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新生儿脑膜炎的鞘内抗生素治疗

Intrathecal antibiotic therapy for neonatal meningitis.

作者信息

Yeung C Y

出版信息

Arch Dis Child. 1976 Sep;51(9):686-90. doi: 10.1136/adc.51.9.686.

DOI:10.1136/adc.51.9.686
PMID:1036671
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1546245/
Abstract

Twenty infants with neonatal meningitis were treated with systemic and lumbar intrathecal antibiotics upon initial diagnosis. Failure to sterilize the CSF in 2-3 days was associated with evidence of ventriculitis in these infants who were then treated with intraventricular antibiotics. 4 infants died, but only 2 of them may be regarded as treatment failure. It is suggested that many deaths from neonatal meningitis may be preventable by early detection and treatment of ventriculitis with intraventricular antibiotics.

摘要

20例新生儿脑膜炎患儿在初诊时接受了全身及鞘内注射抗生素治疗。2至3天内脑脊液未能除菌与这些患儿出现脑室炎迹象相关,随后对其使用了脑室内抗生素治疗。4例患儿死亡,但其中仅有2例可被视为治疗失败。有人提出,通过早期发现脑室炎并使用脑室内抗生素治疗,许多新生儿脑膜炎导致的死亡可能是可预防的。

相似文献

1
Intrathecal antibiotic therapy for neonatal meningitis.新生儿脑膜炎的鞘内抗生素治疗
Arch Dis Child. 1976 Sep;51(9):686-90. doi: 10.1136/adc.51.9.686.
2
Intraventricular chemotherapy in neonatal meningitis.
J Pediatr. 1977 Dec;91(6):991-5. doi: 10.1016/s0022-3476(77)80913-x.
3
[Technique for intraventricular application of antibiotics in bacterial meningitis of the newborn (author's transl)].新生儿细菌性脑膜炎抗生素脑室内应用技术(作者译)
Monatsschr Kinderheilkd. 1981 Sep;129(9):525-8.
4
Intraventricular and lumbar intrathecal administration of antibiotics in postneurosurgical patients with meningitis and/or ventriculitis in a serious clinical state.在严重临床状态下的神经外科术后脑膜炎和/或脑室炎患者中,进行脑室和腰椎鞘内给予抗生素。
J Neurosurg. 2013 Dec;119(6):1596-602. doi: 10.3171/2013.6.JNS122126. Epub 2013 Aug 16.
5
Hazard of intraventricular antibiotics in neonatal meningitis.新生儿脑膜炎脑室内使用抗生素的风险
Med Lett Drugs Ther. 1979 Jun 15;21(12):52.
6
Gentamicin in the treatment of meningitis.庆大霉素治疗脑膜炎
J Infect Dis. 1971 Dec;124 Suppl:S249-53. doi: 10.1093/infdis/124.supplement_1.s249.
7
Intraventricular gentamicin in meningitis.脑膜炎患者脑室内注射庆大霉素
Lancet. 1980 Aug 2;2(8188):252.
8
Intraventricular gentamicin in meningitis.脑膜炎患者脑室内注射庆大霉素
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A controlled study of intrathecal antibiotic therapy in gram-negative enteric meningitis of infancy. Report of the neonatal meningitis cooperative study group.
J Pediatr. 1976 Jul;89(1):66-72. doi: 10.1016/s0022-3476(76)80929-8.
10
[Bacterial meningitis in newborn infants. A retrospective study from a pediatric clinic 1967-1978].
Helv Paediatr Acta. 1979;34(6):563-76.

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Sex differences in bacterial meningitis and associations with socioeconomic indicators: a systematic review and meta-analysis with metaregression.细菌性脑膜炎的性别差异及其与社会经济指标的关联:一项采用Meta回归的系统评价和Meta分析
BMJ Glob Health. 2025 Apr 30;10(4):e016802. doi: 10.1136/bmjgh-2024-016802.
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Global Case Fatality of Bacterial Meningitis During an 80-Year Period: A Systematic Review and Meta-Analysis.全球 80 年间细菌性脑膜炎的病死率:系统评价和荟萃分析。
JAMA Netw Open. 2024 Aug 1;7(8):e2424802. doi: 10.1001/jamanetworkopen.2024.24802.
3
Systematic review and meta-analysis of intraventricular antibiotics for neonatal meningitis and ventriculitis.系统评价和荟萃分析脑室抗生素治疗新生儿脑膜炎和脑室炎。
Childs Nerv Syst. 2024 Apr;40(4):1019-1030. doi: 10.1007/s00381-023-06240-4. Epub 2023 Nov 28.
4
Intraventricular endoscopy and intraventricular antibiotics in the treatment of multiloculated hydrocephalus with ventriculitis in a neonate and an infant: Two case reports.脑室内内镜检查及脑室内抗生素治疗新生儿和婴儿多房性脑积水合并脑室炎:两例报告
Surg Neurol Int. 2023 Oct 6;14:354. doi: 10.25259/SNI_428_2023. eCollection 2023.
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[Gentamicin concentrations in cerebrospinal fluid of patients with inflamed and uninflamed meninges (author's transl)].[患有炎症性和非炎症性脑膜的患者脑脊液中的庆大霉素浓度(作者译)]
Infection. 1980;8(2):86-9. doi: 10.1007/BF01639153.

本文引用的文献

1
MOVEMENT OF THE CEREBROSPINAL FLUID IN HUMAN BEINGS.人类脑脊液的流动
Nature. 1964 Oct 17;204:290-1. doi: 10.1038/204290a0.
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BRAIN SWELLING WITH ACUTE PURULENT MENINGITIS. REPORT OF TREATMENT WITH HYPERTONIC INTRAVENOUS UREA.
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Subarachnoid distribution of drugs after lumbar injection.腰椎注射后药物在蛛网膜下腔的分布。
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Neonatal meningitis. A clinical and pathological study of 29 cases.新生儿脑膜炎。29例临床与病理研究。
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Neonatal meningitis. Presentation and discussion of 21 cases.新生儿脑膜炎。21例病例介绍与讨论。
Clin Pediatr (Phila). 1968 Jul;7(7):404-10. doi: 10.1177/000992286800700712.
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Neonatal bacterial meningitis. Analysis of predisposing factors and outcome compared with matched control subjects.新生儿细菌性脑膜炎。与匹配的对照受试者相比,对易感因素和预后的分析。
J Pediatr. 1970 Apr;76(4):499-511. doi: 10.1016/s0022-3476(70)80399-7.
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Gentamicin in pediatrics. I. Report on intrathecal gentamicin.庆大霉素在儿科的应用。I. 鞘内注射庆大霉素的报告。
J Infect Dis. 1971 Dec;124 Suppl:S254-6. doi: 10.1093/infdis/124.supplement_1.s254.
8
Relationship of intraventricular gentamicin levels to cure of meningitis. Report of a case of Proteus meningitis successfully treated with intraventricular gentamicin.脑室内庆大霉素水平与脑膜炎治愈的关系。1例变形杆菌性脑膜炎经脑室内注射庆大霉素成功治愈的病例报告。
J Pediatr. 1972 Sep;81(3):534-7. doi: 10.1016/s0022-3476(72)80182-3.
9
Ventriculitis complicating meningitis.
Am J Dis Child. 1972 Jul;124(1):35-40. doi: 10.1001/archpedi.1972.02110130037005.
10
Penicillin neurotoxicity.青霉素神经毒性
Ann N Y Acad Sci. 1967 Sep 27;145(2):310-8. doi: 10.1111/j.1749-6632.1967.tb50228.x.