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头孢特仑与头孢克罗治疗123例细菌感染的随机对照研究

A RANDOMIZED CONTROL STUDY ON THE TREATMENT OF 123 CASES OF BACTERIAL IN-FECTIONS WITH CEFTERAM AND CEFACLOR

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【作者】 李光辉张婴元吴菊芳吴卫红吴培澄汪复

【Author】 LI Guanghui;Wu Jufang ,et al,(Institute of Antibiotics,Shanghai Medical University ,Shanghai 200040)

【机构】 上海医科大学华山医院抗生素研究所

【摘要】 为评价头孢特仑治疗细菌惑染的安全性和有效性,在123例呼吸道、尿路感染患者中,以头孢克罗作对照药进行随机对照研究。临床有效率及细菌清除率头孢特仑组为92.1%和91,4%,头孢克罗组为83.3%和85.2%。不良反应发生率头孢特仑组为4.6%,头孢克罗组为9.4%,均以消化道反应为主。最低抑菌浓度结果显示,头孢特仑对肠杆曹科等革兰阴性杆菌具有高度抗菌活性,优于第一、二代口服头孢菌亲及阿莫西林,对大肠杆菌的抗茵活性尚优于庆大霉素和环丙沙星。本研究结果显示,头孢特仑治疗呼吸道、尿路感染安全、有效。

【Abstract】 o evaluate the efficacy and the safety of cefteram in bacterial infections, a randomized controlstudy of cefteram and cefaclo on the treatment of 123 patients with respiratory and urinary tract infec-tions was carried out. The result showed that the effective and the bacterial eradication rates were 92.1%and 91.4%for cefteram ,83.3% and 85.2%for cefaclor. Adverse reactions were mainly gastroin-testinal reactions, occurring in 4.6% of the cefteram group and 9.4%of the cefaclor group. Study ofminimum inhibitory concentration displayed high antibacterial activity of cefteram for enterobacteriaceae and other Gram-negative organisms and its activity was higher than that of gentamyicin and ciprofloxacin for E, coli.It is concluded that cefteram was effective and safe in the treatment of respira-tory and urinary tract infections.

【关键词】 头孢克罗细菌感染头孢特仑
【Key words】 Cefaclor Bacterial infection Cefteram
  • 【文献出处】 中华内科杂志 ,CHINESE JOURNAL OF INTERNAL MEDICINE , 编辑部邮箱 ,1995年11期
  • 【分类号】R96
  • 【被引频次】2
  • 【下载频次】71
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