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新型磺胺甲恶唑复方制剂凯尔氟普明与复方新诺明治疗尿路感染的多中心双盲试验

Kelfiprim, a new sulpha-trimethoprim combination, versus cotrimoxazole, in the treatment of urinary tract infections: a multicentre, double-blind trial.

作者信息

Pisani E, Pavone-Macaluso M, Rocco F, Piaia F, Pirozzi F, Rotolo U, Lamartina M, Melloni D, Larcker P

出版信息

Urol Res. 1982 Feb;10(1):41-4. doi: 10.1007/BF00256523.

DOI:10.1007/BF00256523
PMID:7041395
Abstract

A new combination of trimethoprim with a sulphonamide, named Kelfiprim, differs from cotrimoxazole in that: a) the sulpha drug is sulphamethopyrazine instead of sulphamethoxazole; b) the trimethoprim to sulpha ratio is 5:4 instead of 1:5; c) the presence of a long-acting sulphonamide allows the administration of a daily dose of one capsule, following an initial loading dose of two capsules; d) a reduced amount of trimethoprim is given, as compared to cotrimoxazole, without any decrease of efficacy. Kelfiprim [KP] was compared to cotrimoxazole [Co] in a multicentre double blind trial. Sixty four patients suffering from acute and chronic infections of the upper and lower urinary tract entered the study. Urine sterilisation and clinical improvement without relapses showed no differences from the two treatment groups. Tolerance was excellent except in two patients, one treated with KP and the other treated with Co, who showed a transient exanthema.

摘要

一种名为凯尔菲普明(Kelfiprim)的甲氧苄啶与磺胺类药物的新组合与复方新诺明的不同之处在于:a)磺胺类药物是磺胺甲基吡嗪而非磺胺甲恶唑;b)甲氧苄啶与磺胺的比例为5:4而非1:5;c)长效磺胺的存在使得在初始负荷剂量为两粒胶囊后,每日服用一粒胶囊即可;d)与复方新诺明相比,甲氧苄啶的用量减少,但疗效并未降低。在一项多中心双盲试验中,对凯尔菲普明[KP]与复方新诺明[Co]进行了比较。64名患有上、下尿路感染的急性和慢性感染患者进入该研究。两个治疗组在尿液杀菌和临床改善且无复发方面没有差异。除两名患者外,耐受性良好,一名接受KP治疗,另一名接受Co治疗,他们出现了短暂的皮疹。

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Safety of sulfamethoxazole-trimethoprim for the treatment of bacterial infection in outpatient settings: A systematic review and meta-analysis with active comparator disproportionality analysis.磺胺甲恶唑-甲氧苄啶用于门诊治疗细菌感染的安全性:一项采用活性对照品不成比例分析的系统评价和荟萃分析。
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本文引用的文献

1
CLINICAL PHARMACOLOGY OF 2-SULFANILAMIDO-3-METHOXYPYRAZINE.2-磺胺氨基-3-甲氧基吡嗪的临床药理学
Antimicrob Agents Chemother (Bethesda). 1964;10:554-61.
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Pharmacokinetic study of a sulfametopyrazine/trimethoprim combination (Kelfiprim) in human volunteers.
J Antimicrob Chemother. 1980 Sep;6(5):647-56. doi: 10.1093/jac/6.5.647.
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[Antibacterial activity of a sulfonamide combination (Kelfiprim) in some otorhinolaryngological diseases].[一种磺胺类药物组合(开乐普明)在某些耳鼻喉科疾病中的抗菌活性]
Long-term antibiotics for preventing recurrent urinary tract infection in children.长期使用抗生素预防儿童复发性尿路感染
Cochrane Database Syst Rev. 2019 Apr 1;4(4):CD001534. doi: 10.1002/14651858.CD001534.pub4.
G Clin Med. 1980 Dec;61(12):906-18.
4
Kelfiprim versus co-trimoxazole in recurrent and persistent urinary tract infections: multicenter double-blind trial.复发性和持续性尿路感染中凯尔菲普明与复方新诺明的对比:多中心双盲试验
Urology. 1987 Sep;30(3):293-7. doi: 10.1016/0090-4295(87)90262-7.