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[头孢替坦治疗呼吸道感染的多中心研究]

[Cefotetan in the therapy of respiratory infections. Multicenter research].

作者信息

Bonsignore G, Catena E, Ciaccia A, Ginesu F, Giura R, Logroscino C, Mistretta A, Orlandi O, Pivirotto F, Pozzi E

出版信息

Clin Ter. 1989 Sep 15;130(5):259-66.

PMID:2530028
Abstract

In a controlled multicenter trial 291 patients have been treated with cefotetan. They suffered from acute or chronic exacerbated bronchopulmonary disorders. In 110 patients it was possible to identify the etiological agent: enterobacteria (62), non-fermentative gram-negative bacilli (10), Haemophilus influenzae (8), Branhamella catarrhalis (1), Streptococcus pneumoniae (19), Staphylococcus aureus (12), Streptococcus pyogenes (4). In the exacerbations of chronic bronchitis (203), cefotetan was generally administered at the dose of 1 g/12 h i.m., whereas it was administered at the dose of 2 g/12 h i.v. in acute infection. The mean duration of therapy was 8.8 days. Positive clinical results were obtained in 251 patients (86.2%) with eradication of the pathogen initially isolated in 90.5% of cases. Cefotetan showed good local and general tolerance. The results obtained confirm those of studies concerning limited numbers of patients and show the efficacy of cefotetan both in acute and chronic pathologies, also in patients with serious involvement of their general conditions (concomitant pathologies, high mean age).

摘要

在一项对照多中心试验中,291例患者接受了头孢替坦治疗。他们患有急性或慢性加重的支气管肺部疾病。在110例患者中能够鉴定出病原体:肠杆菌(62例)、非发酵革兰氏阴性杆菌(10例)、流感嗜血杆菌(8例)、卡他布兰汉菌(1例)、肺炎链球菌(19例)、金黄色葡萄球菌(12例)、化脓性链球菌(4例)。在慢性支气管炎急性加重期(203例),头孢替坦一般以1g/12小时的剂量肌内注射给药,而在急性感染时则以2g/12小时的剂量静脉注射给药。平均治疗 duration为8.8天。251例患者(86.2%)获得了阳性临床结果,最初分离出的病原体在90.5%的病例中被根除。头孢替坦显示出良好的局部和全身耐受性。所获得的结果证实了关于有限数量患者的研究结果,并表明头孢替坦在急性和慢性疾病中均有效,对于一般状况严重受累(合并疾病、平均年龄较高)的患者也是如此。

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