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老年人感染的大剂量青霉素治疗

Magnapen treatment of infections in the elderly.

作者信息

Middleton R S, Sinha H K

出版信息

J Int Med Res. 1979;7(1):52-6. doi: 10.1177/030006057900700108.

Abstract

Magnapen is a combination of two well-proven semi-snythetic penicillins which together offer the theoretical advantages of a broad spectrum of activity, good bioavailability and a low incidence of side-effects. It is of particular value in treating infections in the elderly. In this study the theory is borne out in practice in a population presenting special problems for which this combination seems particularly appropriate. Ninety-six patients have been treated with a course of Magnapen syrup. Of the total entered into the study, 73% of patients were clinically cured following therapy, with a further 19% improved. Clinical failure occurred in 8% of patients. Fifty-two patients were bacteriologically assessable, forty-seven of whom (90%) had infecting organisms cleared by therapy. Side-effects occurred in four patients (4%), one of whom had to discontinue therapy.

摘要

美格那平是两种久经考验的半合成青霉素的组合,二者共同具备活性谱广、生物利用度良好以及副作用发生率低等理论优势。它在治疗老年人感染方面具有特殊价值。在本研究中,这一理论在面临特殊问题的人群中得到了实践验证,而这种组合似乎对此特别适用。96名患者接受了一个疗程的美格那平糖浆治疗。在纳入研究的所有患者中,73%在治疗后临床治愈,另有19%病情好转。8%的患者临床治疗失败。52名患者可进行细菌学评估,其中47名(90%)患者的感染病原体通过治疗得以清除。4名患者(4%)出现了副作用,其中1名患者不得不停止治疗。

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