Otani T, Nakajima R, Hashimoto S, Iigo Y, Ishida Y, Une T, Osada Y
Research Institute, Daiichi Seiyaku Co., Ltd., Tokyo, Japan.
Arzneimittelforschung. 1989 Jun;39(6):694-7.
The chemotherapeutic efficacy of ofloxacin against experimental pneumonia was investigated with special reference to its treatment regimen. A pneumonia model was successfully produced by inhalation of a virulent strain of Pseudomonas aeruginosa in guinea pigs immunosuppressed with cortisone acetate. One or 4 days after infection, the animals were treated orally with the fixed daily doses of ofloxacin either once a day or thrice a day for 3 consecutive days. Ofloxacin given thrice a day eliminated the organisms from the lung more efficiently than the equivalent total doses injected once a day in both series of treatment, starting 1 or 4 days after infection. The superiority of the triple dosing in chemotherapeutic efficacy of ofloxacin was found to be attributable at least to the longer retention of its pulmonary levels exceeding the antibiotic concentrations.
以氧氟沙星的治疗方案为特别参考,研究了其对实验性肺炎的化疗效果。通过吸入醋酸可的松免疫抑制的豚鼠中强毒力铜绿假单胞菌菌株成功建立了肺炎模型。感染后1天或4天,动物每天口服固定剂量的氧氟沙星,连续3天,每天1次或3次。在两个治疗系列中,从感染后1天或4天开始,每天给药3次的氧氟沙星比每天注射1次等量总剂量能更有效地清除肺部的细菌。发现氧氟沙星三联给药在化疗效果上的优势至少归因于其肺部水平超过抗生素浓度的保留时间更长。