Mikamo Hiroshige, Ninomiya Mochiyoshi, Tamaya Teruhiko
Department of Obstetrics and Gynecology, Gifu University School of Medicine 40, Tsukasa-machi, Gifu City, Gifu 500-8705, Japan.
Jpn J Antibiot. 2002 Dec;55(6):875-81.
Seventy-two women diagnosed as parametritis were enrolled in this study and examined on the effective administration method of carbapenems, imipenem/cilastatin (IPM/CS), panipenem/betamipron (PAPM/BP) and meropenem (MEPM). The total dosage of each carbapenem was 1.5 g/day, and administration frequency was twice a day (0.75 g x 2) or three times a day (0.5 g x 3). We reviewed the highest body temperature, white blood cell count and CRP value, before treatment and the fourth day after the start of treatment. Three times a day method was statistically superior to twice a day method in the highest body temperature, and CRP value. When we use carbapenem antimicrobial agents, the basis of PK/PD of time above MIC would lead to the increasing clinical effects.
72名被诊断为盆腔蜂窝组织炎的女性参与了本研究,研究观察了碳青霉烯类药物亚胺培南/西司他丁(IPM/CS)、帕尼培南/倍他米隆(PAPM/BP)和美罗培南(MEPM)的有效给药方法。每种碳青霉烯类药物的总剂量为1.5g/天,给药频率为每日两次(0.75g×2)或每日三次(0.5g×3)。我们回顾了治疗前以及治疗开始后第4天的最高体温、白细胞计数和CRP值。每日三次给药法在最高体温和CRP值方面在统计学上优于每日两次给药法。当我们使用碳青霉烯类抗菌药物时,高于最低抑菌浓度时间的药代动力学/药效学基础会带来临床疗效的提高。