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氨曲南治疗妇产科感染的总体临床经验。

Overall clinical experience with aztreonam in the treatment of obstetric-gynecologic infections.

作者信息

Henry S A

出版信息

Rev Infect Dis. 1985 Nov-Dec;7 Suppl 4:S703-8. doi: 10.1093/clinids/7.supplement_4.s703.

DOI:10.1093/clinids/7.supplement_4.s703
PMID:3909327
Abstract

Gynecologic infections (primarily endometritis and pelvic inflammatory disease) in 73 women were evaluated for clinical and microbiologic response to treatment with aztreonam plus clindamycin or a control regimen. The dosage of aztreonam used most frequently was 1 g three times daily. For 72 of the 73 women, a microbiologic cure and a satisfactory clinical response were achieved. Twenty-three of the 73 patients were treated with aztreonam in an open study; all experienced a microbiologic cure and a favorable clinical response. Fifty of the 73 patients treated with aztreonam plus clindamycin were entered into a comparative study that included 38 patients who received gentamicin (3-5 mg/kg per day) plus clindamycin (600 mg three times a day). In 49 (98%) of the aztreonam-treated patients and in 36 (95%) of the gentamicin-treated patients, the causative organism was eradicated, and in 98% and 89% of the patients, respectively, a favorable clinical response was achieved.

摘要

对73名女性的妇科感染(主要是子宫内膜炎和盆腔炎)进行了评估,以观察其对氨曲南加克林霉素治疗或对照方案的临床和微生物学反应。最常用的氨曲南剂量是每日三次,每次1克。73名女性中有72名实现了微生物学治愈和令人满意的临床反应。73名患者中有23名在一项开放性研究中接受了氨曲南治疗;所有人都实现了微生物学治愈和良好的临床反应。73名接受氨曲南加克林霉素治疗的患者中有50名进入了一项比较研究,该研究包括38名接受庆大霉素(每日3 - 5毫克/千克)加克林霉素(每日三次,每次600毫克)治疗的患者。在49名(98%)接受氨曲南治疗的患者和36名(95%)接受庆大霉素治疗的患者中,致病微生物被根除,并且分别在98%和89%的患者中实现了良好的临床反应。

相似文献

1
Overall clinical experience with aztreonam in the treatment of obstetric-gynecologic infections.氨曲南治疗妇产科感染的总体临床经验。
Rev Infect Dis. 1985 Nov-Dec;7 Suppl 4:S703-8. doi: 10.1093/clinids/7.supplement_4.s703.
2
A multicenter study comparing intravenous meropenem with clindamycin plus gentamicin for the treatment of acute gynecologic and obstetric pelvic infections in hospitalized women.
Clin Infect Dis. 1997 Feb;24 Suppl 2:S222-30. doi: 10.1093/clinids/24.supplement_2.s222.
3
Aztreonam plus clindamycin as therapy for pelvic infections in women.氨曲南加克林霉素用于治疗女性盆腔感染。
Am J Med. 1985 Feb 8;78(2A):47-50. doi: 10.1016/0002-9343(85)90204-9.
4
Comparison trial of clindamycin with aztreonam or gentamicin in the treatment of postpartum endometritis.克林霉素与氨曲南或庆大霉素治疗产后子宫内膜炎的对比试验。
Clin Ther. 1987;10(1):36-9.
5
Piperacillin versus clindamycin plus gentamicin for pelvic infections.哌拉西林与克林霉素加庆大霉素治疗盆腔感染的比较。
Obstet Gynecol. 1984 Dec;64(6):762-6.
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[Treatment of gynecologic and puerperal infections with Dalacin C].[用氯洁霉素治疗妇产科感染]
Wiad Lek. 1988 Oct 1;41(19):1283-5.
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Overall clinical experience with aztreonam in the treatment of intraabdominal infections.氨曲南治疗腹腔内感染的总体临床经验。
Rev Infect Dis. 1985 Nov-Dec;7 Suppl 4:S729-33. doi: 10.1093/clinids/7.supplement_4.s729.
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Clinical experience with cefotaxime in obstetric and gynecologic infections.头孢噻肟在妇产科感染中的临床应用经验。
Rev Infect Dis. 1982 Sep-Oct;4 Suppl:S432-8. doi: 10.1093/clinids/4.supplement_2.s432.
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[Clinical effect of the combined use of aztreonam, amikacin and clindamycin in infectious disease in obstetrics and gynecology].氨曲南、阿米卡星与克林霉素联合应用于妇产科感染性疾病的临床疗效
Jpn J Antibiot. 1991 Mar;44(3):337-44.
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Aztreonam.
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引用本文的文献

1
Antibiotic therapy for pelvic inflammatory disease.盆腔炎的抗生素治疗。
Cochrane Database Syst Rev. 2020 Aug 20;8(8):CD010285. doi: 10.1002/14651858.CD010285.pub3.
2
Antibiotic therapy for pelvic inflammatory disease.盆腔炎的抗生素治疗。
Cochrane Database Syst Rev. 2017 Apr 24;4(4):CD010285. doi: 10.1002/14651858.CD010285.pub2.
3
Pelvic inflammatory disease.盆腔炎
BMJ Clin Evid. 2008 Mar 10;2008:1606.