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儿童贾第虫病的单剂量治疗:替硝唑与甲硝唑的比较

Single-dose treatment of giardiasis in children: a comparison of tinidazole and metronidazole.

作者信息

Gazder A J, Banerjee M

出版信息

Curr Med Res Opin. 1977;5(2):164-8. doi: 10.1185/03007997709110159.

DOI:10.1185/03007997709110159
PMID:340134
Abstract

One hundred children suffering from symptomatic giardiasis were treated with either tinidazole or metronidazole in random order. Both the drugs were given as a single oral dose calculated on the basis of 50 mg/kg body weight. Parasitological and clinical cure was obtained in 40 (80%) of 50 patients given tinidazole and in 18(36%) of 50 patients given metronidazole. This difference in cure rates was significant (p less than 0.01). Furthermore, control of diarrhoea and negative stool conversion for G. lamblia were achieved earlier with tinidazole than with metronidazole, the differences being significant (p less than 0.01) from the 8th post-treatment day. Gastro-intestinal side-effects of mild degree occurred in 6 patients on tinidazole and in 2 patients on metronidazole; they comprised nausea, vomiting, and bitter taste. Neither drug caused any abnormal deviation in blood counts or in biochemical tests of liver and kidney function.

摘要

100名有症状的贾第虫病患儿被随机给予替硝唑或甲硝唑进行治疗。两种药物均按50mg/kg体重计算的单次口服剂量给药。50名接受替硝唑治疗的患者中有40名(80%)获得了寄生虫学和临床治愈,50名接受甲硝唑治疗的患者中有18名(36%)获得治愈。治愈率的这种差异具有显著性(p<0.01)。此外,替硝唑比甲硝唑更早实现腹泻控制和粪类圆线虫粪便转阴,从治疗后第8天起差异具有显著性(p<0.01)。6名接受替硝唑治疗的患者和2名接受甲硝唑治疗的患者出现轻度胃肠道副作用;包括恶心、呕吐和口苦。两种药物均未导致血常规或肝肾功能生化检查出现任何异常偏差。

相似文献

1
Single-dose treatment of giardiasis in children: a comparison of tinidazole and metronidazole.儿童贾第虫病的单剂量治疗:替硝唑与甲硝唑的比较
Curr Med Res Opin. 1977;5(2):164-8. doi: 10.1185/03007997709110159.
2
Single dose therapy of giardiasis with tinidazole and metronidazole.替硝唑和甲硝唑对贾第虫病的单剂量治疗。
Drugs. 1978;15 Suppl 1:30-2. doi: 10.2165/00003495-197800151-00007.
3
Treatment of intestinal E. histolytica and G. lamblia with metronidazole, tinidazole and ornidazole: a comparative study.甲硝唑、替硝唑和奥硝唑治疗肠道溶组织内阿米巴和蓝氏贾第鞭毛虫的比较研究
J Trop Med Hyg. 1987 Feb;90(1):9-12.
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Single dose treatment of giardiasis in children--a comparison of tinidazole and metronidazole.
Indian Pediatr. 1977 Sep;14(9):715-7.
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Single-dose metronidazole and tinidazole as therapy for giardiasis: success rates, side effects, and drug absorption and elimination.单剂量甲硝唑和替硝唑治疗贾第虫病:成功率、副作用以及药物吸收与消除情况
J Infect Dis. 1979 Dec;140(6):984-8. doi: 10.1093/infdis/140.6.984.
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Single-dose tinidazole for the treatment of giardiasis.单剂量替硝唑治疗贾第虫病。
Antimicrob Agents Chemother. 1985 Feb;27(2):227-9. doi: 10.1128/AAC.27.2.227.
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[Therapeutic results in Giardia lamblia infestation].[贾第虫感染的治疗结果]
An Esp Pediatr. 1988 May;28(5):425-8.
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Treatment of intestinal amoebiasis and giardiasis; efficacy of metronidazole and tinidazole compared.肠道阿米巴病和贾第虫病的治疗;甲硝唑和替硝唑疗效比较
Med J Aust. 1978 May 6;1(9):469-71.
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Treatment of giardiasis in children with quinacrine, metronidazole, tinidazole and ornidazole.用喹吖因、甲硝唑、替硝唑和奥硝唑治疗儿童贾第虫病。
Southeast Asian J Trop Med Public Health. 1980 Jun;11(2):280-4.
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Short course of single daily dosage treatment with tinidazole and metronidazole in intestinal amoebiasis: a comparative study.
Curr Med Res Opin. 1977;5(2):157-60. doi: 10.1185/03007997709110157.

引用本文的文献

1
Drugs for treating giardiasis.治疗贾第虫病的药物。
Cochrane Database Syst Rev. 2012 Dec 12;12(12):CD007787. doi: 10.1002/14651858.CD007787.pub2.
2
The old and new therapeutic approaches to the treatment of giardiasis: where are we?贾第虫病治疗的新旧方法:我们目前的进展如何?
Biologics. 2009;3:273-87. Epub 2009 Jul 13.
3
Folate deficiency due to giardiasis.贾第虫病导致的叶酸缺乏
J R Soc Med. 1989 Jan;82(1):48-9. doi: 10.1177/014107688908200121.