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头孢西丁预防术后感染及治疗术后肺部和尿路感染的临床研究

[Clinical studies on cefoxitin in the prevention of postoperative infections and the treatment of postoperative pulmonary and urinary tract infections].

作者信息

Sakaki T, Morimoto T, Hori Y, Takemura K, Masuda A

出版信息

Jpn J Antibiot. 1985 Jun;38(6):1625-37.

PMID:4046178
Abstract

This clinical trial was designed to evaluate the efficacy, safety and patient tolerance of cefoxitin (CFS) in 46 patients who were admitted to the hospitals from June 1983 to April 1984. The daily doses of CFX for 34 patients (ages ranged from 6 to 75 years old) were 2 to 8 g to prevent the infections and for 12 patients (ages ranged from 55 to 81 years old) were 2 to 6 g to treat the infections by intravenous drip infusion 1 or 3 times a day in divided doses. The following results were obtained. All of 34 patients with intracranial operation who received CFX for prevention of postoperative infections showed good results. Of 12 patients with postoperative pneumonia, infections of urinary tract and late meningitis, 11 patients showed good results. One patient was discontinued on the 3 days because of the drug eruption which improved 3 days after. The side effect was noted in only 1 patient. This was eruption which improved 3 days after the stop of the administration. The influences to the laboratory data due to CFX were not recognized. The results of this study demonstrated that CFX was an excellent drug for the prevention and treatment of the postoperative infections in the neurosurgical field because of high efficacy rate and safety.

摘要

本临床试验旨在评估1983年6月至1984年4月期间收治入院的46例患者使用头孢西丁(CFS)的疗效、安全性及患者耐受性。34例患者(年龄6至75岁)预防感染时头孢西丁(CFX)的日剂量为2至8克,12例患者(年龄55至81岁)治疗感染时的日剂量为2至6克,均通过静脉滴注给药,每日1次或分3次给药。结果如下。34例接受CFX预防术后感染的颅内手术患者均取得良好效果。12例术后肺炎、尿路感染及迟发性脑膜炎患者中,11例取得良好效果。1例患者因药疹于用药3天后停药,停药3天后症状改善。仅1例患者出现副作用,即停药3天后改善的药疹。未发现CFX对实验室数据有影响。本研究结果表明,CFX因其高有效率和安全性,是神经外科领域预防和治疗术后感染的优良药物。

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