Richards A B, Bron A J, McLendon B, Kennedy M R, Walker S R
Br J Ophthalmol. 1979 Oct;63(10):687-9. doi: 10.1136/bjo.63.10.687.
Cefuroxime (Zinacef) is a new second generation cephalosporin which is resistant to beta-lactamases produced by both Gram-negative and Gram-positive organisms, with an antibacterial spectrum that includes practically all likely ocular pathogens except pseudomonas. It is shown to penetrate into the eye after intravenous (1.5g) or intramuscular (1 g) injection and achieve therapeutic concentrations, with absence of side effects. Cefuroxime is therefore a useful antibiotic for ophthalimic infections and should have a role in combination with gentamicin in intraocular infections, particularly those of unknown aetiology.
头孢呋辛(西力欣)是一种新型第二代头孢菌素,对革兰氏阴性菌和革兰氏阳性菌产生的β-内酰胺酶具有抗性,其抗菌谱几乎涵盖了除假单胞菌外所有可能的眼部病原体。静脉注射(1.5克)或肌肉注射(1克)后,头孢呋辛可进入眼内并达到治疗浓度,且无副作用。因此,头孢呋辛是一种治疗眼部感染的有效抗生素,在眼内感染尤其是病因不明的感染中,与庆大霉素联合使用应能发挥作用。