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单独使用磺胺甲恶唑与联合使用甲氧苄啶治疗尿路感染的比较。

Comparison of sulfamethoxazole alone and combined with trimethoprim in urinary tract infections.

作者信息

Bergan T, Skjerven O

出版信息

Infection. 1979;7(1):14-6. doi: 10.1007/BF01640549.

DOI:10.1007/BF01640549
PMID:370019
Abstract

In a double blind, randomized study, sulfamethoxazole was compared alone and in combination with trimethoprim as commonly used in therapeutic regimes for the treatment of uncomplicated acute urinary tract infections in out-patients. The cure of sulfamethoxazole alone was 92.2%, and for sulfamethoxazole plus trimethoprim 97.6%. The rate of side-effects for the former was 5%, for the latter 21.8%. If the failure rate plus the rate of occurrence of rash, which necessitated discontinuing the drug, are combined, it appears that 8.8% of the patients were at a disadvantage receiving sulfamethoxazole compared to 9.7% for the combination of sulfamethoxazole plus trimethoprim. When considering the cure rate and rate of side-effects together, therefore, the position of sulfamethoxazole alone as a suitable drug in this type of infection is defended.

摘要

在一项双盲随机研究中,对单独使用磺胺甲恶唑以及将其与甲氧苄啶联合使用(这是治疗门诊非复杂性急性尿路感染的常用治疗方案)进行了比较。单独使用磺胺甲恶唑的治愈率为92.2%,磺胺甲恶唑加甲氧苄啶的治愈率为97.6%。前者的副作用发生率为5%,后者为21.8%。如果将失败率加上因皮疹而必须停药的发生率合并计算,与磺胺甲恶唑加甲氧苄啶联合用药的9.7%相比,接受磺胺甲恶唑治疗的患者中似乎有8.8%处于劣势。因此,综合考虑治愈率和副作用发生率,单独使用磺胺甲恶唑作为这类感染的合适药物是合理的。

相似文献

1
Comparison of sulfamethoxazole alone and combined with trimethoprim in urinary tract infections.单独使用磺胺甲恶唑与联合使用甲氧苄啶治疗尿路感染的比较。
Infection. 1979;7(1):14-6. doi: 10.1007/BF01640549.
2
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Curr Ther Res Clin Exp. 1976 Nov;20(5):645-54.
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Scand J Urol Nephrol. 1973;7(2):184-6. doi: 10.3109/00365597309133700.
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Comparison of ampicillin and trimethoprim-sulfamethoxazole in the short-term treatment of urinary tract infection.氨苄西林与甲氧苄啶-磺胺甲恶唑用于尿路感染短期治疗的比较。
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Comparison of trimethoprim in combination with sulfadiazine or sulfamethoxazole in the treatment of urinary tract infections.甲氧苄啶联合磺胺嘧啶或磺胺甲恶唑治疗尿路感染的比较。
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Can Med Assoc J. 1975 Jun 14;112(13 Spec No):9-12.

引用本文的文献

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Bioactivation of Trimethoprim to Protein-Reactive Metabolites in Human Liver Microsomes.甲氧苄啶在人肝微粒体中生物活化生成与蛋白质反应性代谢物
Drug Metab Dispos. 2016 Oct;44(10):1603-7. doi: 10.1124/dmd.116.072041. Epub 2016 Jul 25.
2
Co-trimoxazole (trimethoprim-sulfamethoxazole): an updated review of its antibacterial activity and clinical efficacy.复方新诺明(甲氧苄啶-磺胺甲恶唑):抗菌活性及临床疗效的最新综述
Drugs. 1982 Dec;24(6):459-518. doi: 10.2165/00003495-198224060-00002.

本文引用的文献

1
Long-term treatment of pyelonephritis and other urinary tract infections with a new combination of sulfanilamides.用一种新的磺胺类药物组合对肾盂肾炎和其他尿路感染进行长期治疗。
J Urol. 1962 Mar;87:220-9. doi: 10.1016/S0022-5347(17)64945-0.
2
Clinical experience with a new sulfonamide sulphamethoxazole.一种新型磺胺类药物——磺胺甲恶唑的临床经验。
Appl Ther. 1961 Oct;3:775-9.
3
Stevens-Johnson syndrome associated with long-acting sulfonamides.史蒂文斯-约翰逊综合征与长效磺胺类药物相关。
JAMA. 1966 Feb 21;195(8):691-3.
4
[Importance of urinary and plasmatic concentrations of a chemotherapeutic agent in the treatment of urinary infections. Comparative study on 3 sulfonamides].[一种化疗药物的尿液和血浆浓度在尿路感染治疗中的重要性。对三种磺胺类药物的比较研究]
Schweiz Med Wochenschr. 1967 Oct;97(43):1429-34.
5
[Anti-bacterial drugs. 15. Trimethoprim-sulfamethoxazole (co-trimoxazol)].[抗菌药物。15. 甲氧苄啶-磺胺甲恶唑(复方新诺明)]
Tidsskr Nor Laegeforen. 1973 Nov 10;93(31):2323-5.
6
[Sulfonamides].[磺胺类药物]
Tidsskr Nor Laegeforen. 1973 Nov 30;93(30):2252-5.
7
Long-term treatment of persistent or recurrent urinary tract infection with trimethoprim-sulfamethoxazole.用甲氧苄啶-磺胺甲恶唑长期治疗持续性或复发性尿路感染。
J Infect Dis. 1973 Nov;128:Suppl:652-6 p. doi: 10.1093/infdis/128.supplement_3.s652.
8
Trimethoprim-sulfamethoxazole compared with sulfamethoxazole in urinary tract infection.甲氧苄啶-磺胺甲恶唑与磺胺甲恶唑治疗尿路感染的比较。
Can Med Assoc J. 1974 Apr 20;110(8):910-2.
9
Efficacy of trimethoprim, sulfamethoxazole and the combination of both in acute urinary tract infection. Clinical and pharmacokinetical studies.甲氧苄啶、磺胺甲恶唑及二者联用治疗急性尿路感染的疗效。临床与药代动力学研究。
Chemotherapy. 1973;19(5):314-21. doi: 10.1159/000221470.
10
A cooperative controlled study of the use of trimethoprim-sulfamethoxazole in chronic urinary tract infections.一项关于甲氧苄啶-磺胺甲恶唑用于慢性尿路感染的对照协作研究。
J Infect Dis. 1973 Nov;128:Suppl:647-51 p. doi: 10.1093/infdis/128.supplement_3.s647.