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与标准治疗方案相比,两种新型喹诺酮类药物对伤寒沙门氏菌的血清杀菌活性。

Serum bactericidal activity of two newer quinolones against Salmonella typhi compared with standard therapeutic regimens.

作者信息

Trautmann M, Krause B, Birnbaum D, Wagner J, Lenk V

出版信息

Eur J Clin Microbiol. 1986 Jun;5(3):297-302. doi: 10.1007/BF02017785.

DOI:10.1007/BF02017785
PMID:2943588
Abstract

The bactericidal activity of two newer quinolones, ciprofloxacin and ofloxacin, against eight strains of Salmonella typhi was examined by the serum dilution test and studies of bacterial killing kinetics in human serum, and compared to standard regimens. Bactericidal titers for ciprofloxacin ranged from 1:388 to 1:119 two hours and from 1:119 to 1:57 six hours after volunteers received an oral dose of 500 mg. The respective titers obtained after a 200 mg oral dose of ofloxacin were somewhat lower, but still exceeded 1:16 in all instances. Studies of bacterial killing kinetics demonstrated a rapid bactericidal action of both drugs against all strains tested. Compared to the classical anti-typhoid agents chloramphenicol, cotrimoxazole and amoxicillin, the new quinolones showed both markedly higher bactericidal titers and more rapid killing of Salmonella typhi in human serum.

摘要

通过血清稀释试验以及对人血清中细菌杀灭动力学的研究,检测了两种新型喹诺酮类药物环丙沙星和氧氟沙星对8株伤寒沙门氏菌的杀菌活性,并与标准治疗方案进行了比较。志愿者口服500mg环丙沙星后两小时,杀菌效价范围为1:388至1:119,六小时后为1:119至1:57。口服200mg氧氟沙星后获得的相应效价略低,但在所有情况下仍超过1:16。细菌杀灭动力学研究表明,这两种药物对所有测试菌株均有快速杀菌作用。与经典的抗伤寒药物氯霉素、复方新诺明和阿莫西林相比,新型喹诺酮类药物在人血清中对伤寒沙门氏菌的杀菌效价明显更高,杀菌速度也更快。

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本文引用的文献

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A method of determining the effective therapeutic level in the treatment of subacute bacterial endocarditis with penicillin; a preliminary report.一种用青霉素治疗亚急性细菌性心内膜炎时确定有效治疗水平的方法;初步报告。
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Treatment of typhoid fever with cefamandole.用头孢孟多治疗伤寒热。
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Moxalactam therapy of infections caused by cephalothin-resistant bacteria: influence of serum inhibitory activity on clinical response and acquisition of antibiotic resistance during therapy.羟羧氧酰胺菌素治疗对头孢噻吩耐药菌引起的感染:血清抑制活性对治疗期间临床反应及抗生素耐药性获得的影响
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The bactericidal activity in serum and its prognostic clinical value.血清中的杀菌活性及其临床预后价值。
Infection. 1983;11 Suppl 2:S93-6. doi: 10.1007/BF01645296.
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Management of enteric fever with amdinocillin.用阿莫西林治疗伤寒热
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9
The combination of pivmecillinam and pivampicillin compared to co-trimoxazole in the treatment of enteric fever.与复方新诺明相比,匹美西林和匹氨西林联合用药治疗伤寒。
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