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癌症患者革兰氏阳性球菌所致败血症

Septicaemia due to gram-positive cocci in cancer patients.

作者信息

Del Favero A, Menichetti F, Bucaneve G, Minotti V, Pauluzzi S

机构信息

First Institute of Internal Medicine, University of Perugia, Italy.

出版信息

J Antimicrob Chemother. 1988 Apr;21 Suppl C:157-65. doi: 10.1093/jac/21.suppl_c.157.

Abstract

Episodes of septicaemia caused by Gram-positive bacteria in five separate investigations of empirical antibiotic treatment for fever in patients with neoplastic disease have been analysed according to the antimicrobial agents administered and the outcome. The results suggest that the addition of an 'anti-staphylococcal agent', such as co-trimoxazole, vancomycin or teicoplanin, to the standard two-drug regimen (a beta-lactam antibiotic and an aminoglycoside) may be advantageous in improving the prognosis, particularly in Staphylococcus aureus septicaemia.

摘要

在五项针对肿瘤疾病患者发热的经验性抗生素治疗的独立研究中,已根据所使用的抗菌药物和治疗结果,对由革兰氏阳性菌引起的败血症发作情况进行了分析。结果表明,在标准的两药联合方案(一种β-内酰胺类抗生素和一种氨基糖苷类抗生素)中添加一种“抗葡萄球菌药物”,如复方新诺明、万古霉素或替考拉宁,可能有利于改善预后,尤其是在金黄色葡萄球菌败血症中。

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