Berild D, Sjursen H, Digranes A
Medisinsk klinikk Aker sykehus, Oslo.
Tidsskr Nor Laegeforen. 1999 Sep 10;119(21):3152-6.
Conventionally, aminoglycosides have been administered in two or three daily doses. Numerous in-vitro and animal experiments and several clinical trials favour a once-daily dosage regimen of aminoglycosides, which provides a more rapid concentration-dependent bacterial killing and is probably less toxic than two or three dosage regimens. In this article the pharmacological and microbiological background for once-daily aminoglycoside administration is reviewed, and some controlled trials are discussed. Recommendations for clinical practice are given.
传统上,氨基糖苷类药物一直采用每日两到三次的给药方式。大量的体外和动物实验以及多项临床试验都支持氨基糖苷类药物每日一次的给药方案,该方案能实现更快速的浓度依赖性细菌杀灭,而且可能比每日两到三次的给药方案毒性更低。本文综述了氨基糖苷类药物每日一次给药的药理学和微生物学背景,并讨论了一些对照试验。同时给出了临床实践建议。