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青霉素预防实验室获得性钩端螺旋体病失败。

Failure of penicillin prophylaxis in laboratory acquired leptospirosis.

作者信息

Gilks C F, Lambert H P, Broughton E S, Baker C C

机构信息

St. George's Hospital, London, UK.

出版信息

Postgrad Med J. 1988 Mar;64(749):236-8. doi: 10.1136/pgmj.64.749.236.

Abstract

A laboratory technician developed leptospirosis following accidental inoculation, despite prompt administration of parenteral penicillin by an accepted regimen of post-exposure prophylaxis. Another technician was similarly exposed and was given doxycycline; no illness or serological conversion followed. The implications of these cases are discussed and recommendations made for post-exposure chemoprophylaxis with doxycycline.

摘要

一名实验室技术员在意外接种后感染了钩端螺旋体病,尽管按照公认的暴露后预防方案及时给予了肠胃外青霉素治疗。另一名技术员也受到了类似的暴露,并接受了强力霉素治疗;之后未出现疾病或血清学转化。本文讨论了这些病例的影响,并就使用强力霉素进行暴露后化学预防提出了建议。

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本文引用的文献

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Leptospirosis (ballum) contracted from Swiss albino mice.从瑞士白化小鼠感染的钩端螺旋体病(拜伦型)
AMA Arch Intern Med. 1958 Mar;101(3):606-10. doi: 10.1001/archinte.1958.00260150094011.
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Doxycycline propylaxis for human scrub typhus.强力霉素预防人类恙虫病。
J Infect Dis. 1982 Dec;146(6):811-8. doi: 10.1093/infdis/146.6.811.
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Br Med J (Clin Res Ed). 1985 May 18;290(6480):1502-3. doi: 10.1136/bmj.290.6480.1502.

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