Klein N C, Cunha B A
Infectious Disease Division, Winthrop-University Hospital, Mineola, New York, USA.
Med Clin North Am. 1995 Jul;79(4):789-801. doi: 10.1016/s0025-7125(16)30039-6.
Tetracyclines are relatively safe drugs with a broad antimicrobial spectrum. Doxycycline remains the preferred tetracycline agent for most indications. Doxycycline has a long half-life, which makes convenient twice-a-day dosing possible. It is well absorbed orally even in the presence of food, has excellent tissue penetration, and does not require a dose adjustment in renal insufficiency. Doxycycline is a useful agent for the treatment of atypical pneumonias, sexually transmitted diseases, traveler's diarrhea, rickettsial infections, and Lyme disease. Minocycline is the preferred drug for MRSA colonization/infection.
四环素类药物相对安全,抗菌谱广。多西环素在大多数适应证中仍是首选的四环素类药物。多西环素半衰期长,便于每日两次给药。即使在有食物的情况下口服吸收也良好,组织穿透力强,肾功能不全时无需调整剂量。多西环素是治疗非典型肺炎、性传播疾病、旅行者腹泻、立克次体感染和莱姆病的有效药物。米诺环素是耐甲氧西林金黄色葡萄球菌定植/感染的首选药物。