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[奈替米星的临床研究]

[Clinical studies on netilmicin].

作者信息

Takii M, Kodama T, Otonari T

出版信息

Jpn J Antibiot. 1984 May;37(5):802-6.

PMID:6481955
Abstract

Netilmicin (NTL), a new semisynthesized aminoglycoside, was evaluated in 11 episodes of infection in 10 patients, who had severe underlying diseases, such as acute myocardial infarction, cerebral infarction, malignancy and hepatic cirrhosis. The infection was bacteremia in 3 cases, urinary tract infections in 3 cases and respiratory tract infections in 5 cases. NTL was administered intramuscularly at a dose of 100 mg twice a day for 3 to 14 days. Overall clinical efficacy was only 40%, including excellent in 2 cases, good in 2 cases, fair in 3 cases and poor in 3 cases. Bacteriologically, 2 episodes of E. coli, 2 of S. marcescens and 1 of K. pneumoniae were eradicated, whereas, 2 of P. aeruginosa were decreased, and 1 of K. pneumoniae and 1 of P. rettgeri were persisted. Transient eosinophilia was observed in 1 case, and also nephrotoxicity was encountered in 1 case.

摘要

奈替米星(NTL)是一种新的半合成氨基糖苷类抗生素,对10例患有严重基础疾病(如急性心肌梗死、脑梗死、恶性肿瘤和肝硬化)的患者的11次感染进行了评估。感染类型为3例菌血症、3例尿路感染和5例呼吸道感染。奈替米星通过肌肉注射给药,剂量为100mg,每日两次,疗程为3至14天。总体临床疗效仅为40%,其中2例为优,2例为良,3例为中,3例为差。细菌学方面,2例大肠杆菌感染、2例粘质沙雷氏菌感染和1例肺炎克雷伯菌感染被根除,而2例铜绿假单胞菌感染有所减少,1例肺炎克雷伯菌感染和1例雷氏普罗威登斯菌感染持续存在。1例出现短暂性嗜酸性粒细胞增多,1例出现肾毒性。

相似文献

1
[Clinical studies on netilmicin].[奈替米星的临床研究]
Jpn J Antibiot. 1984 May;37(5):802-6.
2
[Clinical experience of netilmicin on chronic urinary tract infections (author's transl)].奈替米星治疗慢性尿路感染的临床经验(作者译)
Jpn J Antibiot. 1982 Jan;35(1):273-80.
3
[Clinical evaluations of netilmicin in urinary tract infections].奈替米星治疗尿路感染的临床评估
Jpn J Antibiot. 1982 Aug;35(8):1925-33.
4
[Clinical study on netilmicin in the treatment of complicated urinary tract infection caused by Pseudomonas aeruginosa].奈替米星治疗铜绿假单胞菌所致复杂性尿路感染的临床研究
Jpn J Antibiot. 1982 Aug;35(8):1919-24.
5
[Clinical trials of netilmicin against respiratory tract infection].奈替米星治疗呼吸道感染的临床试验
Jpn J Antibiot. 1982 Aug;35(8):1907-10.
6
Clinical evaluation of netilmicin therapy in serious infections.奈替米星治疗严重感染的临床评价。
Am J Med. 1979 Jan;66(1):67-73. doi: 10.1016/0002-9343(79)90484-4.
7
Netilmicin therapy of serious Gram-negative bacillary infections.奈替米星治疗严重革兰氏阴性杆菌感染
J Antimicrob Chemother. 1978 Nov;4(6):495-502. doi: 10.1093/jac/4.6.495.
8
Netilmicin therapy of patients with septicaemia and other severe infections.奈替米星治疗败血症及其他严重感染患者。
Scand J Infect Dis Suppl. 1980;Suppl 23:181-5.
9
Netilmicin: chemical development and overview of clinical research.奈替米星:化学研发及临床研究综述
Scand J Infect Dis Suppl. 1980;Suppl 23:20-9.
10
Netilmicin in the treatment of severe or complicated urinary tract infections.奈替米星治疗严重或复杂性尿路感染
N Z Med J. 1980 May 28;91(660):378-81.

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