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孕期菌尿症采用链霉素和磺胺甲氧嗪单剂量疗法。

Single-dose therapy with streptomycin and sulfametopyrazine for bacteriuria during pregnancy.

作者信息

Williams J D, Smith E K

出版信息

Br Med J. 1970 Dec 12;4(5736):651-3. doi: 10.1136/bmj.4.5736.651.

Abstract

One hundred and sixty-three patients with bacteriuria in pregnancy were treated with a single dose of antibiotic. Four regimens were used: sulfadoxine (sulphormethoxine) 2 g., sulfametopyrazine 2 g., streptomycin 1 g., and a combination of sulfametopyrazine 2 g. and streptomycin 1 g. The highest cure rate of 77% was achieved with streptomycin and sulfametopyrazine. The long-acting sulphonamides alone gave a cure rate of 55% while streptomycin alone eradicated 43% of the infections. Despite the high cure rate with combined therapy bacterial resistance developed in some cases.

摘要

163例孕期菌尿患者接受了单剂量抗生素治疗。采用了四种治疗方案:周效磺胺2克、磺胺甲氧嗪2克、链霉素1克,以及磺胺甲氧嗪2克与链霉素1克的联合用药。链霉素与磺胺甲氧嗪联合使用时治愈率最高,达77%。单独使用长效磺胺的治愈率为55%,而单独使用链霉素则清除了43%的感染病例。尽管联合治疗治愈率很高,但仍有一些病例出现了细菌耐药性。

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本文引用的文献

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ERADICATION OF BACTERIURIA IN PREGNANCY BY A SHORT COURSE OF CHEMOTHERAPY.
Lancet. 1965 Apr 17;1(7390):831-4. doi: 10.1016/s0140-6736(65)91373-5.
7
Bacteriuria of pregnancy.妊娠菌尿
Am J Obstet Gynecol. 1967 Mar 1;97(5):723-38. doi: 10.1016/0002-9378(67)90458-9.
8
The effects of pharmacologic agents upon the fetus and newborn.
Am J Obstet Gynecol. 1966 Oct 1;96(3):437-60. doi: 10.1016/0002-9378(66)90249-3.

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