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[小儿外科急性感染。克林霉素的临床经验(作者译)]

[Acute infections in pediatric surgery. Clinical experience with clindamycin (author's transl)].

作者信息

Meier H, Willital G H

出版信息

MMW Munch Med Wochenschr. 1980 Feb 15;122(7):243-6.

PMID:6771633
Abstract

76 children were treated with clindamycin at a dosage of 40 mg/kg/day for postsurgical wound infections, sepsis, phlegmon, peritonitis, osteomyelitis, pneumonia, mediastinitis, pyoderma and urinary tract infections. Frequency distribution of individual infectious agents: Staphylococci, 94,7%; Streptococci, 59,2%; Pneumococci, 5,3%; Enteroccocci, 25%; Escherichia coli, 10,5%; Pseudomonas, 14,5%; Proteus, 7,9%; Bacteroides, 6,6%; Clostridia, 7,9%. Therapy was successful in 83% of cases. Results were poor in 2 children treated for phlegmona, one case of mediastinitis and one of urinary tract infection, since organisms were predominantly gram-negative.

摘要

76名儿童因术后伤口感染、败血症、蜂窝织炎、腹膜炎、骨髓炎、肺炎、纵隔炎、脓皮病和尿路感染接受了剂量为40mg/kg/天的克林霉素治疗。个体感染病原体的频率分布:葡萄球菌,94.7%;链球菌,59.2%;肺炎球菌,5.3%;肠球菌,25%;大肠杆菌,10.5%;假单胞菌,14.5%;变形杆菌,7.9%;拟杆菌,6.6%;梭菌,7.9%。83%的病例治疗成功。两名因蜂窝织炎、一例纵隔炎和一例尿路感染接受治疗的儿童治疗效果不佳,因为病原体主要是革兰氏阴性菌。

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