Chimura T, Watanabe T, Oda T
Department of Obstetrics and Gynecology, School of Medicine, Yamagata University.
Jpn J Antibiot. 1988 Mar;41(3):306-11.
Ceftriaxone (CTRX) was studied for its efficacy and safety in 8 cases of infection during the perinatal period; 6 before, and 2 after delivery. The results obtained are recognized as follows: 1. CTRX was administered by intravenous drip infusion at a daily dose between 2 and 4 g for 2 to 10 days (a total dose: 4 to 20 g) each of 8 cases of infections during the perinatal period; 3 of amniotic fluid infection and 1 each of intrauterine infection, puerperal fever, puerperal wound infection, appendicitis and pyelonephritis. CTRX was evaluated to be very effective in 3, effective in 3 and ineffective in 2, with an efficacy rate of 75% (6/8). 2. Two strains of Enterococcus faecalis and 1 each of Pseudomonas cepacia and Streptococcus intermedius were isolated. All of them were eradicated by the CTRX treatment bacteriologically. 3. No adverse reactions were observed subjectively or objectively. A slight transient elevation of GOT, GPT and Al-P was observed in 1 case. No abnormal sign was observed in neonates.
研究了头孢曲松(CTRX)在8例围产期感染中的疗效和安全性;其中6例在分娩前,2例在分娩后。获得的结果如下:1. 对8例围产期感染患者,均采用静脉滴注头孢曲松,每日剂量为2至4克,疗程为2至10天(总剂量:4至20克);其中羊水感染3例,宫内感染、产褥热、产褥伤口感染、阑尾炎和肾盂肾炎各1例。头孢曲松评估为显效3例,有效3例,无效2例,有效率为75%(6/8)。2. 分离出2株粪肠球菌、1株洋葱伯克霍尔德菌和1株中间链球菌。经头孢曲松治疗后,细菌学检查显示所有菌株均被清除。3. 未观察到主观或客观的不良反应。1例患者观察到谷草转氨酶、谷丙转氨酶和碱性磷酸酶轻度短暂升高。新生儿未观察到异常体征。