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庆大霉素治疗免疫抑制小鼠的肺炎克雷伯菌感染(作者译)

[Klebsiella pneumoniae infection in immunosuppressed mice treated with gentamicin (author's transl)].

作者信息

Fauchère J L, Berche P, Véron M, Kreis H, Crosnier J

出版信息

Ann Microbiol (Paris). 1978 May-Jun;129(4):433-46.

PMID:358887
Abstract

Experiments have been established in order to study the antagonistic effect of cyclophosphamid treatment on the antibiotic activity of gentamicin in vivo. An immunodepressive state in mice (50 % reduction of neutrophil polymorphonuclear) was obtained with a 5 day treatment of cyclophosphamid, at the dose of 15 mg/kg. The mice were inoculated intraperitoneally with 10 LD50 of Klebsiella pneumoniae. Antibiotherapy was applied in 2 ways differing with the dose of gentamicin given twice a day by subcutaneous route (either 2.5 or 25 mg/kg) and with the time at which treatment was started (either at 1 or at 2 h after bacterial challenge). The gentamicin activity decreases in immunosuppressed mice when antibiotic is applied with a low dose (2.5 mg/kg), 1 h after infection challenge. This effect disappears when gentamicin is given with high doses (20 mg/kg) or when antibiotherapy is delayed (2 h after infection challenge). In this case, mortality is important and close to non immunodepressed mice.

摘要

已开展实验以研究环磷酰胺治疗对庆大霉素体内抗生素活性的拮抗作用。采用15mg/kg剂量的环磷酰胺对小鼠进行为期5天的治疗,使其处于免疫抑制状态(中性多形核白细胞减少50%)。给小鼠腹腔注射10倍半数致死量的肺炎克雷伯菌。采用两种方式进行抗生素治疗,区别在于庆大霉素的给药剂量(每天两次皮下注射,剂量分别为2.5mg/kg或25mg/kg)以及开始治疗的时间(细菌攻击后1小时或2小时)。当在感染攻击后1小时给予低剂量(2.5mg/kg)抗生素时,免疫抑制小鼠体内的庆大霉素活性降低。当给予高剂量(20mg/kg)庆大霉素或延迟抗生素治疗(感染攻击后2小时)时,这种效应消失。在这种情况下,死亡率很高,且接近未免疫抑制的小鼠。

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