Inserra A, Serventi P, Ciprandi G, Sommi M, Silvano A, Boglino C
Istituto di Ricerca Scientifica, Divisione di Chirurgia Pediatrica, Ospedale del Bambin Gesù Roma.
Clin Ter. 1991 Mar 31;136(6):393-8.
The authors report their experience with Ceftazidime in surgical prophylaxis in childhood. 50 patients have been treated, suffering from surgical diseases, with 100 mg/kg of Ceftazidime in 3 doses (1 before, 1 after 6 hrs and 1 after 12 hrs from surgery). No side effects were observed and in no case was it necessary to discontinue treatment. Both bacterial and clinical results indicate good tolerability and very rapid effectiveness of the drug. Complications were present in 3 cases (6%) (in 2 cases wound infiltration and in 1 case a Douglas abscess) but no modification in treatment was necessary. All complications were present in so-called "dirty surgery" with a relative percentage of 18.7, that is far below values reported in the literature for this kind of surgery.
作者报告了他们使用头孢他啶进行儿童外科手术预防的经验。50例患有外科疾病的患者接受了治疗,给予100mg/kg的头孢他啶,分3次给药(手术前1次、手术后6小时1次、手术后12小时1次)。未观察到副作用,也无需停药。细菌学和临床结果均表明该药物耐受性良好且起效迅速。3例(6%)出现了并发症(2例伤口浸润,1例道格拉斯窝脓肿),但无需调整治疗。所有并发症均出现在所谓的“污染手术”中,相对发生率为18.7%,远低于文献报道的此类手术的发生率。