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磷酸克林霉素与外科感染(作者译)

[Clindamycin-2-phosphate and surgical infections (author's transl)].

作者信息

Ishibiki H, Murayama N, Hosoda Y, Katsumoto K, Takami H

出版信息

Jpn J Antibiot. 1977 Jan;30(1):69-75.

PMID:320362
Abstract

Blood levels of clindamycin-2-phosphate in dog at dosis of 10 mg/kg body weight showed the maximum of 21 mug/ml 30 seconds after one-shot i.v. administration. Continuous infusion of the antibiotic at the infusion speed of 150 and 300 ml/hour/10 kg b.w. with 6 mg/ml solution maintained blood levels of 30 and 170 mug/ml respectively. It may be recommended clinically to use lower concentration than 6 mg/ml to avoid cardiocirculatory disturbances. Four cases of surgical mixed infections with gram-positive cocci, gram-negative bacilli and anaerobes were treated with clindamycin-2-phosphate at a daily dosis of 1,200 mg intravenously and 2 of 4 cases revealed good clinical response. There was none of the haematological, hepatic, nephrontic, cardiocirculatory and allergic side effects.

摘要

犬静脉注射10mg/kg体重剂量的克林霉素-2-磷酸后,血药浓度在给药后30秒达到最高值21μg/ml。以150和300ml/小时/10kg体重的输注速度持续输注6mg/ml的该抗生素溶液时,血药浓度分别维持在30和170μg/ml。临床推荐使用低于6mg/ml的浓度以避免心血管循环紊乱。4例革兰氏阳性球菌、革兰氏阴性杆菌和厌氧菌混合感染的手术患者接受了每日1200mg静脉注射的克林霉素-2-磷酸治疗,4例中有2例显示出良好的临床反应。未出现血液学、肝脏、肾脏、心血管循环和过敏等副作用。

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