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新型头孢菌素Cefepime的药理与临床研究 被引量:8
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作者 邓国华 王爱霞 《中国新药杂志》 CAS CSCD 1993年第2期7-10,共4页
就 Cefepime 的抗菌活性、药代动力学及临床应用的研究作一扼要综述。
关键词 cefepime 药代动力学 药理 抗菌素
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新头孢菌素cefepime 被引量:1
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作者 横田健 许铁男 《国外医药(抗生素分册)》 CAS 北大核心 1992年第5期351-355,共5页
一、前言Cefepime系布列斯多—迈耶(Bristol—Myers)公司东京研究所,于1981年合成的新注射用头孢菌素。化学结构上除头孢烯骨架外,7位侧链上有α—甲氧亚氨—氨噻唑基。另外,3位侧链的N—甲基—吡咯烷基与4位侧链的羧基之间形成分子内... 一、前言Cefepime系布列斯多—迈耶(Bristol—Myers)公司东京研究所,于1981年合成的新注射用头孢菌素。化学结构上除头孢烯骨架外,7位侧链上有α—甲氧亚氨—氨噻唑基。另外,3位侧链的N—甲基—吡咯烷基与4位侧链的羧基之间形成分子内盐结构。通过急性、亚急性、慢性毒性试验。 展开更多
关键词 头孢菌素 cefepime
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Complexity of Gold(Ⅲ)Ion With Cefotaxime and Cefepime Drugs:Spectroscopic,Antimicrobial and Antitumor Discussions
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作者 Lamia A Albedair Samar O Aljazzar +1 位作者 Mohamed I Kobeasy Moamen S Refat 《光谱学与光谱分析》 SCIE EI CAS CSCD 北大核心 2020年第10期3315-3320,共6页
The availability of chemical and biological data presented in this paper is the basis for understanding not only the current state of anti-cancer drugs based on gold(Ⅲ),but also the rationale for strategies for futur... The availability of chemical and biological data presented in this paper is the basis for understanding not only the current state of anti-cancer drugs based on gold(Ⅲ),but also the rationale for strategies for future drug design.New Au(Ⅲ)nanosized complexes of cefotaxime(ceph-3)and cefepime(ceph-4)ligands as a 3rd and 4th of cephalosporin generation drugs were synthesized.Gold(Ⅲ)complexes were discussed based on the elemental,molar conductance,thermal and magnetic moment measurements as well as spectral(FTIR,1HNMR,UV-Vis,and XRD)techniques.FT-IR spectra revealed that the ceph-3 and ceph-4 ligands reacted as a bidentate ligands through carboxylate oxygen andβ-lactam oxygen groups.The analytical analysis confirm that the molar ratio is 1∶1(Au 3+/ceph)with general formula[Au(L)(Cl)2]where L=ceph-3 or ceph-4.The structures of Au(Ⅲ)complexes were presence as a square planar geometry.X-ray diffraction patterns referred to a crystalline nature for all synthesized complexes.TEM analyses confirmed that the synthetic gold(Ⅲ)complexes have a nanosized particles.In vitro antimicrobial activities of Au(Ⅲ)complexes were evaluated towards two types of bacteria(G+&G-).The antitumor activities of gold(Ⅲ)complexes are appraised against breast(MCF-7)and colorectal adenocarcinoma(Caco-2)cell lines,which means that the two complexes may consider promising anticancer drugs. 展开更多
关键词 Cefotaxime sodium cefepime hydrochloride COMPLEXITY Gold(Ⅲ)ions Nanoscale Structure ANTICANCER
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Blood-brain barrier penetration of cefepime after neurosurgery 被引量:3
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作者 WANG Jiang-fei WANG Qiang +2 位作者 ZHAO Li-hong SHI Guang-zhi ZHOU Jian-xin 《Chinese Medical Journal》 SCIE CAS CSCD 2007年第13期1176-1178,共3页
Background It has been confirmed that the concentration of cefepime in cerebrospinal fluid (CSF) could reach the 10% of its concentration in plasma, exceeding the inhibitory concentration to 90% of organisms (MIC90... Background It has been confirmed that the concentration of cefepime in cerebrospinal fluid (CSF) could reach the 10% of its concentration in plasma, exceeding the inhibitory concentration to 90% of organisms (MIC90) for common bacteria. However, the blood-brain barrier (BBB) penetration ability of cefepime is still unclear. The aim of this study was to measure the CSF concentration of cefepime in patients after neurosurgical operations, and to determine the penetration of the drug through an incomplete BBB. Methods Eight patients who received ventricular drainage (VD group) and 5 who underwent lumbar puncture drainage (LPD group) were enrolled into this study. Cefepime (2 g) was injected intravenously in 30 minutes after the neurosurgeries. The concentrations of cefepime in the CSF and plasma were measured by high-pressure liquid chromatography (HPLC) at different time points. Results The CSF concentrations of cefepime at different time points in the VD group were significantly higher than those in the LPD group (P〈0.05). In the VD group, the concentration of cefepime in CSF reached the peak ((22.54±14.06) pg/ml) at 1 to 2 hours after the injection, while in the LPD group at 4 hours ((5.61±3.73) pg/ml). In both groups, the peak was higher than the MIC90 of most common bacteria in intensive care unit. The ratio of CSF to plasma cefepime concentrations ranged from 0.30 to 2.14 in the VD group and 0.03 to 1.14 in the LPD group. Conclusion After neurosurgeries, CSF concentration of cefepime can reach a therapeutic level. Thus, the drug could be used to prevent and treat postoperative intracranial infection. 展开更多
关键词 cefepime blood-brain barrier drug concentration high-pressure liquid chromatography
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国产头孢吡肟致神经精神异常14例临床观察 被引量:1
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作者 施心奕 沈美珠 +1 位作者 周敏 杨涛 《山西医药杂志》 CAS 2018年第5期539-541,共3页
头孢吡肟(cefepime)是半合成β内酰胺类第四代头孢菌素,具有广谱抗菌活性,无论进口制剂还是国产制剂都广泛应用于呼吸道感染、尿道感染、皮肤软组织等细菌感染的治疗,随着头孢吡肟临床应用的增加,其引起神经毒性反应的报道也逐渐增多[1... 头孢吡肟(cefepime)是半合成β内酰胺类第四代头孢菌素,具有广谱抗菌活性,无论进口制剂还是国产制剂都广泛应用于呼吸道感染、尿道感染、皮肤软组织等细菌感染的治疗,随着头孢吡肟临床应用的增加,其引起神经毒性反应的报道也逐渐增多[1]。较早期的报道认为在头孢吡肟应用中,国产头孢吡肟的临床疗效及安全性与进口头孢吡肟相当[2,3],随着近年国产头孢吡肟在临床应用中的增加,这种认识是否发生改变有待进一步证实。本研究收集了2011年1月至2017年6月本院呼吸科在下呼吸道感染治疗中应用国产头孢吡肟的病例,回顾性比较、分析用药后发生神经精神异常者患者的临床资料,进行用药关联性评价,以期指导国产头孢吡肟在下呼吸道感染中的合理应用。 展开更多
关键词 神经精神异常 头孢吡肟 国产制剂 临床观察 下呼吸道感染 cefepime 第四代头孢菌素 广谱抗菌活性
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