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环丙沙星短程疗法治疗肠热症

Short course ciprofloxacin therapy for enteric fever.

作者信息

Mathai D, Kudva G C, Keystone J S, Kozarsky P E, Jesudason M V, Lalitha M K, Kaur A, Thomas M, John J, Pulimood B M

机构信息

Department of Medicine, Christian Medical College and Hospital, Vellore, India.

出版信息

J Assoc Physicians India. 1993 Jul;41(7):428-30.

PMID:8300488
Abstract

A short course of ciprofloxacin, 750 mgm b.i.d. for 7 days was found to be effective in the treatment of enteric fever in 21 hospitalized patients with S.typhi (18) and S.paratyphi A(3). Median time for fever response was 3 days. All isolates were susceptible to ciprofloxacin (MIC 0.0078-0.062 mcgm/ml). The mean serum peak and trough levels were 5.4 and 1.6 mcgm/ml respectively. Stool cultures were free of Salmonellae on follow up (11-24 weeks). Two developed recurrence of paratyphoid fever, 17 days and 4 months after therapy.

摘要

发现短期服用环丙沙星(750毫克,每日两次,共7天)对21例住院的伤寒沙门菌(18例)和甲型副伤寒沙门菌(3例)感染的肠热症患者有效。发热反应的中位时间为3天。所有分离菌株对环丙沙星敏感(最低抑菌浓度为0.0078 - 0.062微克/毫升)。血清平均峰浓度和谷浓度分别为5.4微克/毫升和1.6微克/毫升。随访(11 - 24周)时粪便培养未检出沙门菌。两名患者在治疗后17天和4个月出现副伤寒热复发。

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Recurrent paratyphoid fever A co-infected with hepatitis A reactivated chronic hepatitis B.甲型副伤寒热复发合并甲型肝炎感染激活了慢性乙型肝炎。
Ann Clin Microbiol Antimicrob. 2014 May 12;13:17. doi: 10.1186/1476-0711-13-17.
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J Clin Microbiol. 1998 Jun;36(6):1595-600. doi: 10.1128/JCM.36.6.1595-1600.1998.