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阿洛西林治疗血液透析患者的尿路感染

Azlocillin treatment of urinary tract infection in patients on haemodialysis.

作者信息

Hallan H, Svarva P L, Svartås T M, Widerøe T

出版信息

Scand J Infect Dis Suppl. 1981;29:55-8.

PMID:6947406
Abstract

Pharmacokinetic properties and clinical efficiency of azlocillin were investigated in three patients with terminal renal failure both during and without haemodialysis. All patients were treated for urinary tract infections with azlocillin 2 g three times daily for a period of ten days. Mean serum half-lives off dialysis were 251 min and on dialysis 202 min. Azlocillin clearances increased from a mean value of 58.7 ml/min off dialysis to 72.6 ml/min on dialysis. Urinary excretion of the total daily dose of azlocillin was less than 5% for all patients, but from day 2 onwards all patients had urine levels which were more than 8 times above the approximate MIC value of the infecting bacteria.

摘要

在三名终末期肾衰竭患者进行血液透析期间及未进行血液透析时,研究了阿洛西林的药代动力学特性和临床疗效。所有患者均接受阿洛西林治疗尿路感染,每日三次,每次2 g,疗程为十天。透析期间阿洛西林的平均血清半衰期为251分钟,透析时为202分钟。阿洛西林清除率从透析前的平均值58.7 ml/分钟增加到透析时的72.6 ml/分钟。所有患者阿洛西林每日总剂量的尿排泄量均低于5%,但从第2天起,所有患者的尿液水平均比感染细菌的近似最低抑菌浓度值高出8倍以上。

相似文献

1
Azlocillin treatment of urinary tract infection in patients on haemodialysis.阿洛西林治疗血液透析患者的尿路感染
Scand J Infect Dis Suppl. 1981;29:55-8.
2
Treatment with azlocillin in complicated urinary tract infections.阿洛西林治疗复杂性尿路感染
Arzneimittelforschung. 1979;29(12a):1979-81.
3
Preoperative treatment with azlocillin in complicated urinary tract infections.阿洛西林用于复杂尿路感染的术前治疗。
Scand J Infect Dis Suppl. 1981;29:98-101.
4
[Pharmacokinetics of azlocillin in chronic renal failure and hemodialysis patients].[阿洛西林在慢性肾衰竭和血液透析患者中的药代动力学]
Presse Med. 1984 Mar 29;13(13):797-801.
5
Azlocillin kinetics during extracorporeal haemodialysis and peritoneal dialysis.阿洛西林在体外血液透析和腹膜透析期间的动力学
J Antimicrob Chemother. 1983 May;11 Suppl B:89-95. doi: 10.1093/jac/11.suppl_b.89.
6
[Pharmacokinetics after discontinuous intravenous administration of azlocillin].阿洛西林间断静脉给药后的药代动力学
Arzneimittelforschung. 1983;33(3):429-32.
7
Intravenous azlocillin kinetics in patients on long-term hemodialysis.长期血液透析患者静脉滴注阿洛西林的动力学
Clin Pharmacol Ther. 1980 Apr;27(4):563-6. doi: 10.1038/clpt.1980.80.
8
Pharmacokinetics of azlocillin in healthy subjects.阿洛西林在健康受试者中的药代动力学。
Scand J Infect Dis Suppl. 1981;29:49-54.
9
[Pharmacokinetics of azlocillin in impaired renal function and haemodialysis (author's transl)].阿洛西林在肾功能损害及血液透析患者中的药代动力学(作者译)
Arzneimittelforschung. 1979;29(12a):1944-8.
10
[Experiences using acylureido-penicillins (azlocillin, mezlocillin) in pediatrics].[酰脲基青霉素(阿洛西林、美洛西林)在儿科的应用经验]
Klin Padiatr. 1984 Jan-Feb;196(1):28-35. doi: 10.1055/s-2007-1025569.

引用本文的文献

1
Drug therapy in patients undergoing haemodialysis. Clinical pharmacokinetic considerations.接受血液透析患者的药物治疗。临床药代动力学考量
Clin Pharmacokinet. 1984 Jan-Feb;9(1):42-66. doi: 10.2165/00003088-198409010-00003.