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SM - 4300治疗外科严重感染的临床试验

[A clinical trial of SM-4300 against severe infections in surgery].

作者信息

Ueda T, Fujimoto M, Sakai K, Sasaki T, Morimoto Y, Mitsuyoshi H, Doi S, Matsumoto K

出版信息

Jpn J Antibiot. 1985 Sep;38(9):2647-59.

PMID:3908740
Abstract

SM-4300, a newly developed human immunoglobulin for intravenous use, has been evaluated clinically in combination with the antibiotics in the patients with severe bacterial, fungal or viral infections which are resistant to antibiotic therapy in the surgery. Total number of 26 patients affected with various severe infections were treated with SM-4300. Clinical effects of SM-4300 were good in 10 cases, fair in 7 cases, poor in 7 cases and unknown in 2 cases. The efficacy rate was 41.7%. Severe infections in these 26 patients consisted of 14 cases of peritonitis, 5 cases of intrathoracic infections, 4 cases of sepsis suspected and 3 cases others. Twenty-three patients had underlying diseases, in which 15 cases were patients with cancer. Clinically isolated organisms were obtained from 12 cases, of 26 strains were evaluated for bacteriological effects which were eradicated in 10 strains, decreased in 3 and persisted in 13 strains, the eradication rate being 38.5%. The subjective and objective clinical side effects were noted.

摘要

SM - 4300是一种新研发的静脉用人免疫球蛋白,已在外科手术中对患有严重细菌、真菌或病毒感染且对抗生素治疗耐药的患者联合抗生素进行了临床评估。共有26例患有各种严重感染的患者接受了SM - 4300治疗。SM - 4300的临床效果为10例良好,7例尚可,7例较差,2例不明。有效率为41.7%。这26例患者的严重感染包括14例腹膜炎、5例胸腔内感染、4例疑似败血症和3例其他感染。23例患者有基础疾病,其中15例为癌症患者。从12例患者中分离出临床菌株,对26株菌株进行了细菌学效果评估,其中10株被根除,3株减少,13株持续存在,根除率为38.5%。记录了主观和客观的临床副作用。

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