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[心室葡萄球菌感染。通过持续静脉输注万古霉素进行治疗]

[Ventricular staphylococcal infections. Treatment with vancomycin by continuous venous infusion].

作者信息

Barois A, Estournet B, Moranne J B, Piliot J, Chabenat C, Bataille J

出版信息

Presse Med. 1986 Oct 18;15(36):1805-8.

PMID:2947156
Abstract

Thirteen cases of meningeal and/or ventricular infection and 1 case of septicaemia, all caused by staphylococci, were treated with continuous intravenous infusions of vancomycin. Repeated measurements of vancomycin plasma and CSF levels by microbiological assay or by high performance liquid chromatography showed that the antibiotic entered the CSF after 48 hours of treatment and that its concentrations in CSF remained stable at 1 to 4 micrograms/ml (mean: 2 micrograms/ml) throughout the 3 weeks' treatment period. After treatment was discontinued, vancomycin became undetectable in CSF within less than 24 hours. All the children were cured.

摘要

13例由葡萄球菌引起的脑膜和/或脑室感染及1例败血症患儿接受了万古霉素持续静脉输注治疗。通过微生物测定法或高效液相色谱法反复测量万古霉素的血浆和脑脊液水平,结果显示,治疗48小时后抗生素进入脑脊液,在整个3周的治疗期间,其在脑脊液中的浓度稳定保持在1至4微克/毫升(平均:2微克/毫升)。停药后,脑脊液中在不到24小时内就检测不到万古霉素了。所有患儿均治愈。

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