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替考拉宁:10年临床经验

Teicoplanin: 10 years of clinical experience.

作者信息

Trautmann M, Wiedeck H, Ruhnke M, Oethinger M, Marre R

机构信息

Abteilung für Med. Mikrobiologie und Hygiene, Universität Ulm, Germany.

出版信息

Infection. 1994 Nov-Dec;22(6):430-6. doi: 10.1007/BF01715507.

DOI:10.1007/BF01715507
PMID:7698846
Abstract

The teichomycin antibiotics have been discovered and chemically purified in the late 1970s. Teicoplanin, one of the major derivatives of this group, has been introduced into clinical use in 1984. In Germany, teicoplanin was licensed in 1988 and now ranks among the antimicrobial agents most frequently used in intensive care units. Due to its reduced rate of side effects compared to vancomycin, its longer serum half-life and a simplified mode of application, teicoplanin has become the glycopeptide of choice in many hospitals. The present review summarizes in vitro activity data, pharmacokinetics, and clinical experience with teicoplanin, with special consideration of currently recommended doses and serum levels.

摘要

替考拉宁类抗生素于20世纪70年代末被发现并进行了化学提纯。替考拉宁是该类主要衍生物之一,于1984年被引入临床使用。在德国,替考拉宁于1988年获得许可,目前是重症监护病房中最常用的抗菌药物之一。由于与万古霉素相比,其副作用发生率较低,血清半衰期较长,且应用方式简化,替考拉宁已成为许多医院首选的糖肽类药物。本综述总结了替考拉宁的体外活性数据、药代动力学和临床经验,并特别考虑了当前推荐的剂量和血清水平。

相似文献

1
Teicoplanin: 10 years of clinical experience.替考拉宁:10年临床经验
Infection. 1994 Nov-Dec;22(6):430-6. doi: 10.1007/BF01715507.
2
[Therapy of resistant gram-positive infection: value of glycopeptide antibiotics vancomycin and teicoplanin].[耐革兰氏阳性菌感染的治疗:糖肽类抗生素万古霉素和替考拉宁的价值]
Schweiz Med Wochenschr. 1993 Dec 18;123(50):2353-6.
3
Teicoplanin or vancomycin in the treatment of gram-positive infections?
J Clin Pharm Ther. 1995 Feb;20(1):5-11. doi: 10.1111/j.1365-2710.1995.tb00619.x.
4
Anti-gram-positive agents. What we have and what we would like.抗革兰氏阳性菌药物。我们现有的和我们想要的。
Drugs. 1997;54 Suppl 6:29-38. doi: 10.2165/00003495-199700546-00007.
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Multidrug-resistant gram-positive pathogens. An update on current microbiological patterns.多重耐药革兰氏阳性病原体。当前微生物学模式的最新情况。
Drugs. 1997;54 Suppl 6:11-20. doi: 10.2165/00003495-199700546-00005.
6
[Vancomycin and teicoplanin: differential aspects].[万古霉素和替考拉宁:差异方面]
Enferm Infecc Microbiol Clin. 1995 Dec;13(10):600-10.
7
Simultaneous quantification of antimicrobial agents for multidrug-resistant bacterial infections in human plasma by ultra-high-pressure liquid chromatography-tandem mass spectrometry.采用超高效液相色谱-串联质谱法同时定量检测人血浆中治疗多重耐药菌感染的抗菌药物。
Talanta. 2013 Nov 15;116:593-603. doi: 10.1016/j.talanta.2013.07.043. Epub 2013 Jul 26.
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Teicoplanin.
Med Clin North Am. 1995 Jul;79(4):833-44. doi: 10.1016/s0025-7125(16)30042-6.
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Microbiological profile of teicoplanin.
J Chemother. 1991 Jan;3 Suppl 1:39-42.
10
In vitro susceptibility of Gram-positive pathogens to linezolid and teicoplanin and effect on outcome in critically ill patients.革兰氏阳性病原体对利奈唑胺和替考拉宁的体外敏感性及其对危重症患者预后的影响。
J Antimicrob Chemother. 2006 Aug;58(2):470-3. doi: 10.1093/jac/dkl233. Epub 2006 May 30.

引用本文的文献

1
Teicoplanin pharmacokinetics in critically ill patients on extracorporeal organ support: a retrospective analysis.体外器官支持下重症患者的替考拉宁药代动力学:一项回顾性分析。
Intensive Care Med Exp. 2025 Feb 21;13(1):22. doi: 10.1186/s40635-025-00729-9.
2
Rifaximine spacer application is not superior to local teicoplanin treatment in a rat model of osteomyelitis.在大鼠骨髓炎模型中,利福昔明间隔给药并不优于局部替考拉宁治疗。
North Clin Istanb. 2022 Oct 27;9(5):505-513. doi: 10.14744/nci.2022.04935. eCollection 2022.
3
Pharmacodynamics of glycopeptides in the mouse peritonitis model of Streptococcus pneumoniae or Staphylococcus aureus infection.

本文引用的文献

1
Coagulase-negative staphylococcal bacteraemia treated with teicoplanin.
J Antimicrob Chemother. 1993 Mar;31(3):438-9. doi: 10.1093/jac/31.3.438.
2
Clinical evaluation of teicoplanin in the treatment of gram-positive bacterial intravascular infections.替考拉宁治疗革兰氏阳性菌血管内感染的临床评估
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Dosage recommendations for teicoplanin.替考拉宁的剂量推荐。
J Antimicrob Chemother. 1993 Dec;32(6):792-6. doi: 10.1093/jac/32.6.792.
糖肽类药物在肺炎链球菌或金黄色葡萄球菌感染小鼠腹膜炎模型中的药效学。
Antimicrob Agents Chemother. 2000 May;44(5):1247-54. doi: 10.1128/AAC.44.5.1247-1254.2000.
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Rational prescribing of antibacterials in hospitalised children.住院儿童抗菌药物的合理处方
Pharmacoeconomics. 1996 Dec;10(6):575-93. doi: 10.2165/00019053-199610060-00005.
5
Pharmacokinetics of drugs used in critically ill adults.危重症成年患者使用药物的药代动力学
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4
A randomized double-blind trial of vancomycin versus teicoplanin for the treatment of gram-positive bacteremia in patients with cancer.一项针对癌症患者革兰氏阳性菌血症治疗的万古霉素与替考拉宁的随机双盲试验。
J Infect Dis. 1994 Feb;169(2):350-5. doi: 10.1093/infdis/169.2.350.
5
Treatment of Clostridium difficile associated diarrhea and colitis with an oral preparation of teicoplanin; a dose finding study. The Swedish CDAD Study Group.用替考拉宁口服制剂治疗艰难梭菌相关性腹泻和结肠炎;一项剂量探索研究。瑞典艰难梭菌相关性腹泻研究组。
Scand J Infect Dis. 1994;26(3):309-16. doi: 10.3109/00365549409011800.
6
In vitro activity and human pharmacokinetics of teicoplanin.替考拉宁的体外活性及人体药代动力学
Antimicrob Agents Chemother. 1984 Dec;26(6):881-6. doi: 10.1128/AAC.26.6.881.
7
Pharmacokinetics of teicoplanin in man after intravenous administration.替考拉宁静脉给药后的人体药代动力学。
J Pharmacokinet Biopharm. 1984 Apr;12(2):119-28. doi: 10.1007/BF01059273.
8
Relationship of serum antibiotic concentrations to nephrotoxicity in cancer patients receiving concurrent aminoglycoside and vancomycin therapy.接受氨基糖苷类药物与万古霉素联合治疗的癌症患者血清抗生素浓度与肾毒性的关系。
Am J Med. 1987 Dec;83(6):1091-7. doi: 10.1016/0002-9343(87)90947-8.
9
Susceptibility of Clostridium difficile strains to new antibiotics: quinolones, efrotomycin, teicoplanin and imipenem.
J Antimicrob Chemother. 1985 May;15(5):648-9. doi: 10.1093/jac/15.5.648-a.
10
Teicoplanin revisited.替考拉宁再探讨。
J Antimicrob Chemother. 1988 Oct;22(4):397-401. doi: 10.1093/jac/22.4.397.