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氧氟沙星在慢性骨炎治疗中的应用

Ofloxacin treatment in the management of chronic osteitis.

作者信息

Ketterl R, Beckurts T, Stübinger B, Claudi B

机构信息

Chirurgische Klinik und Poliklinik der TU München.

出版信息

Drugs. 1987;34 Suppl 1:124-30. doi: 10.2165/00003495-198700341-00027.

DOI:10.2165/00003495-198700341-00027
PMID:3481313
Abstract

In an open prospective study, the efficacy and tolerability of ofloxacin in the treatment of chronic post-traumatic osteitis was examined in 83 patients. 103 different pathogens were isolated. More than 75% were Gram-positive bacteria with Staphylococcus aureus occurring in 61% of cases. After ofloxacin treatment bacteriological elimination was more than 90% for both Gram-positive and Gram-negative species, leading to a clinical cure in 85% of patients. Reinfection occurred in 5% of patients. These values were obtained from follow-up examinations which were carried out at least 6 months after the end of therapy. The tolerability of ofloxacin was excellent and no drug-related allergic reactions or side effects were observed. In conjunction with adequate surgical treatment, ofloxacin proved to be a useful antibacterial agent in the therapy of chronic bone infection.

摘要

在一项开放性前瞻性研究中,对83例慢性创伤后骨髓炎患者使用氧氟沙星治疗的疗效和耐受性进行了检查。共分离出103种不同病原体。超过75%为革兰氏阳性菌,其中金黄色葡萄球菌占61%。氧氟沙星治疗后,革兰氏阳性菌和革兰氏阴性菌的细菌清除率均超过90%,85%的患者实现临床治愈。5%的患者发生再次感染。这些数据来自治疗结束后至少6个月进行的随访检查。氧氟沙星的耐受性良好,未观察到与药物相关的过敏反应或副作用。与充分的手术治疗相结合,氧氟沙星被证明是治疗慢性骨感染的一种有效抗菌药物。

相似文献

1
Ofloxacin treatment in the management of chronic osteitis.氧氟沙星在慢性骨炎治疗中的应用
Drugs. 1987;34 Suppl 1:124-30. doi: 10.2165/00003495-198700341-00027.
2
Use of ofloxacin in open fractures and in the treatment of post-traumatic osteomyelitis.氧氟沙星在开放性骨折及创伤后骨髓炎治疗中的应用。 需注意,原文中“Use of ofloxacin in open fractures and in the treatment of post-traumatic osteomyelitis.”多了一个“of”,正确表述应为“Use of ofloxacin in open fractures and in the treatment of post-traumatic osteomyelitis.” 。
J Antimicrob Chemother. 1988 Sep;22 Suppl C:159-66. doi: 10.1093/jac/22.supplement_c.159.
3
[Bone infections: treatment by ofloxacin. Apropos of 10 cases].
Pathol Biol (Paris). 1987 May;35(5):644-7.
4
[Our experience with ofloxacin in the treatment of osteoarticular infections].
Pathol Biol (Paris). 1988 May;36(5):557-61.
5
Treatment of posttraumatic osteitis with intravenous ofloxacin.静脉注射氧氟沙星治疗创伤后骨炎。
Clin Ther. 1991 Jul-Aug;13(4):457-9.
6
[Anti-bacterial effect of ofloxacin--in vitro and in vivo results].氧氟沙星的抗菌作用——体外和体内研究结果
Mikrobiyol Bul. 1985 Oct;19(4):183-9.
7
Effectiveness of imipenem in the treatment of chronic post-traumatic osteitis.亚胺培南治疗慢性创伤后骨髓炎的有效性。
Int J Clin Pharmacol Res. 1987;7(3):219-24.
8
[Chronic osteitis--modern therapy].[慢性骨炎——现代治疗方法]
Antibiot Khimioter. 1996;41(9):57-9.
9
A comparative study of ofloxacin versus cefazolin in lower respiratory tract infections.
Int J Clin Pharmacol Res. 1987;7(3):199-201.
10
Chemotherapy of otitis media with ofloxacin.氧氟沙星治疗中耳炎
Drugs. 1987;34 Suppl 1:139-43. doi: 10.2165/00003495-198700341-00030.

本文引用的文献

1
[Immunology and bacteriology of post-traumatic bone infections].[创伤后骨感染的免疫学与细菌学]
Hefte Unfallheilkd. 1982;157:48-79.
2
[Use of PMMA gentamicin bead chains following early infection without the removal of osteosynthesis material].[早期感染且未移除骨合成材料时聚甲基丙烯酸甲酯庆大霉素珠链的应用]
Unfallheilkunde. 1983 Jan;86(1):38-42.
3
In vitro antibacterial properties of AT-2266, a new pyridonecarboxylic acid.新型吡啶羧酸AT-2266的体外抗菌特性
Antimicrob Agents Chemother. 1983 May;23(5):641-8. doi: 10.1128/AAC.23.5.641.
4
[Treatment of chronic bone infections with extensive skin/soft tissue defect using free transplanted flaps with microvascular anastomoses].应用带微血管吻合的游离移植皮瓣治疗伴有大面积皮肤/软组织缺损的慢性骨感染
Unfallheilkunde. 1984 Oct;87(10):416-24.
5
Review of bacterial resistance--a challenge to the treatment of urinary infection.细菌耐药性综述——尿路感染治疗面临的挑战
J Antimicrob Chemother. 1984 May;13 Suppl B:1-7. doi: 10.1093/jac/13.suppl_b.1.
6
In vitro activity of enoxacin, a quinolone carboxylic acid, compared with those of norfloxacin, new beta-lactams, aminoglycosides, and trimethoprim.喹诺酮羧酸依诺沙星的体外活性与诺氟沙星、新型β-内酰胺类、氨基糖苷类及甲氧苄啶的体外活性比较。
Antimicrob Agents Chemother. 1983 Nov;24(5):754-63. doi: 10.1128/AAC.24.5.754.
7
In vitro activity of ciprofloxacin, norfloxacin and nalidixic acid.环丙沙星、诺氟沙星和萘啶酸的体外活性。
Eur J Clin Microbiol. 1983 Apr;2(2):111-5. doi: 10.1007/BF02001575.
8
[Incidence of osteomyelitis after osteosynthesis].
Chirurg. 1977 Jan;48(1):6-11.