Amano M, Okunobo T, Ueda H, Ura H, Sone A, Furukawa Y, Saito N, Tanaka H
Hinyokika Kiyo. 1983 Aug;29(8):947-52.
Clinical studies were performed on combination chemotherapy with Fosfomycin and Dibekacin. Sixteen patients with complicated urinary tract infections were treated with a combination of Fosfomycin (4 g/day, d.i.v.) and Dibekacin (200 mg/day, i.m.) for 5 days; and, 15 of them were clinically evaluated by criteria of UTI committee. The clinical effects proved excellent in 3 patients, good in 8 patients, and poor in 4 patients overall effective rate was 73.3%. Out of 19 strains isolated from the patients, 12 strains disappeared after the therapy. No side effect was observed in 16 cases. Clinical use of the combination chemotherapy with Fosfomycin and Dibekacin was thought to be effective and safe for patients with complicated urinary tract infections, because the combination acts not only synergistically, but also because Fosfomycin acts to protect against the nephrotoxicity induced by Dibekacin.
对磷霉素和地贝卡星联合化疗进行了临床研究。16例复杂性尿路感染患者接受了磷霉素(4g/天,静脉滴注)和地贝卡星(200mg/天,肌肉注射)联合治疗5天;其中15例根据泌尿道感染委员会的标准进行了临床评估。临床疗效显示,3例为优,8例为良,4例为差,总有效率为73.3%。从患者中分离出的19株菌株中,有12株在治疗后消失。16例未观察到副作用。磷霉素和地贝卡星联合化疗的临床应用被认为对复杂性尿路感染患者有效且安全,因为该联合用药不仅具有协同作用,而且磷霉素还可防止地贝卡星诱导的肾毒性。