Vilde J L, Leport C
Service des Maladies Infectieuses et Tropicales, Groupe Hospitalier Bichat-Claude-Bernard, Paris.
Pathol Biol (Paris). 1990 Apr;38(4):294-7.
Antibacterial therapy in chronic granulomatous disease requires antimicrobials active on Staphylococcus aureus and enterobacteria, which also have a good intracellular penetration and activity as rifampicin, fluoroquinolone, fosfomycin, cotrimoxazole. Several trials showed that cotrimoxazole was effective for the prevention of bacterial infection: thus, this antimicrobial can be used as long-term and continuous prophylaxia. Fungal infections require the use of amphotericin B. The place of new imidazole compounds as itraconazole should be assessed.
慢性肉芽肿病的抗菌治疗需要对金黄色葡萄球菌和肠杆菌有效的抗菌药物,这些药物还应具有良好的细胞内穿透力和活性,如利福平、氟喹诺酮、磷霉素、复方新诺明。多项试验表明,复方新诺明对预防细菌感染有效:因此,这种抗菌药物可用于长期持续预防。真菌感染需要使用两性霉素B。应评估新型咪唑类化合物如伊曲康唑的作用。