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婴儿脑脊液中氯霉素的含量

Ventricular fluid levels of chloramphenicol in infants.

作者信息

Yogev R, Williams T

出版信息

Antimicrob Agents Chemother. 1979 Jul;16(1):7-8. doi: 10.1128/AAC.16.1.7.

DOI:10.1128/AAC.16.1.7
PMID:475376
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC352778/
Abstract

Investigation of two infants suggested that peak ventricular fluid levels of chloramphenicol after intravenous administration were achieved after 3 h. The penetration of chloramphenicol into ventricular fluid may be unpredictable. In one patient, the peak ventricular fluid level was 57.5% of the peak serum level, and it was only 22.5% in the other patient. This observation may explain some of the past treatment failures when chloramphenicol was utilized in patients with gram-negative ventriculitis and meningitis.

摘要

对两名婴儿的调查表明,静脉给药后氯霉素在脑室液中的峰值水平在3小时后达到。氯霉素进入脑室液的情况可能无法预测。在一名患者中,脑室液峰值水平为血清峰值水平的57.5%,而在另一名患者中仅为22.5%。这一观察结果可能解释了过去在革兰氏阴性脑室炎和脑膜炎患者中使用氯霉素时的一些治疗失败情况。

相似文献

1
Ventricular fluid levels of chloramphenicol in infants.婴儿脑脊液中氯霉素的含量
Antimicrob Agents Chemother. 1979 Jul;16(1):7-8. doi: 10.1128/AAC.16.1.7.
2
Central nervous system chloramphenicol concentration in premature infants.早产儿中枢神经系统中的氯霉素浓度。
Antimicrob Agents Chemother. 1978 Mar;13(3):427-9. doi: 10.1128/AAC.13.3.427.
3
Efficacy of chloramphenicol in the treatment of neonatal and infantile meningitis: a study of 70 cases.
Lancet. 1983 Feb 5;1(8319):284-7. doi: 10.1016/s0140-6736(83)91697-5.
4
Passage of chloramphenicol and sodium colistimethate into the cerebrospinal fluid. Studies of hydrocephalic children.氯霉素和多粘菌素甲磺酸钠进入脑脊液的情况。对脑积水患儿的研究。
Am J Dis Child. 1966 Nov;112(5):422-6. doi: 10.1001/archpedi.1966.02090140094007.
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Bacteroides fragilis ventriculitis and meningitis. Report of two cases.脆弱拟杆菌性脑室炎和脑膜炎。两例报告。
Am J Dis Child. 1976 Aug;130(8):880-3. doi: 10.1001/archpedi.1976.02120090090017.
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Penetrance of nafcillin into human ventricular fluid: correlation with ventricular pleocytosis and glucose levels.萘夫西林在人体脑室液中的渗透:与脑室白细胞增多及葡萄糖水平的相关性。
Antimicrob Agents Chemother. 1981 Apr;19(4):545-8. doi: 10.1128/AAC.19.4.545.
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The ultrasonographic diagnosis of bacterial meningitis and ventriculitis in infancy: six case reports.婴儿期细菌性脑膜炎和脑室炎的超声诊断:6例病例报告
J Can Assoc Radiol. 1984 Mar;35(1):47-51.
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Pharmacokinetic comparison of intravenous and oral chloramphenicol in patients with Haemophilus influenzae meningitis.流感嗜血杆菌脑膜炎患者静脉注射与口服氯霉素的药代动力学比较。
Pediatrics. 1981 May;67(5):656-60.
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[Chloramphenicol concentrations in serum and CSF in newborn infants and babies with bacterial meningitis (author's transl)].
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Intraventricular cerebrospinal fluid antibiotic concentrations in patients with intraventricular infections.脑室感染患者脑室内脑脊液中的抗生素浓度
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引用本文的文献

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Current concepts in the treatment of pyogenic meningitis.化脓性脑膜炎治疗的当前概念。
Indian J Pediatr. 1980 Sep-Oct;47(388):457-62. doi: 10.1007/BF02759854.
2
Chloramphenicol in the 1980s.20世纪80年代的氯霉素。
Drugs. 1984 Oct;28(4):281-91. doi: 10.2165/00003495-198428040-00001.
3
Clinical pharmacokinetics of chloramphenicol and chloramphenicol succinate.氯霉素及琥珀氯霉素的临床药代动力学
Clin Pharmacokinet. 1984 May-Jun;9(3):222-38. doi: 10.2165/00003088-198409030-00004.
4
Clinical pharmacokinetics of antibacterial drugs in neonates.抗菌药物在新生儿中的临床药代动力学。
Clin Pharmacokinet. 1990 Oct;19(4):280-318. doi: 10.2165/00003088-199019040-00003.
5
Chloramphenicol. Are concerns about aplastic anaemia justified?氯霉素。对再生障碍性贫血的担忧合理吗?
Drug Saf. 1992 May-Jun;7(3):167-9. doi: 10.2165/00002018-199207030-00001.

本文引用的文献

1
Studies on the absorption and distribution of chloramphenicol.
Pediatrics. 1951 Sep;8(3):362-7.
2
Treatment of hemophilus influenzae meningitis with chloramphenicol and other antibiotics.用氯霉素及其他抗生素治疗流感嗜血杆菌脑膜炎。
J Am Med Assoc. 1951 Feb 17;145(7):469-74. doi: 10.1001/jama.1951.02920250021005.
3
Chloramphenicol in the newborn infant. A physiologic explanation of its toxicity when given in excessive doses.新生儿使用氯霉素。过量使用时其毒性的生理学解释。
N Engl J Med. 1960 Apr 21;262:787-94. doi: 10.1056/NEJM196004212621601.
4
Induction of chloramphenicol metabolism by phenobarbital.苯巴比妥对氯霉素代谢的诱导作用。
Antimicrob Agents Chemother. 1972 Feb;1(2):112-5. doi: 10.1128/AAC.1.2.112.
5
Simplified radioenzymatic assay for chloramphenicol.氯霉素简易放射酶测定法
Antimicrob Agents Chemother. 1978 Jan;13(1):25-9. doi: 10.1128/AAC.13.1.25.
6
Central nervous system chloramphenicol concentration in premature infants.早产儿中枢神经系统中的氯霉素浓度。
Antimicrob Agents Chemother. 1978 Mar;13(3):427-9. doi: 10.1128/AAC.13.3.427.
7
Antimicrobial therapy in infants and children. Part II. Therapy of infectious conditions.婴幼儿抗菌治疗。第二部分。感染性疾病的治疗。
J Pediatr. 1978 Sep;93(3):357-77. doi: 10.1016/s0022-3476(78)81140-8.