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头孢他啶单药治疗在治疗发热性中性粒细胞减少患者方面与头孢他啶联合庆大霉素一样有效。

Ceftazidime monotherapy is as effective as ceftazidime combined with gentamicin in the treatment of febrile neutropenic patients.

作者信息

Kinsey S E, Machin S J, Goldstone A H

机构信息

Department of Haematology, University College and Middlesex School of Medicine, London, UK.

出版信息

J Hosp Infect. 1990 Apr;15 Suppl A:49-53. doi: 10.1016/0195-6701(90)90079-4.

Abstract

To evaluate the efficacy of ceftazidime monotherapy in the empirical treatment of febrile neutropenic patients, a randomized trial was performed of ceftazidime (C) vs. ceftazidime and gentamicin (C + G) with the addition of teicoplanin (T) for those patients with a long intravenous line-associated infection. Success without modification at the end of treatment was seen in 32.7% (C), 28.3% (C + G), 52.4% (C + T) and 65.2% (C + G + T). Monotherapy with ceftazidime is as effective as when used in combination with an aminoglycoside in neutropenia.

摘要

为评估头孢他啶单药疗法在发热性中性粒细胞减少患者经验性治疗中的疗效,开展了一项随机试验,比较头孢他啶(C)与头孢他啶联合庆大霉素(C+G),并对有长期静脉导管相关感染的患者加用替考拉宁(T)的疗效。治疗结束时未调整治疗方案而获得成功的比例分别为:32.7%(C组)、28.3%(C+G组)、52.4%(C+T组)和65.2%(C+G+T组)。在中性粒细胞减少症患者中,头孢他啶单药疗法与联合氨基糖苷类药物的疗效相当。

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