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使用红霉素预防患有百日咳母亲的新生儿感染百日咳。

Use of erythromycin to prevent pertussis in newborns of mothers with pertussis.

作者信息

Granström G, Sterner G, Nord C E, Granström M

出版信息

J Infect Dis. 1987 Jun;155(6):1210-4. doi: 10.1093/infdis/155.6.1210.

DOI:10.1093/infdis/155.6.1210
PMID:2883239
Abstract

During the period 1975-1985, 35 women with serology- or culture-confirmed pertussis at the time of labor were admitted to the Danderyd Hospital (Danderyd, Sweden). In 32 cases, the mothers were allowed to nurse their newborns while receiving erythromycin therapy. Erythromycin prophylaxis was given to 28 newborns. None of the newborns developed clinical or laboratory signs of whooping cough. The therapy was well tolerated by the newborns and did not affect the microflora in the gut. Maternal antibodies to pertussis toxin and to the filamentous hemagglutinin were found in cord blood, and levels decreased during the follow-up period. The study demonstrated that mothers with pertussis can safely be allowed to nurse their infants if both receive erythromycin.

摘要

在1975年至1985年期间,35名在分娩时血清学或培养确诊为百日咳的女性被收治于丹德吕德医院(瑞典丹德吕德)。其中32例产妇在接受红霉素治疗时被允许哺乳其新生儿。28名新生儿接受了红霉素预防治疗。没有新生儿出现百日咳的临床或实验室体征。新生儿对该治疗耐受性良好,且未影响肠道微生物群。在脐带血中发现了母体针对百日咳毒素和丝状血凝素的抗体,且在随访期间抗体水平下降。该研究表明,如果母亲和婴儿都接受红霉素治疗,患有百日咳的母亲可以安全地哺乳其婴儿。

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Use of erythromycin to prevent pertussis in newborns of mothers with pertussis.使用红霉素预防患有百日咳母亲的新生儿感染百日咳。
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引用本文的文献

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Occupational Health Update: Focus on Preventing the Acquisition of Infections with Pre-exposure Prophylaxis and Postexposure Prophylaxis.职业健康最新资讯:聚焦于通过暴露前预防和暴露后预防来预防感染的获得。
Infect Dis Clin North Am. 2016 Sep;30(3):729-57. doi: 10.1016/j.idc.2016.04.008.
2
Polymorphism in the pertussis toxin promoter region affecting the DNA-based diagnosis of Bordetella infection.百日咳毒素启动子区域的多态性影响基于DNA的博德特氏菌感染诊断。
J Clin Microbiol. 2000 Jan;38(1):55-60. doi: 10.1128/JCM.38.1.55-60.2000.
3
Pertussis is increasing in unimmunized infants: is a change in policy needed?
未接种疫苗的婴儿中百日咳发病率正在上升:是否需要改变政策?
Arch Dis Child. 1999 Mar;80(3):297-9. doi: 10.1136/adc.80.3.297.
4
State of art in antibacterial susceptibility of Bordetella pertussis and antibiotic treatment of pertussis.百日咳博德特氏菌的抗菌药敏现状及百日咳的抗生素治疗
Infection. 1998 Jul-Aug;26(4):242-6. doi: 10.1007/BF02962373.
5
Factors influencing the spread of pertussis in households.影响百日咳在家庭中传播的因素。
Eur J Pediatr. 1998 May;157(5):391-4. doi: 10.1007/s004310050836.
6
Update of epidemiology, diagnosis, and treatment of pertussis.百日咳的流行病学、诊断及治疗进展
Eur J Clin Microbiol Infect Dis. 1996 Mar;15(3):189-93. doi: 10.1007/BF01591352.
7
Evaluation of serologic assays for diagnosis of whooping cough.用于诊断百日咳的血清学检测方法的评估
J Clin Microbiol. 1988 Sep;26(9):1818-23. doi: 10.1128/jcm.26.9.1818-1823.1988.
8
Management of people exposed to pertussis and control of pertussis outbreaks.百日咳暴露者的管理及百日咳疫情的控制。
CMAJ. 1991 Mar 15;144(6):638, 640.