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[抗生素在风湿性疾病中的副作用]

[Side effects of antibiotics in rheumatic diseases].

作者信息

Matveĭkov G P, Pshonik S S, Poliakova T I, Aronin Ts S

出版信息

Antibiotiki. 1977 Sep;22(9):813-6.

PMID:20835
Abstract

Complications due to antibiotic therapy in rheumatic patients subjected to season bicillin prophylaxis in Minsk within 1965--1975 and in patients with extensive collagenoses were studied. Allergic complications mainly ih the form of allergic reactions in the patients treated with bicillin-3 or picillin-5 were observed in 7.8--16.8 per cent of the patients. Within 10 years 52 cases of anaphylactic shock due to the bicillin use were recorded. Side reactions to antibiotics were observed in 16 (17.3 per cent) out of 92 patients with extensive collagenoses. For prophylaxis of the above complications it is recommended to use rational antibiotic therapy in rheumatic patients, strict registration of allergological states in the anamnesis, testing of microbial sensitivity to the antibiotics.

摘要

对1965年至1975年期间在明斯克接受季胺苄青霉素预防治疗的风湿性患者以及患有广泛胶原病的患者中抗生素治疗引起的并发症进行了研究。在用苄星青霉素3或苄星青霉素5治疗的患者中,主要以过敏反应形式出现的过敏并发症在7.8%至16.8%的患者中被观察到。在10年期间,记录了52例因使用苄星青霉素导致的过敏性休克病例。在92例患有广泛胶原病的患者中,有16例(17.3%)观察到了抗生素的副作用。为预防上述并发症,建议对风湿性患者采用合理的抗生素治疗,在病史中严格记录过敏状态,检测微生物对抗生素的敏感性。

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