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替考拉宁在血液透析患者中的疗效及药代动力学

Efficacy and pharmacokinetics of teicoplanin in hemodialysis patients.

作者信息

Beckers B, Brodersen H P, Stolpmann R M, Jansen G, Larbig D

机构信息

Institut für Laboratoriumsmedizin, Mönchengladbach, Germany.

出版信息

Infection. 1993 Jan-Feb;21(1):71-4. doi: 10.1007/BF01739321.

DOI:10.1007/BF01739321
PMID:8449588
Abstract

In order to establish guidelines for the dosage of teicoplanin, a new glycopeptide antibiotic, in patients with end stage renal failure, 40 cases of suspected or proven gram-positive infections were treated with teicoplanin. Three different dosage regimens were used and peak/trough serum levels measured. Thirty-one patients were cured and six patients died. Teicoplanin was well tolerated. For severe cases of septicemia with staphylococci in patients undergoing hemodialysis a teicoplanin therapy consisting of 800 mg on day 1 followed by administrations of 400 mg on days 2, 3, 5, 12, and 19 is recommended. Minor infections are treated initially with 800 mg followed by administration of 400 mg at weekly intervals.

摘要

为制定针对终末期肾衰竭患者的新型糖肽类抗生素替考拉宁的用药指南,对40例疑似或确诊革兰氏阳性菌感染患者使用替考拉宁进行治疗。采用了三种不同的给药方案,并测定了血清峰浓度/谷浓度。31例患者治愈,6例患者死亡。替考拉宁耐受性良好。对于接受血液透析的葡萄球菌败血症重症患者,建议采用替考拉宁治疗方案:第1天给予800mg,随后在第2、3、5、12和19天给予400mg。轻度感染最初给予800mg,随后每周间隔给予400mg。

相似文献

1
Efficacy and pharmacokinetics of teicoplanin in hemodialysis patients.替考拉宁在血液透析患者中的疗效及药代动力学
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2
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Concentration of teicoplanin in the serum of adults with end stage chronic renal failure undergoing treatment for infection.接受感染治疗的终末期慢性肾衰竭成年患者血清中的替考拉宁浓度。
J Antimicrob Chemother. 1996 May;37(5):1017-21. doi: 10.1093/jac/37.5.1017.
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引用本文的文献

1
Anti-infective treatment in intensive care: the role of glycopeptides.重症监护中的抗感染治疗:糖肽类药物的作用
Intensive Care Med. 1994 Nov;20 Suppl 4:S17-22. doi: 10.1007/BF01713978.

本文引用的文献

1
In vitro activity and human pharmacokinetics of teicoplanin.替考拉宁的体外活性及人体药代动力学
Antimicrob Agents Chemother. 1984 Dec;26(6):881-6. doi: 10.1128/AAC.26.6.881.
2
Pharmacokinetics of teicoplanin in man after intravenous administration.替考拉宁静脉给药后的人体药代动力学。
J Pharmacokinet Biopharm. 1984 Apr;12(2):119-28. doi: 10.1007/BF01059273.
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Clinical efficacy and safety of teicoplanin.
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4
A multicentre open clinical trial of teicoplanin in infections caused by gram-positive bacteria.替考拉宁治疗革兰氏阳性菌感染的多中心开放性临床试验。
J Antimicrob Chemother. 1988 Jan;21 Suppl A:61-7. doi: 10.1093/jac/21.suppl_a.61.
5
HPLC quantitation of the six main components of teicoplanin in biological fluids.生物流体中替考拉宁六种主要成分的高效液相色谱定量分析
J Antimicrob Chemother. 1988 Jan;21 Suppl A:53-9. doi: 10.1093/jac/21.suppl_a.53.
6
Pharmacokinetics of a single intravenous dose of teicoplanin in subjects with various degrees of renal impairment.单次静脉注射替考拉宁在不同程度肾功能损害受试者中的药代动力学。
J Antimicrob Chemother. 1988 Jan;21 Suppl A:29-37. doi: 10.1093/jac/21.suppl_a.29.
7
Pharmacokinetics of 14C-teicoplanin in healthy volunteers.健康志愿者中14C-替考拉宁的药代动力学
J Antimicrob Chemother. 1988 Jan;21 Suppl A:23-8. doi: 10.1093/jac/21.suppl_a.23.
8
Intraperitoneal teicoplanin in the treatment of peritonitis associated with continuous ambulatory peritoneal dialysis.腹腔内使用替考拉宁治疗持续性非卧床腹膜透析相关腹膜炎
J Antimicrob Chemother. 1988 Jan;21 Suppl A:133-9. doi: 10.1093/jac/21.suppl_a.133.
9
Pharmacokinetics of teicoplanin in critically ill patients with various degrees of renal impairment.替考拉宁在不同程度肾功能损害的危重症患者中的药代动力学。
Antimicrob Agents Chemother. 1987 Oct;31(10):1600-4. doi: 10.1128/AAC.31.10.1600.
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Pharmacokinetics of teicoplanin in renal failure.替考拉宁在肾衰竭患者中的药代动力学
Antimicrob Agents Chemother. 1987 Aug;31(8):1255-62. doi: 10.1128/AAC.31.8.1255.