Joller R, Frick E, Schmid W
Helv Chir Acta. 1979 Aug;46(3):419-27.
60 cases of orthopedic surgery and traumatology were treated 64 times altogether with an average dose of clindamycin of 3 X 300 mg/day. 40 patients were given clindamycin as preventive treatment. 12 patients were treated for acute infections of the locomotor system and other 8 patients 12 times for chronic osteitis. In the group having received preventive trqatment, infection occurred bu 1 out of 40 patients. As to the 12 cases of acute infections, 10 recovered, 1 improved and 1 patient got worse. Concerning the 12 treatments of 8 patients with chronic osteitis, in 1 case the inactivation of the infection was obtained. 9 cases showed significant improvement whereas in 2 cases an aggravation was noticed. In 5 patients the following side effects occurred: 2 cases of allergic exanthema, 2 cases of mild diarrhoe and 1 case of pyrosis. This study shows that clindamycin is an antibiotic with a broad field of application in orthopedic surgery.
60例骨科手术及创伤患者共接受了64次克林霉素治疗,平均剂量为每日3次,每次300毫克。40例患者接受克林霉素预防性治疗。12例患者接受运动系统急性感染治疗,另外8例患者因慢性骨炎接受了12次治疗。在接受预防性治疗的组中,40例患者中有1例发生感染。对于12例急性感染病例,10例康复,1例好转,1例病情恶化。关于8例慢性骨炎患者的12次治疗,1例感染得到控制。9例显著改善,2例病情加重。5例患者出现以下副作用:2例过敏性皮疹,2例轻度腹泻,1例胃灼热。本研究表明,克林霉素是一种在骨科手术中应用广泛的抗生素。