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Antimicrob Agents Chemother. 1985 Jun;27(6):928-32. doi: 10.1128/AAC.27.6.928.
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本文引用的文献

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Fucidin: a new orally active antibiotic.梭链孢酸:一种新型口服活性抗生素。
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Investigations on the flucloxacillin levels in human serum, lung tissue, pericardial fluid and heart tissue.
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Concentrations of cefamandole and cefsulodin in serum, heart valves, subcutaneous tissue, and muscle of patients undergoing open-heart surgery.接受心脏直视手术患者血清、心脏瓣膜、皮下组织及肌肉中头孢孟多和头孢磺啶的浓度。
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Comparison of antimicrobial susceptibility patterns among coagulase-negative staphylococci.凝固酶阴性葡萄球菌抗菌药敏模式的比较
Antimicrob Agents Chemother. 1982 Mar;21(3):436-40. doi: 10.1128/AAC.21.3.436.
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Prosthetic valve endocarditis.人工瓣膜心内膜炎
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Penetration characteristics of cefamandole into the right atrial appendage and pericardial fluid in patients undergoing open-heart surgery.
Ann Thorac Surg. 1980 Feb;29(2):104-8. doi: 10.1016/s0003-4975(10)61644-x.
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Antimicrobial susceptibilities of coagulase-negative staphylococci isolated from urinary infections.从尿路感染中分离出的凝固酶阴性葡萄球菌的抗菌药敏性
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Staphylococcus epidermidis causing prosthetic valve endocarditis: microbiologic and clinical observations as guides to therapy.引起人工瓣膜心内膜炎的表皮葡萄球菌:微生物学和临床观察作为治疗指南
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9
Comparative study of cefamandole versus ampicillin plus cloxacillin: prophylactic antibiotics in cardiac surgery.头孢孟多与氨苄西林加氯唑西林的对比研究:心脏手术中的预防性抗生素
Ann Thorac Surg. 1982 Feb;33(2):152-8. doi: 10.1016/s0003-4975(10)61902-9.
10
In vitro susceptibility patterns of methicillin-resistant and-susceptible Staphylococcus auerues strains in a population of parenteral drug abusers from 1972 to 1981.1972年至1981年期间,对一群静脉注射药物滥用者中的耐甲氧西林和甲氧西林敏感金黄色葡萄球菌菌株进行的体外药敏模式研究。
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心脏手术患者血清和心耳中夫西地酸、氯唑西林和头孢孟多的浓度。

Concentrations of fusidic acid, cloxacillin, and cefamandole in sera and atrial appendages of patients undergoing cardiac surgery.

作者信息

Bergeron M G, Desaulniers D, Lessard C, Lemieux M, Després J P, Métras J, Raymond G, Brochu G

出版信息

Antimicrob Agents Chemother. 1985 Jun;27(6):928-32. doi: 10.1128/AAC.27.6.928.

DOI:10.1128/AAC.27.6.928
PMID:4026265
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC180189/
Abstract

The concentrations of cefamandole, cloxacillin and fusicid acid were measured in the serum and heart tissue of 100 recipients of these drugs before cardiac surgery. During cardiopulmonary bypass, mean (+/- standard deviation) peak concentrations in serum of all patients were 63.0 +/- 34.0 micrograms of cefamandole per ml, 30.8 +/- 17.7 micrograms of cloxacillin per ml, and 32.4 +/- 10.8 micrograms of fusidic acid per ml. Mean (+/- standard deviation) concentrations in atrial appendages taken 1 h (+/- 15 min) after infusion were 21.3 +/- 11.0 micrograms of cefamandole per g, 23.8 +/- 17.3 micrograms of cloxacillin per g, and 10.7 +/- 4.2 micrograms of fusidic acid per g. No cloxacillin could be detected in 5 of 39 heart specimens. Mean tissue-to-serum ratios at 1 h for cefamandole, cloxacillin, and fusidic acid were respectively 0.35, 0.73, and 0.33. Fusidic acid, a drug which is highly effective in vitro against both methicillin-resistant Staphylococcus aureus and Staphylococcus epidermidis, was detectable in heart tissue in concentrations which were 12 times higher than the MICs of this agent against these resistant microorganisms.

摘要

在100例心脏手术前接受这些药物治疗的患者的血清和心脏组织中,测定了头孢孟多、氯唑西林和夫西地酸的浓度。在体外循环期间,所有患者血清中的平均(±标准差)峰值浓度分别为每毫升63.0±34.0微克头孢孟多、每毫升30.8±17.7微克氯唑西林和每毫升32.4±10.8微克夫西地酸。输注后1小时(±15分钟)采集的心耳中的平均(±标准差)浓度分别为每克21.3±11.0微克头孢孟多、每克23.8±17.3微克氯唑西林和每克10.7±4.2微克夫西地酸。在39份心脏标本中有5份未检测到氯唑西林。头孢孟多、氯唑西林和夫西地酸在1小时时的平均组织与血清比值分别为0.35、0.73和0.33。夫西地酸是一种在体外对耐甲氧西林金黄色葡萄球菌和表皮葡萄球菌均高度有效的药物,在心脏组织中可检测到其浓度比该药物对这些耐药微生物的最低抑菌浓度高12倍。