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羧苄青霉素治疗支气管肺部感染患者的多中心临床及细菌学研究

Multicentre clinical and bacteriological study of sulbenicillin in patients with bronchopulmonary infection.

作者信息

Ginesu F, Ortu A R, Schena G P, Casali L, Cabiddu R, Ticca M A, Foddai G A, Cardia P, Ligia G P, Torrazza P L

出版信息

Drugs Exp Clin Res. 1985;11(12):885-93.

PMID:3915276
Abstract

In view of the pharmacodynamic and therapeutic properties of a broad-spectrum semisynthetic penicillin recently introduced in Italy, namely sulbenicillin, the authors conducted a multicentre clinical and bacteriological trial of the drug administered by intramuscular or intravenous injection in daily doses of 4, 6 or 8 g given in two or three administrations daily to a group of 66 patients with acute bronchopulmonary infection, mainly exacerbation of chronic infection, hospitalized in four Pneumology Centres of Sardinia. The authors assessed clinical, radiological, microbiological, and biohumoral parameters before and after treatment to provide a basis for assessing test product effectiveness and tolerability. On the strength of their findings, the authors concluded that the clinical and bacteriological activity of sulbenicillin was satisfactory and its local and general tolerability was excellent. The assembled findings indicate that the new antibiotic molecule can be used to advantage in the treatment of nontubercular bronchopulmonary infections, including severe or otherwise "difficult" cases, providing that the drug is administered at adequate dosages and for sufficiently long treatment periods.

摘要

鉴于意大利最近引进的一种广谱半合成青霉素即磺苄西林的药效学和治疗特性,作者开展了一项多中心临床和细菌学试验,对66例急性支气管肺部感染(主要是慢性感染急性加重)患者进行研究,这些患者在撒丁岛的四个肺病中心住院治疗。试验中通过肌肉注射或静脉注射给予该药物,每日剂量为4克、6克或8克,分两次或三次给药。作者在治疗前后评估了临床、放射学、微生物学和生物体液参数,以便为评估受试产品的有效性和耐受性提供依据。基于研究结果,作者得出结论,磺苄西林的临床和细菌学活性令人满意,其局部和全身耐受性良好。汇总的研究结果表明,这种新型抗生素分子可有效地用于治疗非结核性支气管肺部感染,包括重症或其他“难治性”病例,前提是给予足够的剂量并进行足够长的治疗时间。

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