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庆大霉素耐药性脑室炎中奈替米星的鞘内给药

Intrathecal administration of netilmicin in gentamicin-resistant ventriculitis.

作者信息

Donauer E, Drumm G, Moringlane J, Ostertag C, Kivelitz R

出版信息

Acta Neurochir (Wien). 1987;86(3-4):83-8. doi: 10.1007/BF01402289.

DOI:10.1007/BF01402289
PMID:3630784
Abstract

In ventriculitis caused by Gentamicin-resistant staphylococcus aureus and staphylococcus epidermidis, Netilmicin was administered intrathecally to 19 patients under continuous control of the Netilmicin concentration in cerebro-spinal fluid (CSF). This therapy was able to bring these otherwise lethal infections under control, usually within 10 days. Pharmacokinetic studies with different doses have shown that doses of 2 X 3 mg are to be recommended in moderately severe cases of ventriculitis, and in most severe infections 3 X 3 mg daily intraventricularly for adults. In infants daily intraventricular injections of 2 X 0.4-0.5 mg Netilmicin are a sufficient dose to produce an effective antibiotic concentration level.

摘要

在由耐庆大霉素的金黄色葡萄球菌和表皮葡萄球菌引起的脑室炎中,对19例患者在脑脊液(CSF)中奈替米星浓度的持续监测下进行鞘内注射奈替米星治疗。这种治疗方法通常能够在10天内控制这些原本致命的感染。不同剂量的药代动力学研究表明,在中度严重的脑室炎病例中,推荐使用2×3mg的剂量,对于最严重的感染,成人每天脑室内注射3×3mg。对于婴儿,每天脑室内注射2×0.4 - 0.5mg奈替米星足以产生有效的抗生素浓度水平。

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2
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Gentamicin- and clindamycin-resistant Staphylococcus aureus.耐庆大霉素和克林霉素的金黄色葡萄球菌
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Netilmicin therapy of gentamicin-sensitive and resistant gram-negative infections.奈替米星治疗对庆大霉素敏感和耐药的革兰氏阴性菌感染
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Current concepts of bacterial infections of the central nervous system. Bacterial meningitis and bacterial brain abscess.中枢神经系统细菌感染的当前概念。细菌性脑膜炎和脑脓肿。
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Staphylococcus epidermidis infections of cerebrospinal fluid shunts.
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Antibiotic susceptibility testing by a standardized single disk method.采用标准化单纸片法进行抗生素敏感性试验。
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