary sinusitis. Erythromycin base and phenoxymethyl-penicillin (penicillin V).急性上颌窦炎的治疗。红霉素碱和苯氧甲基青霉素(青霉素V)。
Rhinology. 1984 Dec;22(4):247-54.
7
Comparison of antibiotic assays using different experimental models and their possible clinical significance.使用不同实验模型的抗生素检测方法比较及其可能的临床意义。
Scand J Infect Dis Suppl. 1978(14):214-20.
8
Secretory lymecycline concentrations in maxillary sinusitis.上颌窦炎中分泌型赖甲环素的浓度。
J Antimicrob Chemother. 1978 Mar;4(2):187. doi: 10.1093/jac/4.2.187.
9
Aspects of the treatment of maxillary sinusitis.上颌窦炎的治疗方面
Scand J Infect Dis Suppl. 1976(9):78-81.
10
Studies on the penetration of lymecycline into the paranasal sinus in man.关于赖甲环素在人体鼻窦中渗透情况的研究。
Acta Otorhinolaryngol Belg. 1983;37(4):649-53.

引用本文的文献

1
Issues in pharmacokinetics and pharmacodynamics of anti-infective agents: distribution in tissue.抗感染药物的药代动力学和药效学问题:在组织中的分布
Antimicrob Agents Chemother. 2004 May;48(5):1441-53. doi: 10.1128/AAC.48.5.1441-1453.2004.
2
Efficacy and safety of azithromycin versus phenoxymethylpenicillin in the treatment of acute maxillary sinusitis.阿奇霉素与青霉素V钾治疗急性上颌窦炎的疗效及安全性比较
Eur J Clin Microbiol Infect Dis. 1996 Nov;15(11):849-53. doi: 10.1007/BF01691214.
3
[Acute sinusitis in adults].[成人急性鼻窦炎]
Infection. 1987;15 Suppl 3:S120-2. doi: 10.1007/BF01650654.