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阿奇霉素与阿莫西林/克拉维酸治疗下呼吸道感染的对比研究

Comparative study of azithromycin and amoxicillin/clavulanic acid in the treatment of lower respiratory tract infections.

作者信息

Balmes P, Clerc G, Dupont B, Labram C, Pariente R, Poirier R

机构信息

Service de Pneumologie, Centre Hospitalier Regional et Universitaire, Nimes, France.

出版信息

Eur J Clin Microbiol Infect Dis. 1991 May;10(5):437-9. doi: 10.1007/BF01968024.

DOI:10.1007/BF01968024
PMID:1651860
Abstract

Forty-eight patients with acute bronchitis and four with pneumonia were randomly assigned to receive five doses (500 mg on day 1, plus 250 mg/day on days 2-5) of azithromycin; 54 patients with acute bronchitis and four with pneumonia were assigned 30 doses (625 mg every eight hours for ten days) of amoxicillin/clavulanic acid (CA). The two regimens were equally effective, with clinical improvement or cure in 92% and 87% of patients respectively, bacteriological cure in 89% and 86%, with 91% and 89% of pathogens eliminated. Minor side effects occurred in 6% and 12% of patients in the two groups, respectively. No major abnormalities in laboratory safety parameters were seen in either group.

摘要

48例急性支气管炎患者和4例肺炎患者被随机分配接受5剂(第1天500毫克,第2 - 5天每天250毫克)阿奇霉素治疗;54例急性支气管炎患者和4例肺炎患者被分配接受30剂(每8小时625毫克,共10天)阿莫西林/克拉维酸(CA)治疗。两种治疗方案疗效相当,分别有92%和87%的患者临床症状改善或治愈,细菌学治愈率分别为89%和86%,病原体清除率分别为91%和89%。两组分别有6%和12%的患者出现轻微副作用。两组均未发现实验室安全参数有重大异常。

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Synthesis, in vitro and in vivo activity of novel 9-deoxo-9a-AZA-9a-homoerythromycin A derivatives; a new class of macrolide antibiotics, the azalides.
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Pharmacokinetic and in vivo studies with azithromycin (CP-62,993), a new macrolide with an extended half-life and excellent tissue distribution.对阿奇霉素(CP-62,993)进行的药代动力学和体内研究,阿奇霉素是一种具有延长半衰期和优异组织分布的新型大环内酯类药物。
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Azithromycin. A review of its antimicrobial activity, pharmacokinetic properties and clinical efficacy.阿奇霉素:抗菌活性、药代动力学特性及临床疗效综述
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The pharmacokinetics of azithromycin in human serum and tissues.阿奇霉素在人血清和组织中的药代动力学。
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