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莫西沙星与头孢他啶联合阿奇霉素治疗重症社区获得性肺炎疗效对比观察

Moxifloxacin and ceftazidime combined with azithromycin treatment of severe community acquired pneumonia observation on the effects
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摘要 目的评价莫西沙星的临床疗效及安全性。方法将2008年5月至2010年5月辽宁医学院附属第一医院呼吸科收治的80例确诊为重症社区获得性肺炎患者随机分为两组,莫西沙星组40例,对照组为头孢他啶联合阿奇霉素治疗组40例,观察两组疗效。结果莫西沙星组治疗重症CAP的有效率为95%,细菌清除率为85.71%,不良反应发生率为5%,均明显优于对照组(P<0.05)。在显效时间及对支原体疗效方面亦优于对照组。结论莫西沙星治疗CAP效果满意,不良反应少,是治疗CAP安全、有效的抗菌药物。 Objective Azithromycin combined with ceftazidime in the treatment of severe community-acquired pneumonia(CAP) were compared to evaluate the clinical efficacy and safety of moxifloxacin. Methods 80 cases diagnosed as severe community acquired pneumonia were randomly divided into two groups ,40 cases of mox- ifloxacin group and control group ceftazidime combined with azithromycin group, curative effect was observed. Resuits Moxifloxacin treatment of severe CAP in the effective rate was 95%, the bacterial clearance rate was 85.71% ,the adverse reaction rate of 5% ,were significantly better than the control group was statistically signifi- cant. Time and in the markedly effective efficacy against Mycoplasma is also better than the control group. Conclu- sion The effect of moxifloxacin in treatment of CAP satisfied with less adverse reactions, treatment of CAP is safe and effective antimicrobial agents.
作者 郭莹 柴文戍
出处 《中国实用内科杂志》 CAS CSCD 北大核心 2010年第9期858-859,共2页 Chinese Journal of Practical Internal Medicine
基金 辽宁省教育厅资助(2008391)
关键词 莫西沙星 头孢他啶 阿奇霉素 重症社区获得性肺炎 moxifloxacin ceftazidime azithromycin severe community-acquired pneumonia
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参考文献7

  • 1社区获得性肺炎诊断和治疗指南[J].中华结核和呼吸杂志,2006,29(10):651-655. 被引量:3048
  • 2Am Thorac Society. Guidelines for the management of adults with community-acquired pneumonia[ J]. Am J Respir Grit Care Med, 2001,163:1730 - 1754.
  • 3陈灏珠.实用内科学[M]11版[M].北京:人民卫生出版社,2001.957-959.
  • 4Gleason PP, Meehan TP, Fine JM, et al. Associations between initial antimicrobial therapy and medical outcomes for hospitalized elderly patients with pneumonia[J]. Arch intern Med, 1999,159 : 2562 - 2572.
  • 5Houck PM, MacLehose RF', Niederman MS, et al. Empiric antibiotic therapy and mortality among Medicare pneumonia inpatients in 10 western states : 1993,1995, and 1997 [ J ]. Chest, 2001,119 : 1420 - 1426.
  • 6Dudas V, Hopefl A, Jacobs R, et al. Antimicrobial selection for hospitalized patients with presumed community-acquired pneumonia:a survey of nonteaching US community hospitals [ J ]. Ann Pharmacother,2000 ,34 :446 - 452.
  • 7刘又宁,佘丹阳.社区呼吸道感染与合理应用抗生素[J].继续医学教育,2007,21(27):13-15. 被引量:4

二级参考文献24

  • 1沈定霞,罗燕萍,崔岩,赵莉萍,白立彦.分离产金属β-内酰胺酶的铜绿假单胞菌[J].中华医院感染学杂志,2004,14(1):86-88. 被引量:109
  • 2刘又宁,陈民钧,赵铁梅,王辉,王睿,刘庆锋,蔡柏蔷,曹彬,孙铁英,胡云建,修清玉,周新,丁星,杨岚,卓建生,唐英春,张扣兴,梁德荣,吕晓菊,李胜歧,刘勇,俞云松,魏泽庆,应可净,赵峰,陈萍,侯晓娜.中国城市成人社区获得性肺炎665例病原学多中心调查[J].中华结核和呼吸杂志,2006,29(1):3-8. 被引量:787
  • 3Ngeow YF,Suwanjutha S,Chantarojanasriri T,et al.An Asian study on the prevalence of atypical respiratory pathogens in community-acquired pneumonia.Int J Infect Dis,2005,9:144-153.
  • 4de Roux A,Marcos MA,Garcia E,et al.Viral community-acquired pneumonia in nonimmunocompromised adults.Chest,2004,125:1343-1351.
  • 5Ostrosky-Zeichner L,Alexander BD,Kett DH,et al.Multicenter clinical evaluation of the (1→3) beta-D-glucan assay as an aid to diagnosis of fungal infections in humans.Clin Infect Dis,2005,41:654-659.
  • 6Food and Drug Administration,HHS.Class Ⅱ Special Controls Guidance Document:serological assays for the detection of betaglucan.Fed Reqist,2004,69:56934-56936.
  • 7Mandell LA,Marrie TJ,Grossman RF,et al.Canadian guidelines for the initial management of community-acquired pneumonia:an evidence-based update by the Canadian Infectious Diseases Society and the Canadian Thoracic Society.The Canadian CommunityAcquired Pneumonia Working Group.Clin Infect Dis,2000,31:383-421.
  • 8Woodhead M,Blasi F,Ewig S,et al.Guidelines for the management of adult lower respiratory tract infections.Eur Respir J,2005,26:1138-1180.
  • 9Mandell LA,Bartlett JG,Dowell SF,et al.Update of practice guidelines for the management of community-acquired pneumonia in immunocompetent adults.Clin Infect Dis,2003,37:1405-1433.
  • 10Fine MJ,Auble TE,Yealy DM,et al.A prediction rule to identify low risk patients with community-acquired pneumonia.N Engl J Med,1997,336:243-250.

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