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头孢噻肟治疗成人严重细菌感染

Cefotaxime therapy of serious bacterial infection in adults.

作者信息

Mullaney D T, John J F

出版信息

Antimicrob Agents Chemother. 1982 Mar;21(3):421-5. doi: 10.1128/AAC.21.3.421.

DOI:10.1128/AAC.21.3.421
PMID:6285810
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC181908/
Abstract

We evaluated the efficacy, safety, and tolerance of cefotaxime in 35 adults (25 with pleuropulmonary infections, 7 with genitourinary tract infections, and 3 with soft tissue infections). Of these 35 patients, 18 (51.4%) were seriously or critically ill. In vitro susceptibility testing revealed that 90.4% of the pathogens isolated were susceptible to cefotaxime (minimal inhibitory concentration, less than 8 micrograms/ml), 4.8% were intermediately susceptible (minimal inhibitory concentration, 8 to 32 micrograms/ml), and 4.8% were resistant (minimal inhibitory concentration, greater than 32 micrograms/ml). A total of 34 of the 35 patients (97%) were clinically and bacteriologically cured of their infections. Adverse reactions occurred in two patients, but these reactions did not require interruption of therapy.

摘要

我们评估了头孢噻肟对35例成人患者(25例胸膜肺部感染、7例泌尿生殖道感染和3例软组织感染)的疗效、安全性及耐受性。这35例患者中,18例(51.4%)病情严重或危急。体外药敏试验显示,分离出的病原体中有90.4%对头孢噻肟敏感(最低抑菌浓度小于8微克/毫升),4.8%为中度敏感(最低抑菌浓度为8至32微克/毫升),4.8%耐药(最低抑菌浓度大于32微克/毫升)。35例患者中有34例(97%)感染在临床和细菌学上得到治愈。两名患者出现不良反应,但这些反应无需中断治疗。

相似文献

1
Cefotaxime therapy of serious bacterial infection in adults.头孢噻肟治疗成人严重细菌感染
Antimicrob Agents Chemother. 1982 Mar;21(3):421-5. doi: 10.1128/AAC.21.3.421.
2
Use of cefotaxime, a beta-lactamase stable cephalosporin, in the therapy of serious infections, including those due to multiresistant organisms.
Am J Med. 1981 Sep;71(3):435-42. doi: 10.1016/0002-9343(81)90173-x.
3
Efficacy and safety of ceftriaxone in serious pediatric infections.头孢曲松在儿童严重感染中的疗效与安全性。
Antimicrob Agents Chemother. 1983 Nov;24(5):663-6. doi: 10.1128/AAC.24.5.663.
4
Ceftriaxone (Ro 13-9904) therapy of serious infection.头孢曲松(Ro 13 - 9904)治疗严重感染。
Antimicrob Agents Chemother. 1982 Jul;22(1):36-42. doi: 10.1128/AAC.22.1.36.
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Sulbactam/ampicillin versus cefotaxime as initial therapy in serious soft tissue, joint and bone infections.
Drugs. 1988;35 Suppl 7:46-52. doi: 10.2165/00003495-198800357-00012.
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Efficacy of ceftriaxone in serious bacterial infections.头孢曲松在严重细菌感染中的疗效。
Antimicrob Agents Chemother. 1982 Mar;21(3):402-6. doi: 10.1128/AAC.21.3.402.
7
Cefotaxime in the treatment of lower respiratory tract infections.头孢噻肟治疗下呼吸道感染
Int J Clin Pharmacol Ther Toxicol. 1983 Dec;21(12):605-10.
8
Ceftriaxone in the treatment of serious infections, particularly after surgery.头孢曲松用于治疗严重感染,尤其是术后感染。
Am J Surg. 1984 Oct 19;148(4A):35-40.
9
The use of ceftizoxime in the treatment of critically ill patients infected with multiply antibiotic resistant bacteria.
J Antimicrob Chemother. 1982 Nov;10 Suppl C:141-50. doi: 10.1093/jac/10.suppl_c.141.
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Clinical efficacy and safety of cefmenoxime in children.头孢甲肟在儿童中的临床疗效与安全性。
Antimicrob Agents Chemother. 1985 Oct;28(4):508-10. doi: 10.1128/AAC.28.4.508.

引用本文的文献

1
Cefotaxime. A review of its antibacterial activity, pharmacological properties and therapeutic use.头孢噻肟:抗菌活性、药理特性及治疗用途综述
Drugs. 1983 Mar;25(3):223-89. doi: 10.2165/00003495-198325030-00001.

本文引用的文献

1
Hydrolysis of Cefotaxime by a beta-lactamase from Bacteroides fragilis.脆弱拟杆菌β-内酰胺酶对头孢噻肟的水解作用。
Antimicrob Agents Chemother. 1980 Jun;17(6):1001-3. doi: 10.1128/AAC.17.6.1001.
2
Intravenous cefotaxime in children with bacterial meningitis.细菌性脑膜炎患儿静脉注射头孢噻肟
Lancet. 1980 Jan 12;1(8159):61-3. doi: 10.1016/s0140-6736(80)90491-2.
3
Modified broth-disk method for testing the antibiotic susceptibility of anaerobic bacteria.用于检测厌氧菌抗生素敏感性的改良肉汤-纸片法
Antimicrob Agents Chemother. 1973 Mar;3(3):350-6. doi: 10.1128/AAC.3.3.350.
4
Susceptibility of Enterobacter to cefamandole: evidence for a high mutation rate to resistance.肠杆菌对头孢孟多的敏感性:耐药高突变率的证据。
Antimicrob Agents Chemother. 1976 Jun;9(6):970-4. doi: 10.1128/AAC.9.6.970.
5
In vitro evaluation of cefoxitin and cefamandole.头孢西丁和头孢孟多的体外评估。
Antimicrob Agents Chemother. 1976 Jun;9(6):1019-24. doi: 10.1128/AAC.9.6.1019.
6
Comparison of the in vitro activities of HR756 with cephalothin, cefoxitin, and cefamandole.HR756与头孢噻吩、头孢西丁和头孢孟多的体外活性比较。
Antimicrob Agents Chemother. 1978 Dec;14(6):876-9. doi: 10.1128/AAC.14.6.876.
7
HR 756, a new cephalosporin active against gram-positive and gram-negative aerobic and anaerobic bacteria.HR 756,一种对革兰氏阳性菌及革兰氏阴性需氧菌和厌氧菌均有活性的新型头孢菌素。
Antimicrob Agents Chemother. 1979 Feb;15(2):273-81. doi: 10.1128/AAC.15.2.273.
8
The comparative beta-lactamase resistance and inhibitory activity of 1-oxa cephalosporin, cefoxitin and cefotaxime.1-氧杂头孢菌素、头孢西丁和头孢噻肟的β-内酰胺酶耐药性及抑制活性比较
J Antibiot (Tokyo). 1979 Sep;32(9):909-14. doi: 10.7164/antibiotics.32.909.
9
Comparative activities of cefotaxime, a new cephalosporin derivative, and of selected beta-lactam antibiotics against Haemophilus species.新型头孢菌素衍生物头孢噻肟与选定的β-内酰胺类抗生素对嗜血杆菌属的比较活性
Ann Microbiol (Paris). 1979 May-Jun;130 A(4):461-7.
10
Activity of HR 756 against Haemophilus influenzae, Bacteroides fragilis and Gram-negative rods.HR 756对流感嗜血杆菌、脆弱拟杆菌和革兰氏阴性杆菌的活性。
J Antimicrob Chemother. 1978 Sep;4(5):445-50. doi: 10.1093/jac/4.5.445.