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急性前列腺炎:首先应使用哪种抗生素。

Acute prostatitis: which antibiotic to use first.

作者信息

Becopoulos T, Georgoulias D, Constantinides C, Stathakis H, Kosmidis J

机构信息

Department of Urology, Athens University, Greece.

出版信息

J Chemother. 1990 Aug;2(4):244-6. doi: 10.1080/1120009x.1990.11739024.

DOI:10.1080/1120009x.1990.11739024
PMID:2230908
Abstract

Six antimicrobial agents were administered to 48 patients (divided in 6 groups) who underwent prostatectomy. Half of the patients received the antibiotic in a single dose one hour before the operation and the rest in divided doses 24 hours before the operation. The concentration levels in serum and in prostatic tissue were measured for each of the antibiotics and for each mode of administration. The obtained ratios of prostatic tissue to serum concentrations and the relative antimicrobial activity to local pathogens of each agent indicate that the agent of choice for prostatic disease is netilmicin followed by aztreonam, cefuroxime and the ticarcillin-clavulanic acid combination.

摘要

对48例接受前列腺切除术的患者(分为6组)使用了六种抗菌药物。一半患者在手术前1小时接受单剂量抗生素,其余患者在手术前24小时接受分剂量抗生素。对每种抗生素和每种给药方式都测量了血清和前列腺组织中的浓度水平。所获得的前列腺组织与血清浓度的比率以及每种药物对局部病原体的相对抗菌活性表明,前列腺疾病的首选药物是奈替米星,其次是氨曲南、头孢呋辛和替卡西林 - 克拉维酸组合。

相似文献

1
Acute prostatitis: which antibiotic to use first.急性前列腺炎:首先应使用哪种抗生素。
J Chemother. 1990 Aug;2(4):244-6. doi: 10.1080/1120009x.1990.11739024.
2
Pharmacokinetics of clarithromycin in the prostate: implications for the treatment of chronic abacterial prostatitis.克拉霉素在前列腺中的药代动力学:对慢性非细菌性前列腺炎治疗的意义。
J Urol. 2001 Jan;165(1):97-9. doi: 10.1097/00005392-200101000-00024.
3
Multidisciplinary approach to prostatitis.前列腺炎的多学科治疗方法。
Arch Ital Urol Androl. 2019 Jan 18;90(4):227-248. doi: 10.4081/aiua.2018.4.227.
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Antimicrobial-induced endotoxaemia in patients with sepsis in the field of acute pyelonephritis.急性肾盂肾炎领域脓毒症患者中抗菌药物诱导的内毒素血症
J Postgrad Med. 2003 Apr-Jun;49(2):118-22.
5
[Penetration of antibiotics into prostatic secretion during rectal iontophoresis in patients with chronic nonspecific prostatitis].
Vopr Kurortol Fizioter Lech Fiz Kult. 1983 Sep-Oct(5):50-2.
6
Aztreonam concentrations in human prostatic tissue.氨曲南在人体前列腺组织中的浓度。
Antimicrob Agents Chemother. 1984 Jul;26(1):20-1. doi: 10.1128/AAC.26.1.20.
7
The concentration of thiamphenicol in seminal fluid and prostatic tissue.甲砜霉素在精液和前列腺组织中的浓度。
J Antimicrob Chemother. 1978 Jan;4(1):65-71. doi: 10.1093/jac/4.1.65.
8
[Experimental study of the permeability of prostatic epithelium to antibiotics in acute bacterial prostatitis].[急性细菌性前列腺炎中前列腺上皮对抗生素通透性的实验研究]
Minerva Urol. 1978 Jul-Sep;30(3):143-6.
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The role of lomefloxacin in the treatment of chronic prostatitis.洛美沙星在慢性前列腺炎治疗中的作用。
J Chemother. 2001 Feb;13(1):82-7. doi: 10.1179/joc.2001.13.1.82.
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Enrofloxacin concentrations in dogs with normal prostate and dogs with chronic bacterial prostatitis.正常前列腺犬和慢性细菌性前列腺炎犬体内的恩诺沙星浓度。
Am J Vet Res. 1995 Mar;56(3):386-90.

引用本文的文献

1
An evidence-based approach to the treatment of prostatitis: is it possible?一种基于证据的前列腺炎治疗方法:这可行吗?
Curr Urol Rep. 2000 Aug;1(2):142-7. doi: 10.1007/s11934-000-0049-6.