Stucki A, Cottagnoud M, Winkelmann V, Schaffner T, Cottagnoud P
Department of Internal Medicine, Inselspital, Freiburgstrasse, 3010 Bern, Switzerland.
Antimicrob Agents Chemother. 2007 Jun;51(6):2249-52. doi: 10.1128/AAC.01000-06. Epub 2007 Mar 19.
Daptomycin monotherapy was superior to ceftriaxone monotherapy and was highly efficacious in experimental pneumococcal meningitis, sterilizing the cerebrospinal fluid (CSF) of three of three rabbits after 4 to 6 h. With daptomycin therapy only a negligible release of [(3)H]choline as marker of cell wall lysis was detectable in the CSF, peaking around 250 cpm/min after 4 h, compared to a peak of around 2,400 cpm/min after 4 to 6 h for the ceftriaxone-treated rabbits.
达托霉素单药治疗优于头孢曲松单药治疗,在实验性肺炎球菌性脑膜炎中疗效显著,4至6小时后三只兔子的脑脊液(CSF)均除菌。使用达托霉素治疗时,脑脊液中仅可检测到极少量作为细胞壁溶解标志物的[(3)H]胆碱释放,4小时后峰值约为250 cpm/分钟,而头孢曲松治疗的兔子在4至6小时后的峰值约为2400 cpm/分钟。