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青霉素V治疗链球菌性咽炎:剂量方案比较

Penicillin V therapy for streptococcal pharyngitis: comparison of dosage schedules.

作者信息

Spitzer T Q, Harris B A

出版信息

South Med J. 1977 Jan;70(1):41-2. doi: 10.1097/00007611-197701000-00019.

DOI:10.1097/00007611-197701000-00019
PMID:402697
Abstract

Two dosage regimens of penicillin V were compared in 327 patients with mild to moderately severe streptococcal pharyngitis. Patients fulfilling study criteria were randomly assigned to a b.i.d. or a t.i.d. dosage schedule. Those in the b.i.d. group were given 500 mg twice daily; those in the t.i.d. group were given 250 mg three times daily. Duration of therapy was ten days for both groups. Cure was based on prompt symptomatic improvement, subsidence of clinical signs, and negative throat cultures for group A beta-hemolytic streptococci. Both dosage schedules yielded similar cure rates, indicating that with penicillin V, a b.i.d. regimen is as effective as a t.i.d. regimen in treating streptococcal pharyngitis.

摘要

在327例轻至中度严重链球菌性咽炎患者中比较了两种青霉素V给药方案。符合研究标准的患者被随机分配到每日两次或每日三次给药方案。每日两次组的患者每日两次给予500mg;每日三次组的患者每日三次给予250mg。两组的治疗疗程均为十天。治愈的标准是症状迅速改善、临床体征消退以及A组β溶血性链球菌咽拭子培养阴性。两种给药方案的治愈率相似,这表明对于青霉素V,每日两次给药方案在治疗链球菌性咽炎方面与每日三次给药方案同样有效。

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引用本文的文献

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Paediatr Drugs. 2002;4(11):747-54. doi: 10.2165/00128072-200204110-00006.
2
Randomized evaluation of benzathine penicillin V twice daily versus potassium penicillin V three times daily in the treatment of group A streptococcal pharyngitis. Pharyngitis Study Group.苄星青霉素V每日两次与青霉素V钾每日三次治疗A组链球菌性咽炎的随机评估。咽炎研究组。
Eur J Clin Microbiol Infect Dis. 1995 Feb;14(2):92-8. doi: 10.1007/BF02111865.
3
The extended microbiology of group A streptococcal pharyngitis. Observations during a double-blind controlled study of cephalexin twice versus four-times daily.
A组链球菌性咽炎的扩展微生物学。头孢氨苄每日两次与每日四次的双盲对照研究中的观察结果。
Infection. 1984 May-Jun;12(3):181-4. doi: 10.1007/BF01640895.