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[免疫缺陷状况儿童急性痢疾的抗生素治疗]

[Antibiotic therapy of acute dysentery in children with immunologic deficiency conditions].

作者信息

Vereshchagin I A, Zhuravleva O D

出版信息

Antibiot Khimioter. 1991 Jan;36(1):38-41.

PMID:2053823
Abstract

One hundred children with acute Sonnei and flexneri dysentery were followed up with respect to the infection process and main immunity indices. In 32 children the immunity indices were physiological (group 1) and in 68 children secondary immune deficiency was observed (group 2). The children were treated with aminoglycoside antibiotics and prodigiozan and it was stated that the time of recovery in the children with immune deficiency was longer by 5.2 days as compared to that in the children without immune deficiency. In the children with immune deficiency the combined use of one of the aminoglycosides, prodigiozan and lysozyme, led to a reduction of the host immunological reactivity and recovery within the same periods as those recorded for children with the physiological immunity status. It is recommended to use the antibiotic combination with prodigiozan and lysozyme in the treatment of all the forms of dysentery in children with secondary immune deficiency.

摘要

对100名患有宋内氏菌和福氏菌急性痢疾的儿童进行了感染过程和主要免疫指标的随访。32名儿童的免疫指标正常(第1组),68名儿童出现继发性免疫缺陷(第2组)。这些儿童接受了氨基糖苷类抗生素和灵菌红素治疗,结果表明,与无免疫缺陷的儿童相比,免疫缺陷儿童的康复时间延长了5.2天。在免疫缺陷儿童中,联合使用一种氨基糖苷类药物、灵菌红素和溶菌酶,可导致宿主免疫反应性降低,并在与生理免疫状态儿童相同的时间内康复。建议在治疗继发性免疫缺陷儿童的所有痢疾类型时,使用抗生素与灵菌红素和溶菌酶的联合疗法。

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