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[支气管肺部疾病中抗生素副作用的一些特征]

[Some features of the side effects of antibiotics in bronchopulmonary diseases].

作者信息

Zamotaev I P, Khvoĭnitskaia I L, Nonikov V E, Sokolova V I

出版信息

Antibiotiki. 1977 Sep;22(9):794-7.

PMID:911152
Abstract

A total of 1838 cases treated with antibiotics were analyzed in a pulmonological clinic. The antibiotics were used because of acute pneumonia, exacerbated chronic pneumonia, active inflammatory processes in cases with infectious allergic bronchial asthma and other bronchopulmonary diseases. Levomycetin (21 per cent), benzylpenicillin (14 per cent), oletetrin, erythromycin, semi-synthetic penicillins, aminoglycosides and other antibiotics were used most often. The antibiotic side effects were registered in 1.4 per cent of the cases, the allergic complications being 4 times more frequent than toxico-metabolic complications. The main path for prevention of the antibiotic side effects was rational antibiotic therapy. The antibiotic choice should be guided by the following considerations: process localization, patient's age, causative agent species, its antibiotic sensitivity, antibiotic pharmacokinetic characteristics in the organism of the patient, character of the antibiotic side effects on the macroorganism.

摘要

在一家肺病诊所对总共1838例接受抗生素治疗的病例进行了分析。使用抗生素的原因是急性肺炎、慢性肺炎急性加重、感染性过敏性支气管哮喘及其他支气管肺部疾病患者存在活动性炎症过程。最常使用的抗生素有氯霉素(21%)、苄青霉素(14%)、油酸红霉素、红霉素、半合成青霉素、氨基糖苷类及其他抗生素。1.4%的病例出现了抗生素副作用,其中过敏并发症的发生率是毒代谢并发症的4倍。预防抗生素副作用的主要途径是合理使用抗生素。抗生素的选择应基于以下因素:病变部位、患者年龄、病原体种类、其对抗生素的敏感性、抗生素在患者机体中的药代动力学特征、抗生素对机体的副作用特点。

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