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头孢噻肟治疗儿童脑膜炎

Cefotaxime treatment of meningitis in children.

作者信息

Sow A

出版信息

J Antimicrob Chemother. 1984 Sep;14 Suppl B:191-4. doi: 10.1093/jac/14.suppl_b.191.

DOI:10.1093/jac/14.suppl_b.191
PMID:6094439
Abstract

Dangerous in all circumstances, purulent meningitis is even more life-threatening in tropical areas. This results from underlying malnutrition, haemoglobinopathy and enzymopathy, but also from delays in treatment. We have treated 28 patients, 16 boys and 12 girls, aged from 16 days to 7 years suffering from purulent meningitis, with cefotaxime. Almost half of the patients were suffering from malnutrition and low body weight, or from haemoglobinopathy. Cefotaxime, administered 2 or 3 times daily intramuscularly, was given at 90 to 200/mg/kg with a mean of 150/mg/kg/day. Overall, results showed a 79% cure rate including 71% complete recovery, the highest ever seen in the department.

摘要

在任何情况下,化脓性脑膜炎都很危险,在热带地区更是危及生命。这是由潜在的营养不良、血红蛋白病和酶病导致的,同时也归因于治疗延误。我们用头孢噻肟治疗了28例化脓性脑膜炎患者,其中16名男孩,12名女孩,年龄从16天至7岁。几乎一半的患者患有营养不良、体重过轻或血红蛋白病。头孢噻肟每日肌内注射2至3次,剂量为90至200毫克/千克,平均剂量为150毫克/千克/天。总体而言,治疗结果显示治愈率为79%,其中71%完全康复,这是该科室有史以来的最高治愈率。

相似文献

1
Cefotaxime treatment of meningitis in children.头孢噻肟治疗儿童脑膜炎
J Antimicrob Chemother. 1984 Sep;14 Suppl B:191-4. doi: 10.1093/jac/14.suppl_b.191.
2
Pharmacokinetics and clinical evaluation of cefotaxime in children suffering with purulent meningitis.
J Antimicrob Chemother. 1984 Sep;14 Suppl B:161-5. doi: 10.1093/jac/14.suppl_b.161.
3
Cefotaxime therapy of bacterial meningitis in children.
J Antimicrob Chemother. 1984 Sep;14 Suppl B:181-9. doi: 10.1093/jac/14.suppl_b.181.
4
[Cefotaxime in the therapy of purulent meningitis in childhood].[头孢噻肟治疗儿童化脓性脑膜炎]
Lijec Vjesn. 1987 Oct;109(10):391-6.
5
Cefotaxime for treatment of gram-negative bacterial meningitis in infants and children.头孢噻肟用于治疗婴幼儿革兰氏阴性菌脑膜炎。
Pediatr Infect Dis J. 1987 May;6(5):471-5. doi: 10.1097/00006454-198705000-00013.
6
Treatment of 160 cases of acute bacterial meningitis with cefotaxime.用头孢噻肟治疗160例急性细菌性脑膜炎。
J Antimicrob Chemother. 1984 Sep;14 Suppl B:195-202. doi: 10.1093/jac/14.suppl_b.195.
7
[Treatment of purulent meningitis in the child using Cefotaxime].
Pediatrie. 1985 Jun;40(4):291-9.
8
Bacterial meningitis in children: diagnosis and therapy. A review of recent developments.儿童细菌性脑膜炎:诊断与治疗。近期进展综述。
Clin Pediatr (Phila). 1987 Sep;26(9):431-8. doi: 10.1177/000992288702600901.
9
The beneficial effects of early dexamethasone administration in infants and children with bacterial meningitis.早期给予地塞米松对婴幼儿和儿童细菌性脑膜炎的有益作用。
N Engl J Med. 1991 May 30;324(22):1525-31. doi: 10.1056/NEJM199105303242201.
10
A therapeutic trial of cefotaxime versus penicillin-gentamicin for severe infections in children.头孢噻肟与青霉素 - 庆大霉素治疗儿童严重感染的疗效试验。
J Antimicrob Chemother. 1984 Sep;14 Suppl B:147-52. doi: 10.1093/jac/14.suppl_b.147.

引用本文的文献

1
Cephalosporins in the treatment of meningitis.头孢菌素类药物在脑膜炎治疗中的应用
Drugs. 1987;34 Suppl 2:135-53. doi: 10.2165/00003495-198700342-00011.
2
Cefotaxime optimal dosage in adult patients. A reappraisal.
Drugs. 1988;35 Suppl 2:221-30. doi: 10.2165/00003495-198800352-00049.
3
Cefotaxime. An update of its pharmacology and therapeutic use.头孢噻肟。其药理学与治疗应用的最新进展。
Drugs. 1990 Oct;40(4):608-51. doi: 10.2165/00003495-199040040-00008.
4
Cefotaxime dosage in infants and children. Pharmacokinetic and clinical rationale for an extended dosage interval.
Clin Pharmacokinet. 1992 Apr;22(4):284-97. doi: 10.2165/00003088-199222040-00004.