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细菌性角膜炎中的强化抗生素眼膏

Fortified antibiotic ointment in bacterial keratitis.

作者信息

Hyndiuk R A, Skorich D N, Davis S D, Sarff L D, Divine K, Burd E

机构信息

Department of Ophthalmology, Medical College of Wisconsin, Milwaukee.

出版信息

Am J Ophthalmol. 1988 Mar 15;105(3):239-43. doi: 10.1016/0002-9394(88)90002-5.

DOI:10.1016/0002-9394(88)90002-5
PMID:3125745
Abstract

We conducted experiments to determine the effectiveness of fortified antibiotic ointment in the treatment of Pseudomonas keratitis in rabbits. We evaluated gentamicin ointment (3, 10, 20, and 40 mg/g), gentamicin solution (3 and 10 mg/ml), and placebo, each given every 30 minutes. We also examined the effectiveness of fortified ointment given in extended treatment intervals. In short-term trials, commercial-strength gentamicin solution (3 mg/ml) was therapeutically superior (P less than .001) to commercial-strength gentamicin ointment (3 mg/g) in reducing corneal bacterial colony counts. No significant difference in antimicrobial effect was noted between fortified gentamicin ointment and fortified gentamicin solution at 30-minute treatment intervals. Fortified gentamicin ointment reduced colony counts even at extended treatment intervals of up to four hours in a severe keratitis model.

摘要

我们进行了实验,以确定强化抗生素眼膏治疗兔铜绿假单胞菌性角膜炎的有效性。我们评估了庆大霉素眼膏(3、10、20和40mg/g)、庆大霉素溶液(3和10mg/ml)以及安慰剂,每种药物每30分钟给药一次。我们还研究了延长给药间隔时强化眼膏的有效性。在短期试验中,市售浓度的庆大霉素溶液(3mg/ml)在减少角膜细菌菌落计数方面在治疗上优于市售浓度的庆大霉素眼膏(3mg/g)(P小于0.001)。在30分钟的给药间隔下,强化庆大霉素眼膏和强化庆大霉素溶液在抗菌效果上没有显著差异。在严重角膜炎模型中,即使在长达4小时的延长给药间隔下,强化庆大霉素眼膏也能减少菌落计数。

相似文献

1
Fortified antibiotic ointment in bacterial keratitis.细菌性角膜炎中的强化抗生素眼膏
Am J Ophthalmol. 1988 Mar 15;105(3):239-43. doi: 10.1016/0002-9394(88)90002-5.
2
Evaluation of corneal collagen shields as a drug delivery device for the treatment of experimental Pseudomonas keratitis.评估角膜胶原盾作为治疗实验性铜绿假单胞菌角膜炎的药物递送装置。
Ophthalmology. 1992 Jun;99(6):889-92. doi: 10.1016/s0161-6420(92)31877-9.
3
Continuous flow perfusion of gentamicin with a scleral shell reduces bacterial colony counts in experimental Pseudomonas keratitis.用巩膜壳持续灌注庆大霉素可减少实验性铜绿假单胞菌角膜炎中的细菌菌落计数。
J Ocul Pharmacol. 1993 Fall;9(3):271-6. doi: 10.1089/jop.1993.9.271.
4
Factors that influence the efficacy of topical gentamicin prophylaxis for experimental Pseudomonas keratitis.影响局部应用庆大霉素预防实验性铜绿假单胞菌角膜炎疗效的因素。
Am J Ophthalmol. 1982 Aug;94(2):216-9. doi: 10.1016/0002-9394(82)90078-2.
5
Combined gentamicin-tobramycin-corticosteroid treatment. II. Effect on gentamicin-resistant Pseudomonas keratitis.庆大霉素-妥布霉素-皮质类固醇联合治疗。II. 对庆大霉素耐药性铜绿假单胞菌角膜炎的影响。
Arch Ophthalmol. 1980 Mar;98(3):473-4. doi: 10.1001/archopht.1980.01020030469004.
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Keratotomy model of pseudomonas keratitis: gentamicin chemotherapy.铜绿假单胞菌性角膜炎的角膜切开术模型:庆大霉素化疗
Refract Corneal Surg. 1992 Jan-Feb;8(1):39-43.
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The effect of combined gentamicin-corticosteroid treatment on gentamicin-resistant Pseudomonas keratitis.庆大霉素-皮质类固醇联合治疗对耐庆大霉素铜绿假单胞菌角膜炎的影响。
Ann Ophthalmol. 1980 Sep;12(9):1011-4.
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True prophylactic gentamicin application in experimental Pseudomonas keratitis.在实验性铜绿假单胞菌角膜炎中真正预防性应用庆大霉素。
CLAO J. 1988 Jul-Sep;14(3):148-50.
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Iontophoretic treatment of experimental pseudomonas keratitis in rabbit eyes using gentamicin-loaded hydrogels.使用载有庆大霉素的水凝胶对兔眼实验性铜绿假单胞菌角膜炎进行离子电渗疗法治疗。
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Clinical evaluation of ophthalmic lomefloxacin 0.3% in comparison with fortified cefazolin and gentamicin ophthalmic solutions in the treatment of presumed bacterial keratitis.0.3%洛美沙星滴眼液与强化头孢唑啉和庆大霉素滴眼液治疗疑似细菌性角膜炎的临床评估
J Med Assoc Thai. 2004 Sep;87 Suppl 2:S83-90.

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