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新型氨基糖苷类抗生素阿贝卡星对耐甲氧西林金黄色葡萄球菌感染外科患者的疗效

[Efficacy of arbekacin, a new aminoglycoside antibiotic, in surgical patients with MRSA infections].

作者信息

Ishikawa S, Yura J, Shinagawa N, Mizuno A, Mashita K, Hori K

机构信息

First Department of Surgery, Nagoya City University, Medical School.

出版信息

Jpn J Antibiot. 1994 Jun;47(6):820-5.

PMID:8072192
Abstract

The clinical efficacy of a new aminoglycoside antibiotic, arbekacin (ABK), was studied in surgical patients who had been infected with methicillin-resistant Staphylococcus aureus (MRSA). Six cases of pneumonia, 2 of wound infections and 2 of intra-abdominal infections were treated by ABK alone or ABK together with beta-lactam antibiotics such as imipenem/cilastatin or cefotiam. The overall clinical efficacies against these MRSA infections were excellent in one case, good in 6 and poor in 3. In six cases treated by ABK alone, good clinical responses were obtained in 4 cases. Among 4 cases that received combination therapy with ABK, good responses were obtained in 3 cases. No adverse reactions were found in ABK monotherapy or in combined therapy. These data suggested that ABK is an effective antibiotic on surgical infections caused by MRSA.

摘要

对一种新型氨基糖苷类抗生素阿贝卡星(ABK)在感染耐甲氧西林金黄色葡萄球菌(MRSA)的外科患者中的临床疗效进行了研究。6例肺炎、2例伤口感染和2例腹腔内感染患者单独使用ABK或ABK与β-内酰胺类抗生素(如亚胺培南/西司他丁或头孢替安)联合治疗。对这些MRSA感染的总体临床疗效,1例为优,6例为良,3例为差。在单独使用ABK治疗的6例患者中,4例获得了良好的临床反应。在接受ABK联合治疗的4例患者中,3例获得了良好的反应。ABK单药治疗或联合治疗均未发现不良反应。这些数据表明,ABK是治疗由MRSA引起的外科感染的有效抗生素。

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