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替硝唑治疗妇产科领域厌氧菌感染的临床评价

[Clinical evaluation of tinidazole on anaerobic infections in the field of obstetrics and gynecology].

作者信息

Cho N, Fukunaga K, Kunii K, Deguchi K

出版信息

Jpn J Antibiot. 1983 Dec;36(12):3325-35.

PMID:6674545
Abstract

The bacteriological and clinical effect of tinidazole (TDZ) was evaluated in 16 cases of intrauterine, intrapelvic and vulvar infection caused by anaerobic organisms and the following results were obtained. Anaerobes were detected in 16 cases, including 1 case with anaerobes alone and 15 cases with mixed anaerobes and aerobes. Eight different species and 24 strains were detected. A single species was isolated from 9 cases, 2 species from 6 cases and 3 species from 1 case. The main species detected were Bacteroides fragilis and Peptostreptococcus spp. of which 9 strains (37.5%) each were isolated. Escherichia coli and B. fragilis was the most frequently occurring combination. The peak MIC values of TDZ were 0.78 micrograms/ml for B. fragilis and 1.56 micrograms/ml for Peptostreptococcus spp. Most other organisms were also sensitive to TDZ. The bacteriological response of the anaerobic infections to TDZ was 87.5% and overall clinical efficacy was 87.5%. Few side effects were observed.

摘要

对16例由厌氧菌引起的子宫内、盆腔内及外阴感染患者评估了替硝唑(TDZ)的细菌学和临床效果,获得以下结果。16例均检测出厌氧菌,其中1例仅为厌氧菌感染,15例为厌氧菌与需氧菌混合感染。共检测出8个不同菌种和24株菌株。9例分离出单一菌种,6例分离出2种菌种,1例分离出3种菌种。检测出的主要菌种为脆弱拟杆菌和消化链球菌属,各分离出9株(37.5%)。大肠埃希菌和脆弱拟杆菌是最常见的组合。TDZ对脆弱拟杆菌的MIC峰值为0.78微克/毫升,对消化链球菌属为1.56微克/毫升。大多数其他微生物对TDZ也敏感。厌氧菌感染对TDZ的细菌学反应率为87.5%,总体临床有效率为87.5%。观察到的副作用较少。

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