Anger G
Z Gesamte Inn Med. 1977 Aug 1;32(15):Suppl 233-5.
It is given a survey on the chemotherapy of the microbial diseases of the respiration tract. A chemotherapy is taken into consideration only for such cases in which a bacterial etiology is ascertained or is assumed with a great probability. The antimicrobial chemotherapy is of particular importance for the acute and chronic bronchitis, bronchiectases, pneumonias, pulmonary abscess and empyema of the pleura. The author deals with the special problems of bacteriological findings of the respiratory tract. The choice of the chemotherapeutic remedy is done in most cases according to the empirical points of view, in which cases development of resistance, side-effects and changing of the infection must be taken into consideration. Apart from the otherwise usual oral and parenteral application special forms of application, such as aerosol therapy and intrapleural instillation are used. It is referred to atypical pneumonias, such as the mycoplasma pneumonia which gives a good response to tetracyclines. Apart from the sulphonamides and trimethoprim penicillins, chloramphenicol, tetracyclines, cephalosporines, more rarely streptomycin and linkomycin are the most important antimicrobiotics.
本文对呼吸道微生物疾病的化疗进行了综述。仅在确定或极有可能为细菌病因的情况下才考虑进行化疗。抗菌化疗对急性和慢性支气管炎、支气管扩张症、肺炎、肺脓肿及胸膜脓胸尤为重要。作者探讨了呼吸道细菌学检查的特殊问题。在大多数情况下,化疗药物的选择是根据经验观点进行的,此时必须考虑耐药性的产生、副作用及感染的变化。除了常用的口服和肠胃外给药方式外,还采用了特殊的给药形式,如雾化疗法和胸膜腔内注入。文中提到了非典型肺炎,如支原体肺炎,它对四环素反应良好。除了磺胺类药物和甲氧苄啶外,青霉素、氯霉素、四环素、头孢菌素,较少使用的链霉素和林可霉素是最重要的抗生素。