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β-内酰胺类抗生素的胎盘转运研究(作者译)

[Study of transplacental transmission of beta-lactam antibiotics (author's transl)].

作者信息

Bergogne-Berezin E, Lambert-Zechovsky N, Rouvillois J L

出版信息

J Gynecol Obstet Biol Reprod (Paris). 1979 Jun;8(4):359-64.

PMID:544685
Abstract

The authors present the results of the study of transplacental transfer of 3 recent beta lactam antibiotics: amoxicillin, cephradin and cefoxitin. The experiment was carried out in 37 pregnant women who had a premature rupture of membranes or who were undergoing a cesarean section. In these patients antibiotherapy was indicated in view of a possible superinfection. The results of the study show a worthwhile transplacental penetration of the 3 drugs tested. The concentrations achieved in umbilical cord blood and amniotic fluid increase with time and finally exceed the levels measured in maternal blood, after a period of time varying from 2 to 4 hours according to the drug and the route of administration.

摘要

作者展示了对3种近期β-内酰胺类抗生素:阿莫西林、头孢拉定和头孢西丁经胎盘转运的研究结果。该实验在37名胎膜早破或正在接受剖宫产的孕妇中进行。鉴于可能发生的二重感染,这些患者需要进行抗生素治疗。研究结果表明,所测试的3种药物有值得关注的经胎盘渗透情况。脐带血和羊水中达到的浓度随时间增加,最终在根据药物和给药途径从2到4小时不等的一段时间后超过母体血液中测得的水平。

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