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羧苄青霉素加头孢孟多治疗癌症患者感染

Carbenicillin plus cefamandole in the treatment of infections in patients with cancer.

作者信息

Bodey G P, Ketchel S, Rodriguez V

出版信息

J Infect Dis. 1978 May;137 Suppl:S139-S143. doi: 10.1093/infdis/137.supplement.s139.

DOI:10.1093/infdis/137.supplement.s139
PMID:649998
Abstract

The combination of carbenicillin plus cefamandole was administered to 88 patients with cancer during 116 evaluable episodes of fever. The overall response rate to carbenicillin plus cefamandole for the 116 episodes was 57%. There were 60 documented infections, of which 60% responded to this combination of antibiotics. The response rate was only 43% in patients with pneumonia. The etiologic agent was identified during 38 infections, of which 74% responded to carbenicillin plus cefamandole. Responses occurred less frequently in patients with neutropenia than in those without neutropenia and less frequently in patients whose infection was caused by organisms resistant to both antibiotics than in those with infection caused by organisms sensitive to one or both of the drugs. No side effects could be attributed to the antibiotic regimen.

摘要

在116次可评估的发热发作期间,对88例癌症患者使用了羧苄青霉素加头孢孟多的联合治疗。羧苄青霉素加头孢孟多对这116次发作的总体有效率为57%。有60例记录在案的感染,其中60%对这种抗生素联合治疗有反应。肺炎患者的有效率仅为43%。在38例感染中确定了病原体,其中74%对羧苄青霉素加头孢孟多有反应。中性粒细胞减少患者的反应比非中性粒细胞减少患者少,感染由对两种抗生素均耐药的病原体引起的患者的反应比感染由对一种或两种药物敏感的病原体引起的患者少。没有副作用可归因于抗生素治疗方案。

相似文献

1
Carbenicillin plus cefamandole in the treatment of infections in patients with cancer.羧苄青霉素加头孢孟多治疗癌症患者感染
J Infect Dis. 1978 May;137 Suppl:S139-S143. doi: 10.1093/infdis/137.supplement.s139.
2
A randomized study of carbenicillin plus cefamandole or tobramycin in the treatment of febrile episodes in cancer patients.
Am J Med. 1979 Oct;67(4):608-16. doi: 10.1016/0002-9343(79)90242-0.
3
Efficacy and safety of cefamandole plus either gentamicin or tobramycin in therapy of severe gram-negative bacterial infections.
J Infect Dis. 1978 May;137 Suppl:S144-S149. doi: 10.1093/infdis/137.supplement.s144.
4
Continuous infusion tobramycin combined with carbenicillin for infections in cancer patients.
Am J Med Sci. 1979 May-Jun;277(3):311-8. doi: 10.1097/00000441-197905000-00010.
5
Cefamandole alone and combined with gentamicin or tobramycin in the treatment of acute pyelonephritis.
Scand J Infect Dis Suppl. 1980;suppl 25:96-100.
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Empiric therapy for infections in patients with granulocytopenia. Continuous v interrupted infusion of tobramycin plus cefamandole.
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A randomized, controlled trial of cefoperazone vs. cefamandole-tobramycin in the treatment of putative, severe infections with gram-negative bacilli.
Rev Infect Dis. 1983 Mar-Apr;5 Suppl 1:S173-80. doi: 10.1093/clinids/5.supplement_1.s173.
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Cefamandole nafate therapy of respiratory tract, skin, and soft tissue infections in 74 patients.头孢孟多酯钠对74例呼吸道、皮肤及软组织感染的治疗。
J Infect Dis. 1978 May;137 Suppl:S110-S118. doi: 10.1093/infdis/137.supplement.s110.
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Therapy of serious infections with cefamandole.用头孢孟多治疗严重感染。
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