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[头孢唑肟静脉给药用于血液系统疾病相关严重感染的临床评价。新潟感染研究组]

[Clinical evaluation of ceftizoxime intravenous administration in severe infections associated with hematologic disorders. Niigata Infection Study Group].

作者信息

Moriyama Y, Shibata A, Ito M, Iizumi T, Watabe T, Sato M, Kurokawa I, Sugiyama K, Sanada M, Nakamura T

出版信息

Jpn J Antibiot. 1986 Mar;39(3):807-14.

PMID:3461176
Abstract

Seventy-one patients with severe infections associated with hematologic disorders including leukemia, lymphoma and aplastic anemia were treated with ceftizoxime (CZX) in daily doses of 4-6 g for an average of 20.1 days. Infections associated with hematologic disorders consisted of sepsis and pneumonia, and most of the causative organisms appeared to be Gram-negative bacteria. Of the 64 patients who completed the trial, excellent response was observed in 16 and moderate response in 26. The rate of clinical effectiveness was 65.6%. Side effects observed during the treatment included skin rash in only 1 patient, and hepatic disorders in 6 patients. However, the relationship between CZX and these abnormal findings was not established. These results indicate that CZX is a therapeutically effective and safe antibiotic for the treatment of severe infections associated with hematologic disorders.

摘要

71例患有包括白血病、淋巴瘤和再生障碍性贫血在内的血液系统疾病相关严重感染的患者接受了头孢唑肟(CZX)治疗,日剂量为4 - 6克,平均治疗20.1天。血液系统疾病相关感染包括败血症和肺炎,大多数病原体似乎是革兰氏阴性菌。在完成试验的64例患者中,16例观察到极佳反应,26例观察到中度反应。临床有效率为65.6%。治疗期间观察到的副作用仅1例出现皮疹,6例出现肝脏疾病。然而,CZX与这些异常表现之间的关系尚未确立。这些结果表明,CZX是治疗血液系统疾病相关严重感染的一种治疗有效且安全的抗生素。

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