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庆大霉素聚甲基丙烯酸甲酯珠的实验及药代动力学研究(作者译)

[Experimental and pharmacokinetic studies with gentamicin PMMA beads (author's transl)].

作者信息

Wahlig H, Dingeldein E, Bergmann R, Reuss K

出版信息

Zentralbl Chir. 1979;104(14):923-33.

PMID:494864
Abstract

Gentamicin PMMA beads (PMMA = polymethylmethacrylate) represent a new form of local antibiotic therapy for treating chronic bone and soft tissue infections. Gentamicin is released in high concentrations from PMMA. The therapeutic efficacy of the beads was demonstrated in a model of bone infection in dogs. Sufficiently high tissue concentrations of gentamicin were measurable for a period of 4 months. A very good tolerance of the beads was demonstrated in dogs as well as in cell cultures. High gentamicin concentrations exceeding the MBC values of relevant pathogens were measurable in patients at the site of infection. Serum and urine concentrations were low and therefore toxic side effects are excluded.

摘要

庆大霉素聚甲基丙烯酸甲酯珠(PMMA = 聚甲基丙烯酸甲酯)代表了一种用于治疗慢性骨和软组织感染的新型局部抗生素疗法。庆大霉素从聚甲基丙烯酸甲酯中高浓度释放。这些珠子的治疗效果在犬类骨感染模型中得到了证实。在4个月的时间里,可以检测到足够高的庆大霉素组织浓度。这些珠子在犬类以及细胞培养中都表现出了很好的耐受性。在感染部位的患者中可检测到超过相关病原体MBC值的高庆大霉素浓度。血清和尿液浓度较低,因此排除了毒性副作用。

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