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非特异性广谱抗菌化疗的临床经验(作者译)

[Clinical experience with non-specific broad-spectrum antibacterial chemotherapy (author's transl)].

作者信息

Shah P M, Siegel K, Stille W

出版信息

Infection. 1982;10(2):85-9. doi: 10.1007/BF01816730.

DOI:10.1007/BF01816730
PMID:7095864
Abstract

49 patients were given cefoxitin in combination with azlocillin, and 15 were given an aminoglycoside as well when severe bacterial infection was suspected. In 39 cases a prompt amelioration of the clinical signs of infection was observed. Of the 17 patients who died, a post-mortem was performed in seven; only in four were signs of bacterial infection present; one had tuberculosis and one had a cytomegalovirus infection. The combination therapy was well tolerated and side-effects were rare; no bleeding complications were seen. Clinical signs of possible antagonism between the two beta-lactam antibiotics were not observed.

摘要

49例患者接受头孢西丁联合阿洛西林治疗,当怀疑有严重细菌感染时,15例患者还加用了一种氨基糖苷类药物。39例患者的感染临床症状迅速改善。17例死亡患者中,7例进行了尸检;仅4例有细菌感染迹象;1例患有结核病,1例患有巨细胞病毒感染。联合治疗耐受性良好,副作用罕见;未观察到出血并发症。未观察到两种β-内酰胺类抗生素之间可能存在拮抗作用的临床迹象。

相似文献

1
[Clinical experience with non-specific broad-spectrum antibacterial chemotherapy (author's transl)].非特异性广谱抗菌化疗的临床经验(作者译)
Infection. 1982;10(2):85-9. doi: 10.1007/BF01816730.
2
Broad spectrum beta-lactam combinations--a new principle of antibacterial treatment.广谱β-内酰胺类联合用药——抗菌治疗的新原则。
J Antimicrob Chemother. 1983 May;11 Suppl B:149-51. doi: 10.1093/jac/11.suppl_b.149.
3
[The clinical view of aminoglycoside antibiotics].
Adv Clin Pharmacol. 1978;15:119-26.
4
[Preventive and therapeutic application possibilities of newer antibiotics (author's transl)].新型抗生素的预防及治疗应用可能性(作者译)
MMW Munch Med Wochenschr. 1979 Sep 7;121(36):1133-6.
5
The aminoglycosides. Streptomycin, kanamycin, gentamicin, tobramycin, amikacin, netilmicin, sisomicin.氨基糖苷类抗生素。链霉素、卡那霉素、庆大霉素、妥布霉素、阿米卡星、奈替米星、西索米星。
Mayo Clin Proc. 1983 Feb;58(2):99-102.
6
Aminoglycoside antibiotics in infectious diseases. An overview.氨基糖苷类抗生素在传染病中的应用。综述。
Am J Med. 1986 Jun 30;80(6B):2-14. doi: 10.1016/0002-9343(86)90473-0.
7
[Antibiotic-induced diseases. Aminoglycoside-induced renal lesions].[抗生素诱发的疾病。氨基糖苷类抗生素诱发的肾脏损害]
Minerva Med. 1978 Dec 15;69(61):4215-25.
8
Update on good use of injectable aminoglycosides, gentamycin, tobramycin, netilmycin, amikacin. Pharmacological properties, indications, dosage, and mode of administration, treatment monitoring.注射用氨基糖苷类药物(庆大霉素、妥布霉素、奈替米星、阿米卡星)合理应用的最新进展。药理特性、适应证、剂量、给药方式及治疗监测。
Med Mal Infect. 2012 Jul;42(7):301-8. doi: 10.1016/j.medmal.2011.07.007. Epub 2012 Jul 7.
9
Treatment of severe infections in patients with cancer. The role of new acyl-penicillins.
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Comparison of azlocillin, ceftizoxime, cefoxitin, and amikacin alone and in combination against Pseudomonas aeruginosa in a neutropenic-site rabbit model.在中性粒细胞减少部位兔模型中,阿洛西林、头孢唑肟、头孢西丁和阿米卡星单独及联合应用对铜绿假单胞菌的比较。
Antimicrob Agents Chemother. 1984 May;25(5):545-52. doi: 10.1128/AAC.25.5.545.

本文引用的文献

1
Pseudomonas septicemia; observations on twenty-three cases.假单胞菌败血症;23例观察报告
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Guidelines for adequate chemotherapeutic dosage in newborns and infants with septicaemia and meningitis.新生儿和婴儿败血症及脑膜炎的适当化疗剂量指南。
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[Bacteriological antagonism between acylureidopenicillins and cephalosporins (author's transl)].酰脲类青霉素与头孢菌素之间的细菌学拮抗作用(作者译)
Arzneimittelforschung. 1980;30(6):999-1000.
4
Empiric therapy with carbenicillin and gentamicin for febrile patients with cancer and granulocytopenia.对患有癌症和粒细胞减少症的发热患者采用羧苄青霉素和庆大霉素进行经验性治疗。
N Engl J Med. 1971 May 13;284(19):1061-5. doi: 10.1056/NEJM197105132841904.
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Antibiotic combinations of gram-negative infections in patients with cancer.
Eur J Cancer (1965). 1973 Jun;9(6):407-15. doi: 10.1016/0014-2964(73)90105-9.
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Dtsch Med Wochenschr. 1967 Oct 13;92(41):1848-53. doi: 10.1055/s-0028-1106052.
7
Initial therapy with combination of five antibiotics in febrile patients with leukaemia and neutropenia.白血病合并中性粒细胞减少发热患者的初始治疗采用五种抗生素联合使用。
Lancet. 1972 Jan 22;1(7743):162-5. doi: 10.1016/s0140-6736(72)90567-3.
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Carbenicillin, cefazolin, and amikacin as an empiric therapy for febrile granulocytopenic cancer patients.
Cancer Treat Rep. 1977 Nov;61(8):1433-9.
9
Ticarcillin in combination with cephalothin or gentamicin as empiric antibiotic therapy in granulocytopenic cancer patients.替卡西林联合头孢噻吩或庆大霉素作为粒细胞减少癌症患者的经验性抗生素治疗。
Antimicrob Agents Chemother. 1976 Nov;10(5):837-44. doi: 10.1128/AAC.10.5.837.
10
Synergy of azlocillin and mezlocillin combined with aminoglycoside antibiotics and cephalosporins.阿洛西林和美洛西林与氨基糖苷类抗生素及头孢菌素的协同作用。
Antimicrob Agents Chemother. 1978 May;13(5):813-9. doi: 10.1128/AAC.13.5.813.