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[女性急性症状性尿路感染的单剂量与5天复方新诺明治疗。一项前瞻性随机研究]

[Single-dose versus 5-day cotrimoxazole therapy in acute symptomatic urinary tract infections in the female. A prospective randomized study].

作者信息

Dickreuter W, Berger C

出版信息

Geburtshilfe Frauenheilkd. 1984 Dec;44(12):803-7. doi: 10.1055/s-2008-1036523.

DOI:10.1055/s-2008-1036523
PMID:6396153
Abstract

In a prospective trial, 67 women (outpatients and inpatients) with acute symptomatic infection of the lower urinary tract were randomly selected to receive either a single dose of oral co-trimoxazole or conventional five-day therapy with the same drug. Diagnostic and bacteriological problems were investigated. Both regimens showed similar effectiveness with 91% (five-day therapy) and 100% (single-dose therapy) clinical and bacteriological cure. There were no co-trimoxazole-resistant species in vitro and no therapy side effects. As in other studies, we found that in more than one-third of the cases enterococcus was the responsible bacteria for the infection. This is an important finding because of its resistance to cephalosporins.

摘要

在一项前瞻性试验中,随机选取67名患有急性症状性下尿路感染的女性(门诊患者和住院患者),让她们接受单剂量口服复方新诺明或相同药物的传统五日疗法。对诊断和细菌学问题进行了调查。两种治疗方案显示出相似的疗效,五日疗法的临床和细菌学治愈率为91%,单剂量疗法为100%。体外没有对复方新诺明耐药的菌种,也没有治疗副作用。与其他研究一样,我们发现超过三分之一的病例中,肠球菌是感染的致病菌。由于其对头孢菌素耐药,这是一个重要发现。

相似文献

1
[Single-dose versus 5-day cotrimoxazole therapy in acute symptomatic urinary tract infections in the female. A prospective randomized study].[女性急性症状性尿路感染的单剂量与5天复方新诺明治疗。一项前瞻性随机研究]
Geburtshilfe Frauenheilkd. 1984 Dec;44(12):803-7. doi: 10.1055/s-2008-1036523.
2
Comparison of once daily trimethoprim and standard co-trimoxazole in urinary infections. A clinical trial in general practice.每日一次服用甲氧苄啶与标准复方新诺明治疗泌尿系统感染的比较。一项全科医疗中的临床试验。
Practitioner. 1982 Jan;226(1363):152-6.
3
[Comparative study of the treatment of simple urinary infection with a single dose of norfloxacin versus cotrimoxazole].
Schweiz Med Wochenschr. 1987 Jun 20;117(25):968-73.
4
[Trimethoprim as a monosubstance and cotrimoxazole in infections of the efferent urinary tract].[甲氧苄啶单药及复方新诺明用于泌尿系统感染]
Wien Med Wochenschr. 1987 Mar 31;137(5-6):123-6.
5
A comparison of Mictral with co-trimoxazole in the treatment of urinary tract infections.米卡星与复方新诺明治疗尿路感染的比较。
Practitioner. 1982 Nov;226(1373):1971-4.
6
Comparative trial of sulphadiazine-trimethoprim (co-trimazine), co-trimoxazole and sulphamethizole in the treatment of uncomplicated urinary tract infections.磺胺嘧啶-甲氧苄啶(复方磺胺嘧啶)、复方新诺明与磺胺甲噻二唑治疗单纯性尿路感染的对比试验
N Z Med J. 1980 Jan 23;91(652):43-4.
7
Norfloxacin versus co-trimoxazole for the treatment of upper urinary tract infections: a double blind trial.诺氟沙星与复方新诺明治疗上尿路感染的双盲试验
Scand J Infect Dis Suppl. 1988;56:28-34.
8
Ofloxacin vs. cotrimoxazole in patients with complicated urinary tract infections.氧氟沙星与复方新诺明治疗复杂性尿路感染患者的疗效比较
Int J Clin Pharmacol Ther Toxicol. 1987 May;25(5):279-81.
9
Further data on augmentin and co-trimoxazole in the treatment of urinary tract infection.关于阿莫西林克拉维酸钾和复方新诺明治疗尿路感染的更多数据。
Br J Clin Pract. 1985 May;39(5):179-84.
10
A blind comparison of the efficacy and incidence of unwanted effects of trimethoprim and co-trimoxazole in the treatment of acute infection of the urinary tract in general practice.在一般医疗实践中,对甲氧苄啶和复方新诺明治疗急性尿路感染的疗效及不良反应发生率进行的盲法比较。
Br J Clin Pract. 1983 Mar;37(3):105-11, inside back cover.

引用本文的文献

1
Antibiotic duration for treating uncomplicated, symptomatic lower urinary tract infections in elderly women.老年女性单纯性、有症状下尿路感染的抗生素治疗疗程
Cochrane Database Syst Rev. 2008 Jul 16;2008(3):CD001535. doi: 10.1002/14651858.CD001535.pub2.
2
Single-dose ciprofloxacin at 100 versus 250 mg for treatment of uncomplicated urinary tract infections in women.100毫克与250毫克单剂量环丙沙星治疗女性单纯性尿路感染的疗效比较
Antimicrob Agents Chemother. 1987 Feb;31(2):354-6. doi: 10.1128/AAC.31.2.354.