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[头孢呋辛与头孢西丁在围手术期预防性使用抗生素中的应用。一项随机研究]

[Cefuroxime and cefoxitin in perioperative preventive use of antibiotics. A randomized study].

作者信息

Hoyme U B, Bühler K, Schindler A E

机构信息

Abteilung für Gynäkologie insbesondere gynäkologische Onkologie, Universitätsklinikum Essen.

出版信息

Zentralbl Gynakol. 1993;115(2):80-2.

PMID:8451895
Abstract

In a prospectively randomized study 243 patients scheduled for gynaecologic surgery received either 2 g Cefoxitin or 1.5 g Cefuroxim at induction of anaesthesia. Both drugs were well tolerated by all study patients. Post-operative fever was seen in seven women in the Cefuroxim group (n = 121) vs. three women in the Cefoxitin group (n.s., x2-test). Wound infection occurred in two women in each group. In result Cefuroxim probably can be recommended as an alternative replacing Cefoxitin in prophylaxis, so Cefoxitin can be reserved as potent antimicrobial substance for therapy of gynaecologic infections.

摘要

在一项前瞻性随机研究中,243名计划进行妇科手术的患者在麻醉诱导时接受了2克头孢西丁或1.5克头孢呋辛。所有研究患者对这两种药物的耐受性都很好。头孢呋辛组(n = 121)有7名女性出现术后发热,而头孢西丁组有3名女性出现术后发热(无统计学差异,卡方检验)。每组各有两名女性发生伤口感染。结果表明,头孢呋辛可能可被推荐作为预防用药替代头孢西丁,因此头孢西丁可留作治疗妇科感染的强效抗菌药物。

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