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[每日2×1克亚胺培南/西司他丁在普通外科手术中的疗效及耐受性]

[Effect and tolerance of daily 2 X 1 g imipenem/cilastatin in general surgery].

作者信息

Wenzel M, Loch H

出版信息

Infection. 1986;14 Suppl 2:S148-53. doi: 10.1007/BF01647500.

Abstract

The clinical efficacy, tolerability and safety of imipenem/cilastatin were studied in a open, prospective trial with 63 general surgical patients suffering from bacterial infections. According to study criteria, 48 of the patients were evaluable. Clinical cure was achieved in 47 of these 48 patients (97.9%). The causative organisms were eliminated in 39 of the 47 patients cured. Clinical side-reactions were observed in 4.2% of the 63 patients treated. In 8.3% of these laboratory parameters were changed. 77 of the 78 microorganisms isolated before therapy were sensitive to imipenem (MICs 0.02-2.0 mg/l). In one patient a coagulase-negative staphylococcus with an MIC of 16 mg/l was isolated after five days of therapy.

摘要

在一项针对63例患有细菌感染的普通外科患者的开放性前瞻性试验中,研究了亚胺培南/西司他丁的临床疗效、耐受性和安全性。根据研究标准,48例患者可进行评估。这48例患者中有47例(97.9%)实现了临床治愈。47例治愈患者中有39例的致病微生物被清除。在接受治疗的63例患者中,有4.2%观察到临床副作用。其中8.3%的患者实验室参数发生了变化。治疗前分离出的78种微生物中有77种对亚胺培南敏感(MIC为0.02 - 2.0 mg/l)。在一名患者中,治疗五天后分离出一株凝固酶阴性葡萄球菌,其MIC为16 mg/l。

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