Ikeno N, Takahashi K, Yamamoto H, Watanabe M, Kishi H, Watanabe Y, Mouri H, Endo H, Shima I, Morizuka T
Department of Obstetric and Gynecology, Sendai National Hospital.
Jpn J Antibiot. 1987 Oct;40(10):1741-4.
Ten patients (3 cases of abscess of vaginal cuff, 1 case of abscess of vaginal cuff complicated with parametritis, 2 cases of pyosalpinx, 1 case each of abscess of abdominal wall, pelvic cellulitis, pyometra with cervical cancer and paraovarian abscess were treated with cefuzonam (CZON), which was administrated by intravenous drip infusion at a dose of 1,000 mg twice a day for 3 to 10 days (6 g to 19 g total). The clinical effectiveness reached 70.0% including 1 excellent case, 6 good cases and 3 poor cases. Bacteria were detected in all the 10 cases, and with CZON treatment, bacterial eradication were obtained in 3 cases, bacteria decreased in 3 cases, no change in 2 cases and bacterial replacement occurred in 2 cases. No abnormal laboratory findings and side effects were noted. From the above results, CZON seemed to be a highly effective and useful agent for gynecological infections.
10例患者(阴道残端脓肿3例,阴道残端脓肿合并盆腔蜂窝组织炎1例,输卵管积脓2例,腹壁脓肿、盆腔蜂窝织炎、宫颈癌合并子宫积脓及卵巢旁脓肿各1例)接受头孢唑肟(CZON)治疗,采用静脉滴注给药,剂量为1000mg,每日2次,疗程3至10天(总量6g至19g)。临床有效率达70.0%,其中1例显效,6例有效,3例无效。10例患者均检测到细菌,经CZON治疗后,3例细菌清除,3例细菌数量减少,2例无变化,2例发生细菌替代。未发现实验室检查异常及副作用。根据上述结果,头孢唑肟似乎是治疗妇科感染的一种高效且有用的药物。