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[抗生素在显性中毒阶段的解毒作用及其在实验性鼠疫中的有效性]

[Detoxifying effect of antibiotics and their effectiveness in experimental plague at the stage of explicit intoxication].

作者信息

Makarovskaia L N, Glian'ko E V, Tinker L A, Kasatkin Iu A, Ryzhkova V V, Bozhko N V, Kozyreva L A

出版信息

Antibiot Khimioter. 1992 Nov;37(11):30-2.

PMID:1300933
Abstract

The effect of antibiotics such as amikacin, rifampicin, doxycycline, polymyxin B and cefotaxime on the toxins of the plague microbe (lipopolysaccharide + fraction II according to Beiker) was studied in vitro and in vivo. The study on the antibiotic neutralization of plague toxins revealed that only polymyxin had toxin neutralizing capacity which depended on the dose. Investigation of the polymyxin effect at various stages of plague infection showed that when polymyxin in a dose of 1250 units and a mixture of plague toxins in lethal doses were administered simultaneously to albino mice, the positive effect amounted to 100 per cent. When the antibiotic was administered 30 or 60 minutes later, the antibiotic efficacy proved to be lower by 90 or 76.6 per cent, respectively. The intoxication in later periods (in 90-120 minutes) resulted in a decrease in animal survival up to 40-15 per cent. It was demonstrated on the model of the plague infection in albino mice that the use of amikacin, cefotaxime, rifampicin or doxycycline during polymyxin therapy at the stage of marked generalization of the infection provided a significant increase in the animal survival (60 to 80 per cent) as compared to that after the use of the same drugs alone (0 to 20 per cent).

摘要

在体外和体内研究了阿米卡星、利福平、多西环素、多粘菌素B和头孢噻肟等抗生素对鼠疫杆菌毒素(根据贝克尔分类为脂多糖+组分II)的影响。关于鼠疫毒素抗生素中和作用的研究表明,只有多粘菌素具有毒素中和能力,且这取决于剂量。对鼠疫感染不同阶段多粘菌素作用的研究表明,当以1250单位剂量的多粘菌素与致死剂量的鼠疫毒素混合物同时给予白化小鼠时,阳性效果达100%。当抗生素在30或60分钟后给药时,抗生素疗效分别降低了90%或76.6%。后期(90 - 120分钟)的中毒导致动物存活率降至40% - 15%。在白化小鼠鼠疫感染模型上证明,在感染明显泛化阶段的多粘菌素治疗期间使用阿米卡星、头孢噻肟、利福平或多西环素,与单独使用相同药物相比(存活率0% - 20%),动物存活率显著提高(60%至80%)。

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