Wagner P, Marget W
MMW Munch Med Wochenschr. 1979 Nov 30;121(48):1611-4.
Nineteen patients previously treated unsuccessfully, usually with bactericidal antibiotics, received large doses (average: 15-20 mg/kg/day) of oral doxycycline (Vibramycin) after suitable testing for resistance. The good therapeutic results -- complete cure in eleven cases, great improvement in one, doubtful response to doxycycline in four, three failures -- justifies the observation that high oral doses of doxycycline can be considered as an important addition to the possibilities for treatment of endocarditis.
19名先前治疗失败的患者,通常使用杀菌抗生素治疗,在进行适当的耐药性检测后,接受了大剂量(平均:15 - 20毫克/千克/天)的口服强力霉素(维霸霉素)治疗。良好的治疗效果——11例完全治愈,1例显著改善,4例对强力霉素反应可疑,3例治疗失败——证明了这样的观察结果:高剂量口服强力霉素可被视为治疗心内膜炎的重要补充手段。