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术前及术后直肠应用甲硝唑预防儿童阑尾炎伤口感染

Pre- and postoperative rectal metronidazole for the prevention of wound infection in childhood appendicitis.

作者信息

Ford W D, MacKellar A, Richardson C J

出版信息

J Pediatr Surg. 1980 Apr;15(2):160-3. doi: 10.1016/s0022-3468(80)80008-x.

DOI:10.1016/s0022-3468(80)80008-x
PMID:7373492
Abstract

Children suspected of having appendicitis were treated with preoperative metronidazole per rectum and then postoperative metronidazole per rectum until the drug could be administered orally. This series shows that even when administered after anesthetic induction, an adequate blood level of metronidazole was achieved at surgery. Other antibiotics were not used even when there was peritonitis. The wound infection rate in this small series was low, when compared to other series and our own comparison group.

摘要

疑似患有阑尾炎的儿童术前经直肠给予甲硝唑,术后继续经直肠给予甲硝唑,直至可以口服该药。本系列研究表明,即使在麻醉诱导后给药,手术时甲硝唑也能达到足够的血药浓度。即使存在腹膜炎,也未使用其他抗生素。与其他系列研究以及我们自己的对照组相比,这个小系列中的伤口感染率较低。

相似文献

1
Pre- and postoperative rectal metronidazole for the prevention of wound infection in childhood appendicitis.术前及术后直肠应用甲硝唑预防儿童阑尾炎伤口感染
J Pediatr Surg. 1980 Apr;15(2):160-3. doi: 10.1016/s0022-3468(80)80008-x.
2
[Effectiveness of rectal metromidazole in acute infantile appendicitis].
An Esp Pediatr. 1986 Sep;25(3):161-4.
3
Antibiotic prophylaxis in acute appendicitis.急性阑尾炎的抗生素预防
Surg Gynecol Obstet. 1983 Feb;156(2):209-11.
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[Pharmacological prevention of wound infection in children after appendectomy].[小儿阑尾切除术后伤口感染的药物预防]
Khirurgiia (Mosk). 1989 Nov(11):116-8.
5
Prophylactic metronidazole in prevention of infection after appendicectomy: report of a double-blind trial.
Acta Chir Scand. 1980;146(2):133-6.
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A double-blind controlled trial of metronidazole suppositories in children undergoing appendicectomy.甲硝唑栓剂用于接受阑尾切除术儿童的双盲对照试验。
Curr Med Res Opin. 1983;8(6):441-5. doi: 10.1185/03007998309111751.
7
Single dose intra-rectal metronidazole as prophylaxis against wound infection following emergency appendicectomy.
Br J Surg. 1980 Nov;67(11):809-10. doi: 10.1002/bjs.1800671116.
8
Intrarectal metronidazole in the prevention of anaerobic infections after emergency appendicectomy: a controlled clinical trial.
Br J Surg. 1979 Jun;66(6):425-7. doi: 10.1002/bjs.1800660616.
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Antibiotic prophylaxis in acute non-perforated appendicitis in children: single dose of metronidazole and gentamicin.儿童急性非穿孔性阑尾炎的抗生素预防:单剂量甲硝唑和庆大霉素。
J R Coll Surg Edinb. 1992 Apr;37(2):110-2.
10
Appendicitis in childhood: reduction in wound infection with preoperative antibiotics.儿童阑尾炎:术前使用抗生素可减少伤口感染
Aust N Z J Surg. 1982 Apr;52(2):127-9. doi: 10.1111/j.1445-2197.1982.tb06085.x.

引用本文的文献

1
Appendicectomy in children: a plea for the use of the transverse pararectal approach.儿童阑尾切除术:呼吁采用经直肠旁横切口入路
Ann R Coll Surg Engl. 1981 Sep;63(5):337-9.
2
Giving drugs per rectum for systemic effect.经直肠给药以产生全身效应。
Arch Dis Child. 1987 Aug;62(8):771-2. doi: 10.1136/adc.62.8.771.
3
Clinical pharmacokinetics in infants and children. A reappraisal.婴幼儿临床药代动力学。重新评估。
Clin Pharmacokinet. 1989;17 Suppl 1:29-67. doi: 10.2165/00003088-198900171-00005.