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米诺环素与β-内酰胺类药物联合治疗耐甲氧西林金黄色葡萄球菌的细菌学评价。II. 头孢唑肟钠加米诺环素

[Bacteriological evaluations of combination therapies with minocycline and beta-lactams for methicillin-resistant Staphylococcus aureus. II. cefuzonam plus minocycline].

作者信息

Deguchi K, Yokota N, Koguchi M, Nakane Y, Suzuki Y, Fukayama S, Ishihara R

机构信息

Section of Studies, Tokyo Clinical Research Center.

出版信息

Jpn J Antibiot. 1992 Jun;45(6):605-11.

PMID:1507394
Abstract

We performed an in vitro assessment of the antibacterial activity of therapy with cefuzonam (CZON) plus minocycline (MINO) against methicillin-resistant Staphylococcus aures (MRSA) infections. 1. Studies using MINO-susceptible and MINO-resistant MRSA strains suggested that the antibacterial activity of CZON + MINO was dependent on the antibiotic action of MINO, similarly to the case with cefotiam (CTM) + MINO. 2. The antibacterial activity (including the FIC index) of this combination was slightly inferior to that of CTM + MINO. However, the time course of antibacterial efficacy of CZON + MINO in MRSA pretreated with MINO was comparable to that of CTM + MINO. 3. CZON + MINO appeared to be a very useful combination in patients with mixed infections due to MRSA and Gram-negative bacteria.

摘要

我们对头孢唑肟(CZON)联合米诺环素(MINO)治疗耐甲氧西林金黄色葡萄球菌(MRSA)感染的抗菌活性进行了体外评估。1. 使用对米诺环素敏感和耐药的MRSA菌株的研究表明,与头孢替安(CTM)+米诺环素的情况类似,头孢唑肟+米诺环素的抗菌活性取决于米诺环素的抗生素作用。2. 该联合用药的抗菌活性(包括FIC指数)略低于头孢替安+米诺环素。然而,在经米诺环素预处理的MRSA中,头孢唑肟+米诺环素的抗菌疗效时间进程与头孢替安+米诺环素相当。3. 对于由MRSA和革兰氏阴性菌引起的混合感染患者,头孢唑肟+米诺环素似乎是一种非常有用的联合用药。

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