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皮质类固醇在实验性细菌性眼内炎治疗中的作用。

The effect of corticosteroids in the treatment of experimental bacterial endophthalmitis.

作者信息

Baum J L, Barza M, Lugar J, Onigman P

出版信息

Am J Ophthalmol. 1975 Sep;80(3 Pt 2):513-5. doi: 10.1016/0002-9394(75)90218-4.

DOI:10.1016/0002-9394(75)90218-4
PMID:1163598
Abstract

We evaluated the effects of the addition of corticosteroids to antibiotic therapy in the treatment of staphylococcal endophthalmitis in rabbits. Twenty-four hours after the induction of infection with Staphylococcus aureus, penicillin G, penicillin G and dexamethasone or prednisolone, or saline was injected retrobulbarly for ten days. Afterward, there was no ophthalmoscopic difference between the penicillin and corticosteroid-treated group and those animals receiving only penicillin G. At day 60, however, the fundus was visible in 64% of eyes treated with penicillin G with corticosteroids in contrast to 39% of those eyes treated only with penicillin G (P less than .025). The results between dexamethasone and prednisolone use were not significant. Retrobulbar corticosteroids in combination with effective antibiotic therapy effectively treated experimental bacterial endophthalmitis.

摘要

我们评估了在兔葡萄球菌性眼内炎治疗中添加皮质类固醇至抗生素疗法的效果。在用金黄色葡萄球菌诱导感染24小时后,将青霉素G、青霉素G与地塞米松或泼尼松龙,或生理盐水球后注射10天。之后,青霉素与皮质类固醇治疗组和仅接受青霉素G的动物之间在检眼镜检查上没有差异。然而,在第60天时,与仅用青霉素G治疗的39%的眼睛相比,用青霉素G联合皮质类固醇治疗的眼睛中有64%眼底可见(P小于0.025)。地塞米松和泼尼松龙的使用结果无显著差异。球后注射皮质类固醇联合有效的抗生素疗法可有效治疗实验性细菌性眼内炎。

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J Immunol. 2024 Dec 1;213(11):1656-1665. doi: 10.4049/jimmunol.2400282.
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Current approach to postoperative endophthalmitis.当前术后眼内炎的治疗方法。
Br J Ophthalmol. 1997 Nov;81(11):1006-15. doi: 10.1136/bjo.81.11.1006.
3
Intraocular dexamethasone produces a harmful effect on treatment of experimental Staphylococcus aureus endophthalmitis.眼内注射地塞米松对实验性金黄色葡萄球菌性眼内炎的治疗产生有害影响。
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4
Factors affecting the efficacy of antibiotics in the treatment of experimental postoperative endophthalmitis.影响抗生素治疗实验性术后眼内炎疗效的因素。
Trans Am Ophthalmol Soc. 1993;91:775-844.
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Rare complications in a case of generalized meningococcal disease: immunologic reaction versus bacterial metastasis.一例全身性脑膜炎球菌病的罕见并发症:免疫反应与细菌转移
Infection. 1982 Jan;10(1):23-7. doi: 10.1007/BF01640833.
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