Poliak M S
Antibiotiki. 1975 Sep(9):829-33.
The inhibitory effect of rifampicin against most of 82 strains of pathogenic Clostridia was evident at a concentration of less than 0.1 gamma/ml. The bactericidal concentrations were close to the bacteriostatic ones with respect to 74 strains. The protective effect of rifampicin in mice with experimental anaerobic gaseous infaction caused by different species of pathogenic Clostridia was evident at doses of 0.5 mg/kg. In infections caused by associations of Clostridia and Staph. aureus resistant to other antibiotics, rifampicin was effective, while ampicillin had no protective effect. Rifampicin administered 24 to 96 hours before the infection prevented the specific process. A number of other antibiotics, such as ampicillin, cephaloridin, morphocycline and 7-chlor-7-desoxylincomycin had no such a capacity. The prolonged prophylactic effect of rifampicin was associated with maintenance of low antibiotic levels in the blood and muscle tissues which were higher than the minimum inhibitory concentrations. The effect of rifampicin against the background of a rapidly developing process was less pronounced and limited in time.
利福平对82株致病性梭菌中的大多数菌株的抑制作用在浓度低于0.1微克/毫升时就很明显。对于74株菌株,杀菌浓度与抑菌浓度相近。利福平在剂量为0.5毫克/千克时,对由不同种类致病性梭菌引起的实验性厌氧气体感染的小鼠具有明显的保护作用。在由对其他抗生素耐药的梭菌和金黄色葡萄球菌联合感染中,利福平有效,而氨苄青霉素没有保护作用。在感染前24至96小时给予利福平可阻止特定病程。许多其他抗生素,如氨苄青霉素、头孢菌素、吗啉环素和7-氯-7-去氧林可霉素没有这种能力。利福平的长期预防作用与血液和肌肉组织中低抗生素水平的维持有关,这些水平高于最低抑菌浓度。在快速发展的病程背景下,利福平的作用不太明显且时间有限。