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两剂口服培氟沙星根除儿童恢复期沙门氏菌携带状态

Eradication of convalescent-phase Salmonella carriage in children with two oral doses of pefloxacin.

作者信息

Raymond J, Moulin F, Badoual J, Gendrel D

机构信息

Hôpital Saint Vincent de Paul, Paris, France.

出版信息

Eur J Clin Microbiol Infect Dis. 1994 Apr;13(4):307-10. doi: 10.1007/BF01974606.

Abstract

Fifteen children (age range 1.5 months to 7.2 years), who were excluded from schools or nurseries due to asymptomatic convalescent-phase non-typhoidal Salmonella carriage, received two oral doses of pefloxacin (12 mg/kg on days 1 and 4) and were examined on days 10, 30, 45 and 60. Definitive eradication was observed in 13 patients, all of whom had initial low Salmonella counts in stools and were culture-negative by day 10. In the two patients who failed to respond, the same treatment was effective when repeated 4 and 6 months later respectively. No side-effects were observed. In six other children, considered as controls, eradication by day 10 was observed in only one case after administration of amoxicillin for eight days. Two oral doses of pefloxacin could be a useful and safe means for eliminating Salmonella carriage in young children.

摘要

15名儿童(年龄范围为1.5个月至7.2岁)因无症状恢复期非伤寒沙门氏菌携带而被学校或托儿所拒收,接受了两剂口服培氟沙星(第1天和第4天各12mg/kg),并在第10天、30天、45天和60天接受检查。13例患者实现了彻底根除,所有这些患者最初粪便中的沙门氏菌数量都很低,到第10天时培养结果为阴性。在2例治疗无效的患者中,分别在4个月和6个月后重复相同治疗时有效。未观察到副作用。在另外6名被视为对照的儿童中,给予阿莫西林8天后,只有1例在第10天时实现了根除。两剂口服培氟沙星可能是消除幼儿沙门氏菌携带的一种有用且安全的方法。

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