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一种用于评估尿路感染最佳抗生素剂量的体外模型。

An in vitro model for assessing optimum antibiotic dosage in urinary tract infection.

作者信息

Greenwood D, Kawada Y, O'Grady F

出版信息

Infection. 1980;Suppl 1:35-8. doi: 10.1007/BF01644933.

DOI:10.1007/BF01644933
PMID:7399711
Abstract

Experimental and clinical data from which dosage regimens can be rationally deduced are generally lacking. As an approach to this problem, an in vitro model of the urinary bladder has been constructed in which the conditions of exposure of bacteria to antibacterial drugs which exist in the treatment of cystitis are simulated. Results obtained so far correlate well with such clinical information as we possess and have helped to define more accurately the conditions which govern successful therapy of urinary infection. The most recent data suggest that much lower doses of some beta-lactam antibiotics than have been contemplated hitherto may be effective in the treatment of uncomplicated cystitis.

摘要

通常缺乏能合理推导给药方案的实验和临床数据。作为解决这一问题的方法,已构建了膀胱体外模型,该模型模拟了膀胱炎治疗中细菌接触抗菌药物的条件。目前获得的结果与我们所拥有的此类临床信息相关性良好,并有助于更准确地确定成功治疗泌尿系统感染的条件。最新数据表明,一些β-内酰胺类抗生素的剂量可能比迄今设想的要低得多,对治疗单纯性膀胱炎有效。

相似文献

1
An in vitro model for assessing optimum antibiotic dosage in urinary tract infection.一种用于评估尿路感染最佳抗生素剂量的体外模型。
Infection. 1980;Suppl 1:35-8. doi: 10.1007/BF01644933.
2
Is your dosage really necessary? Antibiotic dosage in urinary infection.你的剂量真的有必要吗?尿路感染中的抗生素剂量。
Br Med J. 1977 Sep 10;2(6088):665-7. doi: 10.1136/bmj.2.6088.665.
3
Controversies in single dose therapy of acute uncomplicated urinary tract infections in women.女性单纯性急性尿路感染单剂量治疗的争议
Infection. 1992;20 Suppl 4:S272-5. doi: 10.1007/BF01710013.
4
[Management of urinary tract infections in elderly women--a proposal].[老年女性尿路感染的管理——一项提议]
Lakartidningen. 2010;107(7):450; author reply 450-1.
5
[New guidelines for urinary tract infections in women].[女性尿路感染的新指南]
Lakartidningen. 2008;105(15):1107-9.
6
Pivmecillinam versus sulfamethizole for short-term treatment of uncomplicated acute cystitis in general practice: a randomized controlled trial.匹美西林与磺胺甲噻二唑用于全科医疗中单纯性急性膀胱炎的短期治疗:一项随机对照试验。
Scand J Prim Health Care. 2009;27(1):6-11. doi: 10.1080/02813430802535312.
7
Antibiotic treatment for urinary tract infections in pediatric patients.儿科患者尿路感染的抗生素治疗。
Minerva Pediatr. 2003 Oct;55(5):395-406.
8
[Clinical report of treatment of urinary tract infections with lividomycin].
Jpn J Antibiot. 1972 Dec;25(6):389-95.
9
Diagnosis and management of urinary tract infections in the outpatient setting: a review.门诊环境下泌尿道感染的诊断与管理:综述。
JAMA. 2014;312(16):1677-84. doi: 10.1001/jama.2014.12842.
10
Lower urinary tract infection: rationale and efficacy of single-dose antibacterial therapy.下尿路感染:单剂量抗菌治疗的基本原理与疗效
Eur Urol. 1987;13 Suppl 1:54-5. doi: 10.1159/000472863.

本文引用的文献

1
THE LOCALIZATION AND TREATMENT OF URINARY TRACT INFECTIONS: THE ROLE OF BACTERICIDAL URINE LEVELS AS OPPOSED TO SERUM LEVELS.泌尿道感染的定位与治疗:杀菌尿液水平相对于血清水平的作用
Medicine (Baltimore). 1965 Jan;44:1-36. doi: 10.1097/00005792-196501000-00001.
2
Experimental endocarditis I. Staphylococcal endocarditis in rabbits resulting from placement of a polyethylene catheter in the right side of the heart.实验性心内膜炎I. 因在兔心脏右侧放置聚乙烯导管而导致的葡萄球菌性心内膜炎。
Yale J Biol Med. 1970 Jun;42(6):394-410.
3
Long-term, low-dosage, trimethoprim-sulphonamide in the control of chronic bacteriuria.
长期低剂量甲氧苄啶-磺胺甲恶唑用于控制慢性菌尿症
Postgrad Med J. 1969 Nov;45:Suppl:61-4.
4
Treatment of "bacterial cystitis" in fully automatic machanical models simulating conditions of bacterial growth in the urinary bladder.在模拟膀胱细菌生长条件的全自动机械模型中治疗“细菌性膀胱炎”。
Br J Exp Pathol. 1973 Jun;54(3):283-90.
5
Chemotherapy of experimental streptococcal endocarditis. II. Synergism between penicillin and streptomycin against penicillin-sensitive streptococci.实验性链球菌心内膜炎的化疗。II. 青霉素与链霉素对青霉素敏感链球菌的协同作用。
J Clin Invest. 1974 Mar;53(3):829-33. doi: 10.1172/JCI107622.
6
Generation of formaldehyde from methenamine: effect of pH and concentration, and antibacterial effect.乌洛托品生成甲醛的过程:pH值和浓度的影响以及抗菌效果。
Antimicrob Agents Chemother. 1974 Dec;6(6):708-11. doi: 10.1128/AAC.6.6.708.
7
Prevention of urinary-tract infection with low-dose nitrofurantoin.
Lancet. 1971 Nov 20;2(7734):1112-4. doi: 10.1016/s0140-6736(71)91270-0.
8
Antimicrobial therapy of experimental enterococcal endocarditis.实验性肠球菌性心内膜炎的抗菌治疗
Antimicrob Agents Chemother. 1975 Nov;8(5):564-70. doi: 10.1128/AAC.8.5.564.
9
Studies on the effect of amoxycillin and ampicillin on Enterobacteriaceae in an experimental model of urinary infection.
J Antimicrob Chemother. 1975 Jun;1(2):197-204. doi: 10.1093/jac/1.2.197.
10
Management of cystitis in young women.年轻女性膀胱炎的管理
Drugs. 1977 Feb;13(2):137-41. doi: 10.2165/00003495-197713020-00003.