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关于使用葡萄球菌噬菌体裂解物治疗化脓性汗腺炎的初步报告。

A preliminary report on the use of Staphage Lysate for treatment of hidradenitis suppurativa.

作者信息

Kress D W, Graham W P, Davis T S, Miller S H

出版信息

Ann Plast Surg. 1981 May;6(5):393-5. doi: 10.1097/00000637-198105000-00008.

Abstract

Eight patients, 7 with hidradenitis suppurativa and 1 with chronic recurrent staphylococcal abscess, all of whom failed to respond to antibiotic therapy, conservative therapeutic measures, and surgery, were experimentally placed on Staphage Lysate. Treatment after appropriate skin testing consisted of subcutaneous infections of 0.1 ml and intranasal installation of 0.3 ml of Staphage Lysate. Treatments were weekly for twelve weeks, biweekly for six months, and then monthly. Complications, which occurred early, were minimal and involved rash, vertigo, malaise, chills, nausea, fever, and headache. Six of the 8 patients reported noticeable improvement in odor, consistency, and amount of drainage and considerable decreases in pain. Seven of the 8 patients reported improvement in the ability of lesions to drain spontaneously, and a decrease in the frequency of inflammatory nodules. All 8 patients reported that the inflammatory periods were definitely shorter. Early data suggests that Staphage Lysate is a useful adjuvant in the treatment of hidradenitis suppurativa.

摘要

8名患者,其中7名患有化脓性汗腺炎,1名患有慢性复发性葡萄球菌脓肿,他们对抗生素治疗、保守治疗措施及手术均无反应,被试验性地使用葡萄球菌溶解物进行治疗。在进行适当的皮肤测试后,治疗方法包括皮下注射0.1毫升及鼻内滴入0.3毫升葡萄球菌溶解物。治疗为期12周,每周一次;之后6个月,每两周一次;然后每月一次。早期出现的并发症极少,包括皮疹、眩晕、不适、寒战、恶心、发热及头痛。8名患者中有6名报告称,在气味、分泌物的稠度及量方面有明显改善,疼痛显著减轻。8名患者中有7名报告称,病灶自发排液能力有所改善,炎性结节的出现频率降低。所有8名患者均报告炎症期明显缩短。早期数据表明,葡萄球菌溶解物在化脓性汗腺炎的治疗中是一种有用的辅助药物。

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