Greif S, Forche G, Kratochvil P
Wien Klin Wochenschr. 1977 Feb 4;89(3):89-90.
The concentration of cefazolin in the bile obtained by means of duodenoscopy was determined and compared with the values published as results of sampling by gall bladder puncture and T drains. The results obtained using this endoscopic procedure accorded with the results in the literature. When 1 g cefazolin was administered intravenously, high biliary levels of this drug with antibacterial activity were achieved. Our preliminary studies show that not only highly-sensitive gram-positive organisms, but also most of the E. coli Klebsiella and indol-negative proteus bacteria were affected when 1 g cefazolin was administered 3-4 times daily. These results will be reported later. Cefazolin (Gramaxin) represents a valuable addition to the chemotherapeutic agents available in combating infections of the gall bladder and the biliary duct system.
通过十二指肠镜检查获取胆汁中的头孢唑林浓度,并与通过胆囊穿刺和T管引流采样所得结果公布的值进行比较。使用这种内镜检查程序获得的结果与文献中的结果一致。静脉注射1克头孢唑林时,该药物在胆汁中达到了具有抗菌活性的高浓度。我们的初步研究表明,当每天3 - 4次给予1克头孢唑林时,不仅高敏革兰氏阳性菌,而且大多数大肠杆菌、克雷伯菌和吲哚阴性变形杆菌都受到影响。这些结果将在以后报告。头孢唑林(葛拉仙)是对抗胆囊和胆管系统感染的现有化疗药物中的一种有价值的补充。