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磷酸克林霉素在传染病中的临床评估(作者译)

[Clinical evaluation of clindamycin-2-phosphate in infectious diseases (author's transl)].

作者信息

Fujimori I, Shimada S, Koizumi H

出版信息

Jpn J Antibiot. 1977 Jan;30(1):39-41.

PMID:320361
Abstract

Clindamycin-2-phosphate (7(S)-chloro-7-deoxylincomycin-2-phosphate) is a new semi-synthetic antibiotic. It is recognized that the drug itself is inactive against bacteria in vitro but it is hydrolyzed rapidly to active clindamycin, drug intramuscular or intravenous administration. Clindamycin-2-phosphate was administrated intravenously to seven patients with infections, except one intramuscularly, 300 approximately 600 mg, every 8 or 12 hours a day, for 2 approximately 12 days. Three patients (1 bacterial pneumonia, 1 chronic bronchitis and 1 urinary tract infection due to E. coli) recovered from their infection; one patient (bacterial infection in bronchiectasis) partially responded; and three patients (1 urinary tract infection due to E. coli, 1 pneumonia due to Mycoplasma pneumoniae and 1 patient with mycoplasmal pneumonia and acute biliary tract infection) failed to respond to the drug. No remarkable side effect was noted except pain at intramuscular injection site in one patient.

摘要

克林霉素 -2- 磷酸酯(7(S)-氯 -7- 脱氧林可霉素 -2- 磷酸酯)是一种新型半合成抗生素。已知该药物本身在体外对细菌无活性,但在肌肉注射或静脉给药后会迅速水解为活性克林霉素。对 7 例感染患者静脉注射了克林霉素 -2- 磷酸酯,其中 1 例为肌肉注射,剂量约为 300 至 600 毫克,每天每 8 或 12 小时给药一次,疗程为 2 至 12 天。3 例患者(1 例细菌性肺炎、1 例慢性支气管炎和 1 例大肠杆菌引起的尿路感染)感染痊愈;1 例患者(支气管扩张症合并细菌感染)部分有效;3 例患者(1 例大肠杆菌引起的尿路感染、1 例肺炎支原体引起的肺炎以及 1 例支原体肺炎合并急性胆道感染患者)对该药物无反应。除 1 例患者肌肉注射部位疼痛外,未观察到明显副作用。

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