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阿米卡星治疗由耐庆大霉素革兰阴性杆菌引起的肺部感染。

Amikacin treatment of pulmonary infections involving gentamicin-resistant gram-negative bacilli.

作者信息

Bartlett J G

出版信息

Am J Med. 1977 Jun;62(6):945-8. doi: 10.1016/0002-9343(77)90666-0.

DOI:10.1016/0002-9343(77)90666-0
PMID:868911
Abstract

Twelve patients with pulmonary infections presumably involving gentamicin-resistant gram-negative bacilli were evaluated for their response to amikacin therapy. All patients had hospital-acquired infections for which they had been previously treated and were considered therapeutic failures with gentamicin or tobramycin. Assessment of response to amikacin therapy showed objective evidence of clinical improvement in 11. The gentamicin-resistant organism was eradicated in nine patients although, in the majority, other gram-negative bacilli persisted in respiratory tract secretions both during and after treatment. There was one clinical failure.

摘要

对12例可能感染耐庆大霉素革兰氏阴性杆菌的肺部感染患者进行了阿米卡星治疗反应评估。所有患者均为医院获得性感染,此前曾接受治疗,但被认为是庆大霉素或妥布霉素治疗失败。对阿米卡星治疗反应的评估显示,11例有临床改善的客观证据。9例患者的耐庆大霉素病原体被根除,不过,大多数患者在治疗期间及治疗后呼吸道分泌物中仍存在其他革兰氏阴性杆菌。有1例临床治疗失败。

相似文献

1
Amikacin treatment of pulmonary infections involving gentamicin-resistant gram-negative bacilli.阿米卡星治疗由耐庆大霉素革兰阴性杆菌引起的肺部感染。
Am J Med. 1977 Jun;62(6):945-8. doi: 10.1016/0002-9343(77)90666-0.
2
Amikacin therapy of severe infections produced by gram-negative bacilli resistant to gentamicin.阿米卡星对由耐庆大霉素的革兰氏阴性杆菌引起的严重感染进行治疗。
Am J Med Sci. 1977 Mar-Apr;273(2):177-84. doi: 10.1097/00000441-197703000-00007.
3
[Amikacin in the treatment of hospital infections of the urinary tract caused by gram-negative bacilli resistant to gentamicin. Microbiological and clinical aspects].[阿米卡星治疗对庆大霉素耐药的革兰阴性杆菌所致医院内泌尿道感染。微生物学及临床方面]
Minerva Urol. 1981 Apr-Jun;33(2):85-90.
4
Control of emergence of multi-resistant gram-negative bacilli by exclusive use of amikacin.仅使用阿米卡星控制多重耐药革兰氏阴性杆菌的出现
Am J Med. 1986 Jun 30;80(6B):71-5. doi: 10.1016/0002-9343(86)90482-1.
5
Amikacin therapy of gram-negative bacteremia and meningitis. Treatment in diseases due to multiple resistant bacilli.阿米卡星治疗革兰氏阴性菌血症和脑膜炎。用于多重耐药杆菌所致疾病的治疗。
Arch Intern Med. 1978 May;138(5):713-6.
6
Susceptibility of aerobic gram-negative bacilli to aminoglycosides. Effects of 45 months of amikacin as first-line aminoglycoside therapy.需氧革兰氏阴性杆菌对氨基糖苷类药物的敏感性。阿米卡星作为一线氨基糖苷类药物治疗45个月的效果。
Am J Med. 1986 Jun 30;80(6B):65-70. doi: 10.1016/0002-9343(86)90481-x.
7
Amikacin therapy for severe gram-negative sepsis. Emphasis on infections with gentamicin-resistant organisms.阿米卡星治疗严重革兰氏阴性菌败血症。重点关注对庆大霉素耐药菌的感染。
Ann Intern Med. 1975 Oct;83(4):484-8. doi: 10.7326/0003-4819-83-4-484.
8
Antibiotic resistance patterns during aminoglycoside restriction.氨基糖苷类药物限制期间的抗生素耐药模式。
Am J Med Sci. 1985 Dec;290(6):223-7. doi: 10.1097/00000441-198512000-00001.
9
Replacement of gentamicin by amikacin as a means of decreasing gentamicin resistance of gram-negative rods in a neonatal intensive care unit.在新生儿重症监护病房中,用阿米卡星替代庆大霉素以降低革兰氏阴性杆菌对庆大霉素的耐药性。
Isr J Med Sci. 1983 Nov;19(11):1006-8.
10
Resistance to aminoglycoside antibiotics of gram-negative bacilli isolated in Canadian hospitals.加拿大医院分离出的革兰氏阴性杆菌对氨基糖苷类抗生素的耐药性。
Can Med Assoc J. 1981 May 1;124(9):1165-7.

引用本文的文献

1
Antibiotic blood concentrations in patients successfully treated with tobramycin.妥布霉素治疗成功患者的抗生素血药浓度。
Postgrad Med J. 1981 Sep;57(671):548-51. doi: 10.1136/pgmj.57.671.548.
2
Aminoglycoside dosing in renal transplant patients. Comparison of nomogram and individualized pharmacokinetic methods in patients with shifting renal function.肾移植患者的氨基糖苷类药物给药。肾功能变化患者中列线图法与个体化药代动力学方法的比较。
Ann Surg. 1982 Mar;195(3):287-93. doi: 10.1097/00000658-198203000-00008.
3
Tn1331, a novel multiresistance transposon encoding resistance to amikacin and ampicillin in Klebsiella pneumoniae.
Tn1331,一种编码肺炎克雷伯菌对阿米卡星和氨苄西林耐药性的新型多耐药转座子。
Antimicrob Agents Chemother. 1987 Dec;31(12):1955-60. doi: 10.1128/AAC.31.12.1955.
4
Bronchial secretion levels of amikacin.阿米卡星的支气管分泌物水平。
Antimicrob Agents Chemother. 1979 Dec;16(6):767-71. doi: 10.1128/AAC.16.6.767.
5
Amikacin resistance associated with a plasmid-borne aminoglycoside phosphotransferase in Escherichia coli.大肠杆菌中与质粒携带的氨基糖苷磷酸转移酶相关的阿米卡星耐药性
Antimicrob Agents Chemother. 1979 Nov;16(5):598-604. doi: 10.1128/AAC.16.5.598.
6
Why monitor serum levels of gentamicin?为什么要监测庆大霉素的血清水平?
Clin Pharmacokinet. 1978 May-Jun;3(3):202-15. doi: 10.2165/00003088-197803030-00002.