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关节置换手术中预防性使用抗生素的并发症:头孢拉定诱发伪膜性结肠炎的病例报告

Complications with antibiotics used prophylactically in joint replacement surgery: a case report of cephradine-induced pseudomembranous colitis.

作者信息

Roberts A P, Hughes A W

出版信息

Int Orthop. 1985;8(4):299-302. doi: 10.1007/BF00266876.

DOI:10.1007/BF00266876
PMID:4018965
Abstract

A woman underwent joint replacement surgery with prophylactic antibiotic cover, and subsequently died as a result of pseudomembranous colitis. We have noted a high incidence of antibiotic diarrhoea with cephradine, and suggest that if administration of prophylactic antibiotics is restricted to 3 days or less, the incidence of diarrhoea would diminish, and the therapeutic value of the antibiotics would be maintained.

摘要

一名女性在接受关节置换手术并使用预防性抗生素后,随后因伪膜性结肠炎死亡。我们注意到头孢拉定导致抗生素相关性腹泻的发生率很高,并建议如果将预防性抗生素的使用时间限制在3天或更短时间内,腹泻的发生率将会降低,同时抗生素的治疗价值将得以维持。

相似文献

1
Complications with antibiotics used prophylactically in joint replacement surgery: a case report of cephradine-induced pseudomembranous colitis.关节置换手术中预防性使用抗生素的并发症:头孢拉定诱发伪膜性结肠炎的病例报告
Int Orthop. 1985;8(4):299-302. doi: 10.1007/BF00266876.
2
Pseudomembranous colitis following cephradine prophylaxis.头孢拉定预防用药后发生的伪膜性结肠炎
Postgrad Med J. 1982 Nov;58(685):726-8. doi: 10.1136/pgmj.58.685.726.
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Pseudomembranous colitis associated with antibiotic prophylaxis in orthopaedic surgery.骨科手术中抗生素预防相关的伪膜性结肠炎
J Bone Joint Surg Br. 1988 Aug;70(4):600-2. doi: 10.1302/0301-620X.70B4.3403605.
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Pseudomembranous colitis due to cephradine.头孢拉定所致伪膜性结肠炎
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Cephalosporin-associated pseudomembranous colitis.头孢菌素相关性假膜性结肠炎
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Determination of serum and bone concentrations of cephradine and cefuroxime by HPLC in patients undergoing hip and knee joint replacement surgery.采用高效液相色谱法测定髋关节和膝关节置换手术患者血清及骨中头孢拉定和头孢呋辛的浓度。
J Antimicrob Chemother. 1989 Jun;23(6):877-83. doi: 10.1093/jac/23.6.877.
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Morphology of experimental antibiotic-associated enterocolitis in the hamster: a model for human pseudomembranous colitis and antibiotic-associated diarrhoea.仓鼠实验性抗生素相关性小肠结肠炎的形态学:人类伪膜性结肠炎和抗生素相关性腹泻的模型
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Who are susceptible to pseudomembranous colitis among patients with presumed antibiotic-associated diarrhea?在疑似抗生素相关性腹泻的患者中,哪些人易患伪膜性结肠炎?
Dis Colon Rectum. 2006 Oct;49(10):1552-8. doi: 10.1007/s10350-006-0694-z.
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Pneumoperitoneum without faecal peritonitis in a patient with pseudomembranous colitis.一名伪膜性结肠炎患者出现无粪便性腹膜炎的气腹。
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Cephalosporin-associated pseudomembranous colitis.头孢菌素相关性假膜性结肠炎
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引用本文的文献

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Trends in orthopaedic antimicrobial prophylaxis in the UK between 2005 and 2011.2005年至2011年间英国骨科抗菌预防的趋势。
Ann R Coll Surg Engl. 2013 Oct;95(7):495-502. doi: 10.1308/003588413X13629960047038.
2
Prospective study of Clostridium difficile intestinal colonization and disease following single-dose antibiotic prophylaxis in surgery.单剂量抗生素预防术后艰难梭菌肠道定植和疾病的前瞻性研究。
Antimicrob Agents Chemother. 1991 Jan;35(1):208-10. doi: 10.1128/AAC.35.1.208.

本文引用的文献

1
The importance of cephradine in hip surgery.头孢拉定在髋关节手术中的重要性。
J Bone Joint Surg Br. 1981;63-B(3):413-6. doi: 10.1302/0301-620X.63B3.7263757.
2
Chemoprophylaxis.化学预防
Br Med J. 1975 Dec 6;4(5996):561-4. doi: 10.1136/bmj.4.5996.561.
3
Clostridia as intestinal pathogens.梭菌作为肠道病原体。
Lancet. 1977 Nov 26;2(8048):1113-4.