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实验性心内膜炎:5-氟胞嘧啶对兔白色念珠菌感染的预防作用

Experimental endocarditis: prophylaxis of Candida albicans infections by 5-fluorocytosine in rabbits.

作者信息

Demierre G, Freedman L R

出版信息

Antimicrob Agents Chemother. 1979 Sep;16(3):252-4. doi: 10.1128/AAC.16.3.252.

Abstract

The prevention of Candida endocarditis in the rabbit was easily accomplished with a single intramuscular injection of 75 mg of 5-FC (A predominantly fungistatic agent) per kg either 40 min before, or at the same time as, the intravenous challenge with Candida albicans. Renal infarcts were observed more often in rabbits with infected valvular vegetations than in control rabbits with sterile endocarditis. The prophylactic effect of 5-FC is greater in aortic vegetations than in the kidneys. This may be related to differences in the pathophysiology of infection and the pharmacokinetics of 5-FC in the two areas.

摘要

在兔子身上预防念珠菌性心内膜炎很容易实现,即在静脉注射白色念珠菌前40分钟或同时,每千克体重单次肌肉注射75毫克5-氟胞嘧啶(一种主要的抑菌剂)。与无菌性心内膜炎的对照兔子相比,感染性瓣膜赘生物的兔子中更常观察到肾梗死。5-氟胞嘧啶在主动脉赘生物中的预防效果比在肾脏中更大。这可能与两个区域感染的病理生理学差异以及5-氟胞嘧啶的药代动力学有关。

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本文引用的文献

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Treatment of disseminated candidiasis with 5-fluorocytosine.
J Infect Dis. 1974 Aug;130(2):155-9. doi: 10.1093/infdis/130.2.155.
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Prosthetic valve endocarditis. Analysis of 38 cases.人工瓣膜心内膜炎。38例分析。
Circulation. 1973 Aug;48(2):365-77. doi: 10.1161/01.cir.48.2.365.

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