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[头孢他啶:在妇产科的抗菌活性及临床疗效]

[Ceftazidime: antibacterial activity and clinical efficacy in obstetrics and gynecology].

作者信息

Ninomiya K, Yoshimoto T, Hasegawa Y

出版信息

Jpn J Antibiot. 1984 Jan;37(1):14-7.

PMID:6374192
Abstract

Ceftazidime ( CAZ ) exhibited in vitro activity greater than cefoperazone, cefotiam, cefmetazole and cefazolin and almost equal to cefotaxime (CTX), ceftizoxime (CZX) and latamoxef ( LMOX ) against E. coli and K. pneumoniae isolated from obstetrical or gynecological infections excluding urinary tract infections. This drug demonstrated less activity than other 6 cephems against B. fragilis. Against anaerobic Gram-positive cocci, it showed less activity than other cephems. CAZ was administered to 11 patients with obstetrical and gynecological infections. The clinical results of this drug were as follows; excellent in each 1 case of parametritis , wound infection and BARTHOLIN's abscess, good in 7 cases including 1 of puerperal fever, 2 of intrauterine infection and 4 of adnexitis, and poor in 1 cases of adnexitis. No side effects or haematobiochemical abnormalities were observed throughout this trial.

摘要

对于从产科或妇科感染(不包括尿路感染)中分离出的大肠杆菌和肺炎克雷伯菌,头孢他啶(CAZ)的体外活性高于头孢哌酮、头孢替安、头孢美唑和头孢唑林,几乎等同于头孢噻肟(CTX)、头孢唑肟(CZX)和拉氧头孢(LMOX)。该药物对脆弱拟杆菌的活性低于其他6种头孢菌素。对于厌氧革兰氏阳性球菌,它的活性也低于其他头孢菌素。11例患有产科和妇科感染的患者接受了CAZ治疗。该药物的临床结果如下:在1例子宫旁组织炎、伤口感染和巴氏腺脓肿中疗效极佳,在包括1例产褥热、2例子宫内感染和4例附件炎的7例中疗效良好,在1例附件炎中疗效较差。在整个试验过程中未观察到副作用或血液生化异常。

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