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口服万古霉素预防坏死性小肠结肠炎

Oral vancomycin in prevention of necrotising enterocolitis.

作者信息

Ng P C, Dear P R, Thomas D F

机构信息

Department of Paediatrics and Child Health, St James's University Hospital, Leeds.

出版信息

Arch Dis Child. 1988 Nov;63(11):1390-3. doi: 10.1136/adc.63.11.1390.

DOI:10.1136/adc.63.11.1390
PMID:3202650
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1779178/
Abstract

Eighty four very low birthweight babies (considered high risk for developing necrotising enterocolitis) were given vancomycin orally for 48 hours before introduction of oral feeds; one developed necrotising enterocolitis. One hundred and twenty very low birthweight babies (not considered such high risk) were fed without first receiving vancomycin; 17 developed necrotising enterocolitis. Although this was not a randomised control trial, results indicate a role for vancomycin in prophylaxis of necrotising enterocolitis.

摘要

84名极低出生体重儿(被认为发生坏死性小肠结肠炎的高危人群)在开始经口喂养前口服万古霉素48小时;其中1名发生了坏死性小肠结肠炎。120名极低出生体重儿(未被认为是如此高危)未先接受万古霉素治疗即开始喂养;17名发生了坏死性小肠结肠炎。尽管这不是一项随机对照试验,但结果表明万古霉素在预防坏死性小肠结肠炎方面有作用。

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1
Oral vancomycin in prevention of necrotising enterocolitis.口服万古霉素预防坏死性小肠结肠炎
Arch Dis Child. 1988 Nov;63(11):1390-3. doi: 10.1136/adc.63.11.1390.
2
Double blind, randomised, placebo controlled study of oral vancomycin in prevention of necrotising enterocolitis in preterm, very low birthweight infants.口服万古霉素预防早产极低出生体重儿坏死性小肠结肠炎的双盲、随机、安慰剂对照研究
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Prevention of necrotising enterocolitis with gentamicin.
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引用本文的文献

1
Role of micro-organisms in necrotizing enterocolitis.微生物在坏死性小肠结肠炎中的作用。
Semin Neonatol. 1997 Nov;2(4):255-262. doi: 10.1016/S1084-2756(97)80032-2. Epub 2006 Dec 24.
2
Double blind, randomised, placebo controlled study of oral vancomycin in prevention of necrotising enterocolitis in preterm, very low birthweight infants.口服万古霉素预防早产极低出生体重儿坏死性小肠结肠炎的双盲、随机、安慰剂对照研究
Arch Dis Child Fetal Neonatal Ed. 1998 Sep;79(2):F105-9. doi: 10.1136/fn.79.2.f105.
3
Gastrointestinal host defense and necrotizing enterocolitis.胃肠道宿主防御与坏死性小肠结肠炎
J Pediatr. 1990 Jul;117(1 Pt 2):S33-43. doi: 10.1016/s0022-3476(05)81128-x.

本文引用的文献

1
An outbreak of Clostridium difficile necrotizing enterocolitis: a case for oral vancomycin therapy?艰难梭菌坏死性小肠结肠炎暴发:口服万古霉素治疗的实例?
Pediatrics. 1983 Jun;71(6):935-41.
2
Necrotising enterocolitis in the very low birthweight infant: expressed breast milk feeding compared with parenteral feeding.极低出生体重儿坏死性小肠结肠炎:母乳喂养与肠外营养的比较
Arch Dis Child. 1982 Apr;57(4):274-6. doi: 10.1136/adc.57.4.274.
3
A prospective controlled trial of oral kanamycin in the prevention of neonatal necrotizing enterocolitis.
J Pediatr. 1976 Sep;89(3):467-70. doi: 10.1016/s0022-3476(76)80553-7.
4
Oral gentamicin therapy in the prevention of neonatal necrotizing enterocolitis. A controlled double-blind trial.
Am J Dis Child. 1978 Dec;132(12):1192-4. doi: 10.1001/archpedi.1978.02120370040010.
5
Alterations in stool flora resulting from oral kanamycin prophylaxis of necrotizing enterocolitis.
J Pediatr. 1978 Nov;93(5):857-61. doi: 10.1016/s0022-3476(78)81101-9.