Hoch J, Nyc O, Jech Z, Lochmann O
Chirurgická klinika 2. LF UK.
Rozhl Chir. 1995 Apr;74(3):122-5.
In a group of 340 patients subjected to colorectal surgery for antimicrobial prophylaxis amoxicillin clavulanate (Augmentin) or ornidazole (Tiberal) was used, in both instances as short-term monoprophylaxis. To test the effectiveness of prophylaxis, the clinical results were evaluated, expressed by the number of infectious complications, as well as serum and tissue levels of the two preparations used for prophylaxis. In serum and tissue they reached the MIC level of the tested microbial spectrum; an inadequate level was found in all probands in subcutaneous adipose tissue. The clinical result of 4.8% infectious complications when using ornidazole and 3.2% when using amoxicillin clavulante resp. is considered as evidence of the effectiveness and correct selection of preparations and also of sufficient short-term prophylaxis.
在一组340例接受结直肠手术的患者中,使用阿莫西林克拉维酸盐(奥格门汀)或奥硝唑(替硝唑)进行抗菌预防,在这两种情况下均作为短期单一预防用药。为了测试预防效果,评估了临床结果,以感染性并发症的数量以及用于预防的两种制剂的血清和组织水平来表示。在血清和组织中,它们达到了所测试微生物谱的最低抑菌浓度水平;在所有受试者的皮下脂肪组织中发现水平不足。使用奥硝唑时感染性并发症的临床发生率为4.8%,使用阿莫西林克拉维酸盐时为3.2%。这被认为是制剂有效性、正确选择以及充分短期预防的证据。