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亚胺培南成功治疗复发性脑脓肿和脑脓肿

Successful treatment of recurrent cerebral empyema and brain abscesses with imipenem.

作者信息

Carton J A, Perez F, Maradona J A, Mendez F J

机构信息

Infectious Disease Unit, Hospital Nuestra Señora de Covadonga, Universidad de Oviedo, Spain.

出版信息

Eur J Clin Microbiol. 1987 Oct;6(5):578-80. doi: 10.1007/BF02014252.

DOI:10.1007/BF02014252
PMID:2893733
Abstract

Imipenem was successfully used to treat a case of subdural empyema complicated by multiple cerebral abscesses, in which surgery and therapy with other antibiotics had previously failed. Imipenem concentrations in serum, cerebrospinal fluid and the cerebral abscess were much higher than the MICs for the infecting organisms, qualifying this antibiotic as an effective option in therapy of suppurative intracranial infections.

摘要

亚胺培南成功用于治疗1例并发多发性脑脓肿的硬膜下积脓,此前手术及其他抗生素治疗均告失败。血清、脑脊液及脑脓肿中亚胺培南的浓度远高于感染菌的最低抑菌浓度(MIC),这表明该抗生素是治疗化脓性颅内感染的有效选择。

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引用本文的文献

1
Imipenem therapy of brain abscesses.
Eur J Clin Microbiol Infect Dis. 1996 Aug;15(8):653-7. doi: 10.1007/BF01691152.

本文引用的文献

1
Treatment of subdural empyema.硬膜下积脓的治疗
J Neurosurg. 1981 Jul;55(1):82-8. doi: 10.3171/jns.1981.55.1.0082.
2
Antibacterial activity of imipenem: the first thienamycin antibiotic.亚胺培南的抗菌活性:首个硫霉素类抗生素。
Rev Infect Dis. 1985 Jul-Aug;7 Suppl 3:S389-410. doi: 10.1093/clinids/7.supplement_3.s389.
3
Comparison of cefotaxime, imipenem-cilastatin, ampicillin-gentamicin, and ampicillin-chloramphenicol in the treatment of experimental Escherichia coli bacteremia and meningitis.头孢噻肟、亚胺培南-西司他丁、氨苄西林-庆大霉素及氨苄西林-氯霉素治疗实验性大肠杆菌菌血症和脑膜炎的比较
Antimicrob Agents Chemother. 1985 Sep;28(3):433-6. doi: 10.1128/AAC.28.3.433.
4
Efficacy and safety of imipenem/cilastatin: a review of worldwide clinical experience.亚胺培南/西司他丁的疗效与安全性:全球临床经验综述
Rev Infect Dis. 1985 Jul-Aug;7 Suppl 3:S528-36. doi: 10.1093/clinids/7.supplement_3.s528.
5
Penetration of imipenem and cilastatin into cerebrospinal fluid of patients with bacterial meningitis.亚胺培南与西司他丁在细菌性脑膜炎患者脑脊液中的渗透情况。
J Antimicrob Chemother. 1985 Dec;16(6):751-5. doi: 10.1093/jac/16.6.751.
6
Imipenem: the first thienamycin antibiotic.亚胺培南:第一种硫霉素类抗生素。
Rev Infect Dis. 1985 Jul-Aug;7 Suppl 3:S353-6. doi: 10.1093/clinids/7.supplement_3.s353.
7
Carbapenems, a new class of beta-lactam antibiotics. Discovery and development of imipenem/cilastatin.碳青霉烯类,一类新型β-内酰胺抗生素。亚胺培南/西司他丁的发现与研发。
Am J Med. 1985 Jun 7;78(6A):3-21. doi: 10.1016/0002-9343(85)90097-x.
8
The safety profile of imipenem/cilastatin: worldwide clinical experience based on 3470 patients.
J Antimicrob Chemother. 1986 Dec;18 Suppl E:193-202. doi: 10.1093/jac/18.supplement_e.193.