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喹诺酮类药物在耶尔森菌病中的可能作用。

The possible role of quinolones in yersiniosis.

作者信息

Hoogkamp-Korstanje J A

机构信息

Laboratory for Public Health, Leeuwarden.

出版信息

Drugs. 1987;34 Suppl 1:134-8. doi: 10.2165/00003495-198700341-00029.

DOI:10.2165/00003495-198700341-00029
PMID:3436262
Abstract

The in vitro susceptibility of 135 strains of Yersinia enterocolitica was tested by agar dilution. About 85% of the strains were susceptible to trimethoprim (1 mg/L), tetracycline (4 mg/L), chloramphenicol (4 mg/L) and cefuroxime (8 mg/L); 90 to 100% to piperacillin (16 mg/L), cefotaxime (8 mg/L) and gentamicin (1 mg/L); 100% to ciprofloxacin (less than or equal to 0.016 mg/L), ofloxacin (0.06 mg/L) and pefloxacin (0.12 mg/L). The outcome of 88 patients, treated for various forms of yersiniosis, showed 15% failure for trimethoprim or co-trimoxazole and tetracycline and 70% failure for cephalosporins and aminoglycoside-beta-lactam combinations. Four patients were successfully treated with ciprofloxacin 500 mg orally or 300 mg intravenously administered twice daily for up to 6 weeks.

摘要

采用琼脂稀释法检测了135株小肠结肠炎耶尔森菌的体外药敏情况。约85%的菌株对甲氧苄啶(1mg/L)、四环素(4mg/L)、氯霉素(4mg/L)和头孢呋辛(8mg/L)敏感;90%至100%的菌株对哌拉西林(16mg/L)、头孢噻肟(8mg/L)和庆大霉素(1mg/L)敏感;100%的菌株对环丙沙星(≤0.016mg/L)、氧氟沙星(0.06mg/L)和培氟沙星(0.12mg/L)敏感。88例接受不同形式耶尔森菌病治疗的患者中,甲氧苄啶或复方新诺明以及四环素治疗失败率为15%,头孢菌素和氨基糖苷类-β-内酰胺类联合治疗失败率为70%。4例患者通过口服500mg环丙沙星或静脉注射300mg环丙沙星,每日两次,持续治疗长达6周,治疗成功。

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本文引用的文献

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The susceptibility of Yersinia to eleven antimicrobials.
J Antimicrob Chemother. 1982 Dec;10(6):543-7. doi: 10.1093/jac/10.6.543.
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Yersinia enterocolitica pharyngitis.
Ann Intern Med. 1983 Jul;99(1):40-2. doi: 10.7326/0003-4819-99-1-40.
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Intraprostatic concentration of ciprofloxacin and its activity against urinary pathogens.环丙沙星在前列腺内的浓度及其对尿路病原体的活性。
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小肠结肠炎耶尔森菌心内膜炎:病例报告及文献综述
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Ofloxacin. A review of its antibacterial activity, pharmacokinetic properties and therapeutic use.氧氟沙星。对其抗菌活性、药代动力学特性及治疗用途的综述。
Drugs. 1987 Apr;33(4):346-91. doi: 10.2165/00003495-198733040-00003.
Yersinia enterocolitica: guidelines for serologic diagnosis of human infections.
小肠结肠炎耶尔森菌:人类感染血清学诊断指南
Rev Infect Dis. 1983 Sep-Oct;5(5):898-906. doi: 10.1093/clinids/5.5.898.
5
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Eur J Clin Microbiol. 1982 Jun;1(3):166-70. doi: 10.1007/BF02019618.
6
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