Semenitz E
Hygiene-Institut Universität Innsbruck.
Wien Klin Wochenschr. 1989 Mar 31;101(7):214-9.
Presented here are the ideas and the experimental results which led us to this scheme for the chemotherapy of severe bacterial infections. The approach is twofold, administering mainly two chemotherapeutics not concomitantly but alternating every four hours by means of a short-time i.v. infusion. Furthermore, immediately after admittance and even before the outbreak of an infection the patients' bacterial spectrum of wounds, the pharynx or the urine is monitored by carrying out bacteriological tests. These prophylactic diagnostics allow the identification of a dangerous proliferation of germs even before the outbreak of a florid infection. Therefore, an early chemotherapy can be put into practice considering the available evaluations of resistance studies.
本文介绍了使我们得出这种治疗严重细菌感染化疗方案的思路和实验结果。该方法有两个方面,主要给予两种化疗药物,但不是同时给药,而是通过短时间静脉输注每四小时交替一次。此外,在患者入院后甚至在感染爆发之前,立即通过进行细菌学检测来监测其伤口、咽部或尿液的细菌谱。这些预防性诊断甚至在明显感染爆发之前就能识别出危险的细菌增殖。因此,考虑到现有的耐药性研究评估结果,可以实施早期化疗。