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克林霉素治疗相关胃肠道并发症的临床研究

Clinical study of gastrointestinal complications associated with clindamycin therapy.

作者信息

Swartzberg J E, Maresca R M, Remington J S

出版信息

J Infect Dis. 1977 Mar;135 Suppl:S99-103. doi: 10.1093/infdis/135.supplement.s99.

DOI:10.1093/infdis/135.supplement.s99
PMID:850097
Abstract

The incidence of and factors associated with diarrhea were evaluated in 1,000 patients receiving clindamycin. Diarrhea occurred in 6.6% of the patients, and of the many parameters evaluated, a significant association with diarrhea was found only for age (higher incidence in patients older than 20 years), sex (higher incidence in females), and route of administration (higher incidence with oral than with parenteral administration). It is of interest that we were unable to find a positive correlation between dose of drug or duration of therapy and diarrhea. Diarrhea began within 48 hr of start of clindamycin therapy in 52.3% of the patients and within five days of therapy in 75.3%. Nineteen patients developed diarrhea after they had stopped receiving the drug. Duration of diarrhea varied considerably, with a mean of 11.4 days and a range of one to 120 days.

摘要

对1000名接受克林霉素治疗的患者的腹泻发生率及相关因素进行了评估。6.6%的患者出现腹泻,在评估的众多参数中,仅发现年龄(20岁以上患者发生率较高)、性别(女性发生率较高)和给药途径(口服给药比胃肠外给药发生率高)与腹泻有显著关联。有趣的是,我们未能发现药物剂量或治疗持续时间与腹泻之间存在正相关。52.3%的患者在克林霉素治疗开始后48小时内出现腹泻,75.3%的患者在治疗五天内出现腹泻。19名患者在停药后出现腹泻。腹泻持续时间差异很大,平均为11.4天,范围为1至120天。

相似文献

1
Clinical study of gastrointestinal complications associated with clindamycin therapy.克林霉素治疗相关胃肠道并发症的临床研究
J Infect Dis. 1977 Mar;135 Suppl:S99-103. doi: 10.1093/infdis/135.supplement.s99.
2
Gastrointestinal side effects associated with clinidamycin. 1,000 consecutive patients.与克林霉素相关的胃肠道副作用。1000例连续患者。
Arch Intern Med. 1976 Aug;136(8):876-9.
3
Incidence of diarrhea and colitis associated with clindamycin therapy.与克林霉素治疗相关的腹泻和结肠炎的发病率。
J Infect Dis. 1977 Mar;135 Suppl:S120-5. doi: 10.1093/infdis/135.supplement.s120.
4
Diarrhea associated with clindamycin and ampicillin therapy: preliminary results of a cooperative study.
J Infect Dis. 1977 Mar;135 Suppl:S104-10. doi: 10.1093/infdis/135.supplement.s104.
5
Comparative study of diarrhea associated with clindamycin and ampicillin therapy.克林霉素与氨苄西林治疗相关腹泻的比较研究。
Am J Gastroenterol. 1980 Mar;73(3):244-8.
6
Clindamycin and diarrhea.克林霉素与腹泻
JAMA. 1976 Nov 29;236(22):2498-500.
7
Gastrointestinal side effects of clindamycin and ampicillin therapy.克林霉素和氨苄西林治疗的胃肠道副作用。
J Infect Dis. 1977 Mar;135 Suppl:S111-9. doi: 10.1093/infdis/135.supplement.s111.
8
Gastrointestinal side effects following clindamycin and lincomycin treatment--a follow up study.
J Antimicrob Chemother. 1980 Sep;6(5):639-45. doi: 10.1093/jac/6.5.639.
9
Colitis associated with clindamycin therapy.与克林霉素治疗相关的结肠炎
South Med J. 1975 Dec;68(12):1471-4. doi: 10.1097/00007611-197512000-00005.
10
Clindamycin-associated colitis.克林霉素相关性结肠炎
Am J Dig Dis. 1975 Mar;20(3):214-22. doi: 10.1007/BF01070724.

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Clostridium difficile: its disease and toxins.艰难梭菌:其所致疾病与毒素
Clin Microbiol Rev. 1988 Jan;1(1):1-18. doi: 10.1128/CMR.1.1.1.
2
Acute right-sided hemorrhagic colitis associated with oral administration of ampicillin.与口服氨苄西林相关的急性右侧出血性结肠炎。
Dig Dis Sci. 1979 Dec;24(12):910-5. doi: 10.1007/BF01311944.