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[头孢甲肟在耳鼻咽喉科领域的组织分布临床研究]

[Clinical study on the tissue distribution of cefmenoxime in the field of otolaryngology].

作者信息

Fujita K, Yokoyama M

出版信息

Jpn J Antibiot. 1986 Mar;39(3):721-5.

PMID:3461174
Abstract

Concentrations of cefmenoxime (CMX) in serum and tissue were determined in surgical patients with chronic sinusitis, maxillary cyst or chronic tonsillitis. CMX was intravenously administered in a dose of 1 gram. Thirty minutes after the administration, patients were operated under local anesthesia. Concentrations of CMX in tissues were determined 1 hour after administration, and were 15.8 micrograms/g and 20.3 micrograms/g in mucous membrane of maxillary sinus and maxillary cyst. CMX was not detectable in tonsils of 8 patients out of 11 examined. An examination of MIC against various bacteria isolated from sinus pus and pharyngeal swab indicated that CMX was effective enough to produce a prophylactic effect against otolaryngo-infections.

摘要

在患有慢性鼻窦炎、上颌囊肿或慢性扁桃体炎的外科手术患者中测定了血清和组织中头孢甲肟(CMX)的浓度。以1克的剂量静脉注射CMX。给药30分钟后,患者在局部麻醉下进行手术。给药1小时后测定组织中CMX的浓度,在上颌窦和上颌囊肿的黏膜中分别为15.8微克/克和20.3微克/克。在11名接受检查的患者中,有8名患者的扁桃体中未检测到CMX。对从鼻窦脓液和咽拭子中分离出的各种细菌的最低抑菌浓度(MIC)检查表明,CMX足以有效预防耳鼻喉感染。

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