期刊文献+
共找到1,485篇文章
< 1 2 75 >
每页显示 20 50 100
Method for Improving the Determination of Dibromoacetic Acid in Cefathiamidine
1
作者 Peng XIE Hao LIU +6 位作者 Shiqiang OU Yanxi LAI Shicheng LIU Jin QIN Yiping QIN Xian CHEN Kaimei ZHU 《Medicinal Plant》 2024年第5期27-30,共4页
[Objectives]To establish an LC-MS method for the determination of dibromoacetic acid in Cefathiamidine and Cefathiamidine for Injection.[Methods]Shiseido PC HILIC column(2.0 mm ×100 mm,3μ.m)was used.The mobile p... [Objectives]To establish an LC-MS method for the determination of dibromoacetic acid in Cefathiamidine and Cefathiamidine for Injection.[Methods]Shiseido PC HILIC column(2.0 mm ×100 mm,3μ.m)was used.The mobile phase was 0.005 Mammonium formate and the mobile phase was acetonitrile with gradient elution.The flow rate was 0.3-0.8mL/min.[Results]The limit of detection was 0.2500 ng/mL and the limit of quantification was 0.500 ng/mL,which were 2.5%and 5.0%of the impurity limits,respectively.The recov-ery rate was 103.85%.[Conclusions]This method improved the detection of dibromoacetic acid impurities in Cefathiamidine,and has that advantage of good specificity,low limit of detection and limit of quantification,high sensitivity,high accuracy,interference resistance,can meet the detection requirements of Cefathiamidine,and is suitable for the quality control of Cefathiamidine. 展开更多
关键词 cefathiamidine Dibromoacetic acid impurities LC-MS
下载PDF
Historical Cohort Study of the Efficacy and Safety of Piperacillin/Tazobactam Versus Fourth-Generation Cephalosporins for Empirical Treatment of Febrile Neutropenia in Patients with Hematological Malignancies 被引量:3
2
作者 Takashi Saito Tatsuo Ichinohe +9 位作者 Junya Kanda Miki Nagao Shunji Takakura Yutaka Ito Yoshitsugu Iinuma Kouhei Yamashita Tadakazu Kondo Takayuki Ishikawa Takashi Uchiyama Satoshi Ichiyama 《International Journal of Clinical Medicine》 2011年第1期18-22,共5页
We retrospectively evaluated the efficacy and safety of the combination drug piperacillin/tazobactam (PIPC/TAZ) in comparison with those of fourth-generation cephalosporins (4th Cephs) as initial empirical treatment i... We retrospectively evaluated the efficacy and safety of the combination drug piperacillin/tazobactam (PIPC/TAZ) in comparison with those of fourth-generation cephalosporins (4th Cephs) as initial empirical treatment in hematological malignancies patients with febrile neutropenia (FN). Among 200 patients assessed in this study, 49 had received PIPC/TAZ and 151 4th Cephs. Patient background characteristics were comparable between the two treatment groups. The overall efficacy rate in those receiving 4th Cephs and PIPC/TAZ was 57.0% (86/151 patients) and 59.2% (29/49 patients), respectively, with no significant difference detected between the two treatment regimens (P = 0.78). Treat-ment did not need to be discontinued or interrupted due to development of adverse drug reactions in any of the patients. Therefore in this study the efficacy and safety of PIPC/TAZ as initial antimicrobial treatment for FN in patients with hematological malignancies were not inferior to those of 4th Cephs. Based on the preliminary data obtained in this study, we propose to conduct a multicenter, prospective, controlled study to compare PIPC/TAZ versus CFPM given as empirical antimicrobial treatment against FN in patients with hematological malignancies. 展开更多
关键词 FEBRILE NEUTROPENIA PIPERACILLIN/TAZOBACTAM Fourth-Generation cephalosporins Safety Efficacy
下载PDF
Spectophotometric method for determination of certain cephalosporins using 4-chloro-7-nitrobenzo-2-oxa-1,3-diazole (NBD-Cl) 被引量:1
3
作者 Azza H. Rageh Salwa R. El-Shaboury +1 位作者 Gamal A. Saleh Fardous A. Mohamed 《Natural Science》 2010年第8期828-840,共13页
A simple, accurate and precise spectrophotometric method has been proposed for the determination of eleven cephalosporins, namely;cefaclor monohydrate, cefadroxil monohydrate, cefalexin anhydrous, cefradine anhydrous,... A simple, accurate and precise spectrophotometric method has been proposed for the determination of eleven cephalosporins, namely;cefaclor monohydrate, cefadroxil monohydrate, cefalexin anhydrous, cefradine anhydrous, cefotaxime sodium, cefoperazone sodium, ceftriaxone sodium, ceftazidime penthydrate, cefazolin sodium, cefixime and cefpodoxime pro- xetil in bulk drug and in pharmaceutical formulations. The method depends on hydrolysis of the studied drugs using 0.5M NaOH at 100&#176;C and subsequent reaction of the formed sulfide ions with NBD-Cl (4-chloro-7-nitrobenzo-2-oxa-1, 3-diazole) to form a yellow-colored chromogen measured at 390 nm. Different variables affecting the reaction (e.g. NaOH concentration, hydrolysis time, NBD-Cl concentration and diluting solvent) were studied and optimized. Under the optimum conditions, linear relationships with good correlation coefficients (0.9990- 0.9999) were found in the range of 5-160 μg mL-1 for all studied drugs. The limits of assay detection and quantitiation ranged from 0.289 to 5.867 and from 0.878 to 17.778 μg mL-1;respectively. The accuracy and precision of the proposed method were satisfactory. The method was successfully applied for analysis of the studied drugs in their pharmaceutical formulations and the recovery percentages ranged from 96.6 to 103.5%. 展开更多
关键词 SPECTROPHOTOMETRY cephalosporins NBD-Cl Pharmaceutical Analysis
下载PDF
Kinetic spectrophotometric determination of certain cephalosporins using iodate/iodide mixture 被引量:1
4
作者 Salwa R. El-Shaboury Fardous A. Mohamed +1 位作者 Gamal A. Saleh Azza H. Rageh 《Natural Science》 2010年第5期432-443,共12页
A simple, precise and accurate kinetic spectro-photometric method for determination of ce-fradine anhydrous, cefaclor monohydrate, ce-fadroxil monohydrate, cefalexin anhydrous and cefixime in bulk and in pharmaceutica... A simple, precise and accurate kinetic spectro-photometric method for determination of ce-fradine anhydrous, cefaclor monohydrate, ce-fadroxil monohydrate, cefalexin anhydrous and cefixime in bulk and in pharmaceutical formula-tions has been developed. The method based on a kinetic investigation of the reaction of the free carboxylic acid group of the drug with a mixture of potassium iodate and potassium iodide at room temperature to form yellow coloured triiodide ions. The reaction was followed up spectrophotometrically by measuring the increase in absorbance at 352 nm as a function of time. The initial rate, fixed time, variable time and rate-constant methods were adopted for constructing the calibration curves but fixed time method has been found to be more applicable. The analytical performance of the method, in terms of accuracy and precision, was statistically validated;the results were satisfactory. The method has been successfully applied to the determination of the studied drugs in commercial pharmaceutical formulations. Statistical comparison of the results with a well established reported method showed excellent ag- reement and proved that there is no significant difference in the accuracy and precision. 展开更多
关键词 cephalosporins KINETIC SPECTROPHOTOMETRY Lodate/Lodide MIXTURE Pharmaceutical Analysis
下载PDF
New Fragmentation Pathways for Cephalosporins by Electrospray Ionization Quadrupole Time-of-flight Mass Spectrometry
5
作者 WANGYing-wu GUJing-kai +2 位作者 J.PaulFawcett ZHONGDa-fang ZHOUHui 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2005年第3期376-379,共4页
关键词 cephalosporins Time-of-flight mass spectrometry Fragmentation pathway
下载PDF
Variable selection in near infrared spectroscopy for quantitative models of homologous analogs of cephalosporins
6
作者 Yan-Chun Feng Zhen Ni Chang-Qin Hu 《Journal of Innovative Optical Health Sciences》 SCIE EI CAS 2014年第4期91-100,共10页
Two universal spectral ranges(4550-4100 cm^(-1) and 6190-5510 cm^(-1))for construction of quantitative models of homologous analogs of cephalosporins were proposed by evaluating theperformance of five spectral ranges ... Two universal spectral ranges(4550-4100 cm^(-1) and 6190-5510 cm^(-1))for construction of quantitative models of homologous analogs of cephalosporins were proposed by evaluating theperformance of five spectral ranges and their combinations,using three data sets of cephalos-porins for injection,ie.,cefuroxime sodium,cetriaxone sodium and cefoperazone sodium.Subsequently,the proposed ranges were validated by using eight calibration sets of otherhomologous analogs of cephalosporins for injection,namely cefmenoxime hydrochloride,ceftezole sodium,cefmetazole,cefoxitin sodium,cefotaxime sodium,cefradine,cephazolin sodium and ceftizoxime sodium.All the constructed quantitative models for the eight kinds of cephalosporinsusing these universal ranges could fulill the requirements for quick quantification.After that,competitive adaptive reweighted sampling(CARS)algorithm and infrared(IR)-near infrared(NIR)two-dimensional(2D)correlation spectral analysis were used to determine the scientific basis of these two spectral ranges as the universal regions for the construction of quantitativemodels of cephalosporins.The CAR.S algorithm demonstrated that the ranges of 4550-4100 cm^(-1) and 6190-5510 cm^(-1) included some key wavenumbers which could be attributed to content changes of cephalosporins.The IR-NIR 2D spectral analysis showed that certain wavenumbersin these two regions have strong correlations to the structures of those cephalosporins that wereeasy to degrade. 展开更多
关键词 Near infrared spectroscopy cephalosporins QUANTITATION spectral range selection
下载PDF
Studies on Semisynthesis and Anibacterial Activity of 7 β-(5-Methyl-1-Aryl-1H-1,2,3-Triazoly-4-Carboxamido) Cephalosporins
7
作者 Zi Yi ZHANG Yu Xiang LIANG(National Laboratory of Applied Organic Chemistry, Department of Chemistry,Lanzhou University, Lanzhou 73000)Zuo Wu GUAN(Institute of Applied Pharmacy, Beijing Medical University, Beijing 100083) 《Chinese Chemical Letters》 SCIE CAS CSCD 1997年第4期295-298,共4页
Nine new derivatives of 7 β - (5- methyl- 1- aryl- 1H-1, 2, 3- triazoly- 4- carboxamido) cephalosporins were synthesized by acylction of 7 β -amino group of 7-ACA, 7-ADCA and 7-ACT with 5 -methsyl- 1 -aryl- 1 H- 1,2... Nine new derivatives of 7 β - (5- methyl- 1- aryl- 1H-1, 2, 3- triazoly- 4- carboxamido) cephalosporins were synthesized by acylction of 7 β -amino group of 7-ACA, 7-ADCA and 7-ACT with 5 -methsyl- 1 -aryl- 1 H- 1,2,3-triazoly-4-formyl chloride. The structure of the compounds were confirmed by elementray analysis IR, HNMR and FAB-MS. Some of them showed significant antibacterial activity 展开更多
关键词 Activity MS FAB Studies on Semisynthesis and Anibacterial Activity of 7 cephalosporins Methyl-1-Aryl-1H-1 2 3-Triazoly-4-Carboxamido
下载PDF
Computational Calculations of Molecular Properties and Molecular Docking of New and Reference Cephalosporins on Penicillin Binding Proteins and Various β-Lactamases
8
作者 Shakir Mahmood Alwan 《Journal of Pharmacy and Pharmacology》 2016年第5期212-224,共13页
An approach of using molinspiration calculations and molecular docking on PBPs (penicillin-binding proteins) and certain β-lactamases is employed to predict the molecular properties, bioactivity and resistance of n... An approach of using molinspiration calculations and molecular docking on PBPs (penicillin-binding proteins) and certain β-lactamases is employed to predict the molecular properties, bioactivity and resistance of newer and reference cephalosporins. The previously synthesized cephalosporins 1-8 and reference cephalosporins were subjected to extensive evaluations by calculating the molecular properties, drug-likeness scores on the bases of Lipinski's rule and bioactivity prediction using the method of molinspiration web-based software. The TPSA (topological polar surface area), OH-NH interactions, n-violation and the molinspiration Log partition coefficient (miLogP) values were also calculated. The investigated cephalosporins were subjected to molecular docking study on PBPs (lpyy) and on β-lactamases produced by S. aureus, K. pneumonia, E. coil and P. auroginosa using 1-click-docking website. Molecular properties of 1-8 recorded higher "FPSA than cephalexin and were lower than the reference cephalosporins and do not fulfill the requirements for Lipinski's rule. Bioactivities of 1-8 were predicted to be less and their docking scores on PBPs were comparable to those of the reference cephalosporins, particularly ceftobiprole. The references recorded various docking scores on the above β-lactamases and as expected, cefiobiprole recorded the lowest scores on all β-lactarnases. Cephalosporins 1-8 recorded various docking scores on β-lactamases. Molecular docking studies on PBPs and β-lactamases are considered as very useful, reliable and practical approach for predicting the bioactivity scores and to afford some information about the stability and selectivity of the newly proposed cephalosporins against β-lactamases of certain pathogenic microbes, such as P. auroginosa and MRSA, by recording the relative docking scores in comparison with those of reference cephalosporins. 展开更多
关键词 cephalosporins Molinspiration Molecular docking Β-LACTAMASES Lipinski's rule.
下载PDF
Dissimilarity of different cephalosporins on volatile fatty acids production and antibiotic resistance genes fates during sludge fermentation and underlying mechanisms
9
作者 Jingyang Luo Yuxiao Li +7 位作者 Wenxuan Huang Feng Wang Shiyu Fang Xiaoshi Cheng Qian Feng Fang Fang Jiashun Cao Yang Wu 《Chinese Chemical Letters》 SCIE CAS CSCD 2023年第4期396-401,共6页
The distinct influences of cephalosporins(CEPs, i.e., cefamandole nafate and cefpirome sulfate) affiliated to different generations on the volatile fatty acids(VFAs) production and antibiotic resistance genes(ARGs) fa... The distinct influences of cephalosporins(CEPs, i.e., cefamandole nafate and cefpirome sulfate) affiliated to different generations on the volatile fatty acids(VFAs) production and antibiotic resistance genes(ARGs) fates during waste activated sludge(WAS) fermentation were unveiled. The presence of CEPs mainly exhibited negative effects on the total VFAs production(5%–15% reduction), especially the cefamandole nafate, which is quite different to previous understanding. Further investigation revealed that the CEPs contributed to the solubilization and hydrolysis but inhibited the acidification process by affecting the functional microbial populations(i.e., Tissierella) and general microbial metabolic activities(i.e., pyruvate metabolism and VFAs biosynthesis). In addition, CEPs(especially the cefpirome sulfate)caused the propagation of ARGs(i.e., bla TEM, tet X and mex F) during WAS fermentation. CEPs enhanced the cell membrane permeability to promote the antibiotics mechanism of efflux pump and the horizontal transfer of ARGs. Also, the CEPs altered the regulatory systems(i.e., two component system) and microbial populations associated with ARGs, resulting in the proliferation of specific ARGs. Overall, the dissimilarity of different CEPs impacts on the WAS fermentation for VFAs production and ARGs variations enlightened the diverse environmental behaviors of anthropogenic pollutants and evoked the caution of ecological risks. 展开更多
关键词 Wasteactivated sludge(WAS) cephalosporins(CEPs) Volatilefattyacids(VFAs) Antibiotic resistancegenes(ARGs) Geneticexpressions
原文传递
第三代头孢菌素治疗社区获得性自发性细菌性腹膜炎效果预测模型的临床价值
10
作者 朱龙川 吴蔚 +3 位作者 甘达凯 张伟 徐意珍 熊墨龙 《临床肝胆病杂志》 CAS 北大核心 2024年第2期306-311,共6页
目的探讨第三代头孢菌素(3^(rd)GC)治疗社区获得性自发性细菌性腹膜炎(CASBP)效果预测模型的临床应用价值。方法前瞻性选取2021年1月—2022年6月南昌市第九医院新入院的肝硬化伴CASBP患者50例,随机分为优化治疗组(n=25)与传统治疗组(n=2... 目的探讨第三代头孢菌素(3^(rd)GC)治疗社区获得性自发性细菌性腹膜炎(CASBP)效果预测模型的临床应用价值。方法前瞻性选取2021年1月—2022年6月南昌市第九医院新入院的肝硬化伴CASBP患者50例,随机分为优化治疗组(n=25)与传统治疗组(n=25),前者基于效果预测模型采用头孢他啶或亚胺培南初治,后者均采用头孢他啶初治,此后依据初治效果调整抗生素,比较两组的初治有效率、第5天治愈率及30天病死率。计量资料两组间比较采用成组t检验或MannWhitney U检验。计数资料两组间比较采用χ^(2)检验或Fisher精确概率法。结果所有患者均完成研究。优化治疗组初治有效率明显高于传统治疗组(88.0%vs 60.0%,χ^(2)=5.094,P=0.024),两组第5天治愈率相当(80.0%vs 56.6%,χ^(2)=3.309,P=0.069)。均使用头孢他定初治的患者中,优化治疗组初治有效率亦明显高于传统治疗组(88.9%vs 60.0%,χ^(2)=4.341,P=0.037),两组第5天治愈率相当(83.3%vs 56.0%,χ^(2)=2.425,P=0.119)。两组患者的30天病死率分别为8.0%和20.0%,差异无统计学意义(χ^(2)=0.664,P=0.415)。所有入组患者初治有效与第5天治愈关联明显(OR=9.643,95%CI:2.292~40.564),第5天治愈与患者30天死亡关联明显(OR=0.138,95%CI:0.023~0.813)。结论该疗效预测模型有助于临床医生筛选3rdGC治疗的优势患者,提高3rdGC经验性治疗CASBP的初治疗效。 展开更多
关键词 肝硬化 腹膜炎 社区获得性感染 头孢菌素类 治疗结果
下载PDF
头孢类抗生素致敏红细胞检测与溶血性贫血的关系
11
作者 陈琦 陈旋 +1 位作者 游览 朱琰 《医学临床研究》 CAS 2024年第2期226-229,共4页
【目的】探讨头孢类抗生素致敏红细胞检测与溶血性贫血的关系。【方法】收集在本院住院的996例患者(选择做血型检测及准备输血)的血液标本,使用抗球蛋白卡式法检测药物致敏的红细胞直接抗球蛋白试验(DAT)阳性情况,统计临床DAT检测结果... 【目的】探讨头孢类抗生素致敏红细胞检测与溶血性贫血的关系。【方法】收集在本院住院的996例患者(选择做血型检测及准备输血)的血液标本,使用抗球蛋白卡式法检测药物致敏的红细胞直接抗球蛋白试验(DAT)阳性情况,统计临床DAT检测结果及患者在临床中的科室分布。采用抗球蛋白卡式法对DAT阳性血液标本进行抗体分型,DAT阳性强度分布及分类、头孢类抗生素致敏红细胞检测,了解DAT阳性使用抗生素种类。观察患者是否发生溶血性贫血,分析头孢类抗生素致敏红细胞检测与溶血性贫血的关系。【结果】DAT阳性检出率为7.83%(78/996),其中内科患者DAT阳性率高于外科(P<0.05)。78例DAT阳性患者血液标本在抗球蛋白卡中的反应强度为1+、2+、3+、4+的占比分别为28.21%、24.36%、25.64%、21.79%,反应强度分布比较,差异无统计学意义(P>0.05)。DAT阳性分类中抗IgG、抗C3d、抗IgG+C3d占比分别为39.74%、33.33%、26.92%,DAT阳性分类构成比较,差异无统计学意义(P>0.05)。78例DAT阳性患者血液标本中,共检测出4种抗生素致敏红细胞9例,其中头孢克洛致敏红细胞占比均高于头孢哌酮舒巴坦钠、头孢吡肟、头孢他啶(P<0.05),其余抗生素种类间比较,差异均无统计学意义(P>0.05)。DAT阳性患者血液标本中,使用抗生素患者临床溶血性贫血发生率高于未使用抗生素者(P<0.05),使用抗生素致敏红细胞者溶血性贫血发生率高于抗生素未致敏者(P<0.05)。使用抗生素未致敏患者溶血性贫血发生率与未使用抗生素者比较,差异无统计学意义(P>0.05)。【结论】头孢类抗生素致敏红细胞检测与溶血性贫血存在一定的相关性。 展开更多
关键词 头孢菌素类/副作用 贫血 溶血性 数据相关性
下载PDF
我国医务人员头孢菌素类药物皮试知信行的调查研究
12
作者 刘佳明 褚燕琦 张兰 《药物流行病学杂志》 CAS 2024年第6期621-631,共11页
目的分析我国医疗机构医务人员对头孢菌素类药物皮试的知信行现状及其影响因素,为规范皮试相关医疗行为提供参考。方法采用自行设计的头孢菌素类药物皮试知信行问卷对我国医务人员进行调查。通过微信向全国医疗机构发放问卷二维码,被调... 目的分析我国医疗机构医务人员对头孢菌素类药物皮试的知信行现状及其影响因素,为规范皮试相关医疗行为提供参考。方法采用自行设计的头孢菌素类药物皮试知信行问卷对我国医务人员进行调查。通过微信向全国医疗机构发放问卷二维码,被调查者采用匿名方式自愿参加。统计不同文化程度,工作岗位、职称医务人员的知识、态度、行为得分,应用Wilcoxon秩和检验、多元线性回归分析等方法分析其影响因素。结果30个省份205家医疗机构的873名医务人员参与调查。对头孢菌素类药物皮试知识(总分16分)、态度(总分20分)、行为(总分20分)得分分别为10(8,12)分,13(12,15)分和12(9,15)分。多元线性回归结果显示,文化程度、工作岗位和职称与知识、态度得分相关(P<0.05)。研究生比专科医务人员知识掌握情况好、态度积极;药师比医生、护士知识掌握情况好、态度积极;中级、高级比初级及以下职称医务人员知识掌握情况好、态度积极。知识水平与态度正相关(P<0.05)。性别、工作岗位和职称与行为得分相关(P<0.05)。女性比男性医务人员行为消极,护士比药师行为积极;高级比初级及以下职称医务人员行为积极。知识水平、态度与行为正相关(P<0.05),态度在知识对行为影响中的中介效应差异无统计学意义(P=0.085)。结论我国医疗机构医务人员头孢菌素类药物皮试知信行有待加强,应结合不同岗位、职称等方面的知信行差异,对医务人员开展培训,以提升知识水平、树立积极态度、规范皮试相关医疗行为。 展开更多
关键词 医务人员 头孢菌素 皮肤过敏试验 知信行 影响因素
下载PDF
皮肤试验预测头孢菌素过敏反应的研究进展
13
作者 罗俊 刘国萍 +2 位作者 黄舒文 覃福礼 韦坤璇 《抗感染药学》 2024年第2期113-117,共5页
头孢菌素是以7-氨基头孢烷酸(7-amino-cephalosporanic acid)为母核,通过连接不同侧链而形成的一类β-内酰胺类抗菌药物。通过不断迭代研发,头孢菌素在抗菌谱、抗菌作用和药物安全性等方面得到不断优化。然而,在临床使用过程中,头孢菌... 头孢菌素是以7-氨基头孢烷酸(7-amino-cephalosporanic acid)为母核,通过连接不同侧链而形成的一类β-内酰胺类抗菌药物。通过不断迭代研发,头孢菌素在抗菌谱、抗菌作用和药物安全性等方面得到不断优化。然而,在临床使用过程中,头孢菌素仍会出现过敏反应等药物不良反应,国内一直以来都是通过皮肤试验进行预测,但相关研究对皮肤试验的预测和应用价值是存在质疑的。为此,笔者从β-内酰胺类药物致过敏反应的分子机制和影响因素、皮肤试验的经济学价值、国内外头孢菌素的皮肤试验开展现状等方面对相关研究进行了综述,为临床评估皮肤试验对头孢菌素过敏反应的预测价值和应用前景提供参考。 展开更多
关键词 皮肤试验 头孢菌素 过敏反应 研究进展
下载PDF
阿莫西林克拉维酸钾联合第三代头孢类抗菌药治疗新生儿肺炎的临床效果及其对肠道菌群的影响
14
作者 蒋伟峰 刘雨露 王战胜 《广州医药》 2024年第2期176-180,共5页
目的分析阿莫西林克拉维酸钾与第三代头孢类抗菌药联合应用于新生儿肺炎患儿的应用效果及其对患儿肠道菌群的影响。方法选择在2021年2月—2022年11月期间于我院新生儿科接受相关治疗的100例新生儿肺炎患儿,依照简单随机化法将患儿分为... 目的分析阿莫西林克拉维酸钾与第三代头孢类抗菌药联合应用于新生儿肺炎患儿的应用效果及其对患儿肠道菌群的影响。方法选择在2021年2月—2022年11月期间于我院新生儿科接受相关治疗的100例新生儿肺炎患儿,依照简单随机化法将患儿分为研究组(n=50)及参照组(n=50)。给予参照组常规新生儿肺炎治疗,在此基础上给予研究组患者阿莫西林克拉维酸钾与第三代头孢类抗菌药的联合治疗。治疗结束后对比两组患儿的血清因子水平、肠道菌落情况、临床疗效以及不良反应发生情况。结果治疗前,两组患儿的血清因子水平、肠道内菌群数量比较差异无统计学意义(P>0.05),治疗后两组患儿的降钙素原(procalcitonin,PCT)、C-反应蛋白(C-reactive protein,CRP)、白细胞计数(white blood cell count,WBC)、肠球菌、肠杆菌、双歧杆菌以及乳酸杆菌水平均有改善(P<0.05),其中研究组的PCT、CRP、WBC、肠球菌、双歧杆菌以及乳酸杆菌数量低于参照组,而研究组的肠杆菌数量高于参照组;同时研究组的临床有效率(94.00%)与参照组的临床有效率(86.00%)比较差异无统计学意义(P>0.05);两组患儿的不良反应发生率比较差异无统计学意义(P>0.05),但其中研究组腹泻的发生率高于参照组(P<0.05)。结论在对新生儿肺炎患儿进行治疗时采取阿莫西林克拉维酸钾单纯治疗与阿莫西林克拉维酸钾+第三代头孢类抗菌药(头孢他啶)的临床疗效相当,联合用药虽能更为显著地减少患儿机体的细菌数量,改善血清因子水平,但更易发生腹泻的并发症,且为了减少耐药性,应适当采用单独用药。 展开更多
关键词 阿莫西林克拉维酸钾 第三代头孢类抗菌药 新生儿肺炎 肠道菌群
下载PDF
β内酰胺类抗菌药物皮肤试验最佳证据总结
15
作者 杨林青 杨荔 +2 位作者 骆艳妮 蔡艳 姚聪 《护士进修杂志》 2024年第1期65-70,共6页
目的 对β内酰胺类抗菌药物皮肤试验的相关证据进行最佳总结。方法 以“β内酰胺类抗菌药物”“青霉素”“头孢菌素”和“皮肤试验”为主题词检索了中国知网、万方数据库、Elsevier、PubMed、SpringerLink、Wiley InterScience和web of ... 目的 对β内酰胺类抗菌药物皮肤试验的相关证据进行最佳总结。方法 以“β内酰胺类抗菌药物”“青霉素”“头孢菌素”和“皮肤试验”为主题词检索了中国知网、万方数据库、Elsevier、PubMed、SpringerLink、Wiley InterScience和web of science等数据库,并对国际指南网、美国国家指南网、英国国家指南中心网、欧洲指南网、澳大利亚临床指南网和新西兰指南网等指南网站进行检索,检索时限为建库至2023年1月31日。结果 共纳入证据8篇,其中7篇指南,1篇专家共识。总结出β内酰胺类抗菌药物皮肤试验适应证、操作基本原则和结果判读、过敏史的甄别与过敏反应的救治4个方面的证据。结论 医护人员应该按照循证医学证据进行临床实践,有助于提升对β内酰胺类抗菌药物皮肤试验的认知和操作规范,保证医疗安全,提高护理质量。 展开更多
关键词 β内酰胺类抗菌药物 青霉素 头孢菌素 皮肤试验 最佳证据
下载PDF
3种集采与非集采注射用头孢菌素有效性和安全性的多中心研究
16
作者 刘璐 宋沧桑 +5 位作者 李兴德 邓雨琴 毛盼盼 张函舒 董艳珍 程瑶瑶 《中国药房》 CAS 北大核心 2024年第7期825-830,共6页
目的比较国家组织药品集中采购(简称“集采”)与非集采注射用头孢唑林钠、注射用头孢呋辛钠和注射用头孢他啶治疗细菌性感染患者的有效性和安全性。方法回顾性收集昆明市19家医疗机构2020年1月至2022年9月使用过3种集采或非集采注射用... 目的比较国家组织药品集中采购(简称“集采”)与非集采注射用头孢唑林钠、注射用头孢呋辛钠和注射用头孢他啶治疗细菌性感染患者的有效性和安全性。方法回顾性收集昆明市19家医疗机构2020年1月至2022年9月使用过3种集采或非集采注射用头孢菌素治疗细菌性感染的住院患者的病例数据,采用倾向性评分匹配平衡组间基线差异后,分别比较3种集采与非集采注射用头孢菌素的有效性和安全性差异。结果平衡组间基线差异后,注射用头孢唑林钠集采组与非集采组各394例,注射用头孢呋辛钠集采组与非集采组各472例,注射用头孢他啶集采组504例、非集采组590例。有效性方面,注射用头孢唑林钠和注射用头孢呋辛钠集采组与非集采组的临床有效率、72 h有效率、细菌清除率及体温、白细胞计数、中性粒细胞计数、中性粒细胞百分比、C反应蛋白、降钙素原恢复率比较,差异均无统计学意义(P>0.05);注射用头孢他啶集采组C反应蛋白恢复至正常参考范围的患者比例显著高于非集采组(46.9%vs.27.9%,P<0.05),但其余有效性指标差异均无统计学意义(P>0.05)。安全性方面,3种注射用头孢菌素集采组患者的药品不良反应发生率与非集采组比较,差异均无统计学意义(P>0.05);注射用头孢唑林钠集采组患者血小板计数降低的发生率显著高于非集采组(20.7%vs.7.1%,P<0.05),注射用头孢他啶集采组患者嗜酸性粒细胞升高的发生率显著高于非集采组(5.3%vs.1.9%,P<0.05)。此外,3种注射用头孢菌素其余实验室相关指标异常率的组间差异均无统计学意义(P>0.05)。结论3种集采注射用头孢菌素的有效性不劣于非集采品种,安全性与非集采品种相当。 展开更多
关键词 注射用头孢唑林钠 注射用头孢呋辛钠 注射用头孢他啶 药品集中采购 头孢菌素
下载PDF
头孢菌素菌渣有机肥对玉米土壤中耐药菌及相关抗性基因的影响
17
作者 刘婉琴 易鸳鸯 +3 位作者 彭小武 谢芳 顾美英 张志东 《新疆农业科学》 CAS CSCD 北大核心 2024年第4期1003-1010,共8页
【目的】研究头孢菌素菌渣有机肥施用后对玉米农田土壤中耐药菌及相关抗性基因丰度的影响,为头孢菌素菌渣有机肥施用生物安全性评价提供科学依据。【方法】设置不施菌渣有机肥(CK)、施用菌渣有机肥500 kg/667m^(2)(B_(1))、1000 kg/667m... 【目的】研究头孢菌素菌渣有机肥施用后对玉米农田土壤中耐药菌及相关抗性基因丰度的影响,为头孢菌素菌渣有机肥施用生物安全性评价提供科学依据。【方法】设置不施菌渣有机肥(CK)、施用菌渣有机肥500 kg/667m^(2)(B_(1))、1000 kg/667m^(2)(B_(2))3个处理,分别采用可培养方法和实时荧光定量检测,分析各处理下玉米农田中耐药菌及相关抗性基因丰度变化。【结果】施用头孢菌素菌渣有机肥能显著提高玉米苗期和结果期土壤中细菌总数及苗期时头孢拉定耐药菌菌数。获得了主要抗生素耐药菌株41株,其中,头孢拉定耐药菌8株,分属于6个属。【结论】施用头孢菌素菌渣有机肥能显著提高玉米苗期土壤中各ARGs基因的相对丰度,但在结果期各处理间β-内酰胺类ARGs基因bla TEM相对丰度无显著影响,并对其它耐药基因无明显规律性影响。 展开更多
关键词 头孢菌素菌渣 玉米土壤 耐药菌 ARGs Q-PCR
下载PDF
耐碳青霉烯类铜绿假单胞菌的耐药机制及特征分析
18
作者 王亚平 麦吾丽旦·居来提 +3 位作者 张中文 李玉珍 徐令清 温伟洪 《现代医院》 2024年第1期144-148,共5页
目的探究本院耐碳青霉烯类铜绿假单胞菌(carbopenem-resistant pseudomonas aeruginosa,CRPA)的耐药机制及特征。方法用BD phoenix M50全自动鉴定药敏分析仪对菌株进行鉴定及药敏分析,微量肉汤稀释法测定头孢他啶/阿维巴坦的最低抑菌浓... 目的探究本院耐碳青霉烯类铜绿假单胞菌(carbopenem-resistant pseudomonas aeruginosa,CRPA)的耐药机制及特征。方法用BD phoenix M50全自动鉴定药敏分析仪对菌株进行鉴定及药敏分析,微量肉汤稀释法测定头孢他啶/阿维巴坦的最低抑菌浓度(minimal inhibitory concentration,MIC),采用改良碳青霉烯类失活法(modified carbapenem inactivation method,mCIM)和胶体金免疫层析法对菌株进行碳青霉烯酶表型检测,采用全基因组测序对筛查阳性菌株进行碳青霉烯酶耐药基因检测及ST分型。结果①收集22株临床分离CRPA,其中耐药率最低的抗菌药物为头孢他啶/阿维巴坦(22.7%),然后依次为庆大霉素和阿米卡星(27.3%),哌拉西林/他唑巴坦(59.09%),头孢吡肟(63.6%),头孢他啶和氨曲南(77.27%),环丙沙星(86.36%),左氧氟沙星(95.45%)。②22株CRPA表型检测结果显示产碳青霉烯酶共5株(22.7%)。③全基因组测序结果显示,有4株ST549型CRPA携带金属β-内酰胺酶IMP-45及丝氨酸β-内酰胺酶OXA-1,OXA-50,1株为ST245型CRPA携带金属β-内酰胺酶NDM-1,即5株CRPA菌株均产金属β-内酰胺酶。结论产碳青霉烯酶不是本院CRPA对碳青霉烯耐药主要机制,CRPA对头孢他啶/阿维巴坦耐药率低且其耐药机制主要是产金属β-内酰胺酶。 展开更多
关键词 铜绿假单胞菌 碳青霉烯酶 头孢他啶/阿维巴坦 耐药特征
下载PDF
医务人员对“取消头孢菌素常规皮试”态度及其影响因素的结构方程模型构建
19
作者 程弦宗 姜黎 +5 位作者 刘天虎 徐智 李志明 陈卫中 曾子倩 李波 《成都医学院学报》 CAS 2024年第5期890-893,907,共5页
目的调查医务人员对“取消头孢菌素常规皮试”的态度,并构建结构方程模型分析影响态度的原因。方法本研究通过调查问卷收集医务人员的一般特征和对“取消头孢菌素常规皮试”的态度及其相应影响因素信息;使用结构方程模型分析医务人员对... 目的调查医务人员对“取消头孢菌素常规皮试”的态度,并构建结构方程模型分析影响态度的原因。方法本研究通过调查问卷收集医务人员的一般特征和对“取消头孢菌素常规皮试”的态度及其相应影响因素信息;使用结构方程模型分析医务人员对“取消头孢菌素常规皮试”态度影响因素之间的关系。结果研究生及以上学历医务人员态度得分较其他医务人员低;感染/呼吸科医务人员态度较其他科室医务人员态度得分高;促成因素和强化因素能够改变医务人员对“取消头孢菌素常规皮试”的态度。结论高学历及非感染/呼吸科医务人员对“取消头孢菌素常规皮试”态度积极性较低,国家政策文件、上级医疗机构行为、专业学术团队推荐意见、医院支持态度等健康教育措施有助于提高医务人员对“取消头孢菌素常规皮试”态度的积极性。 展开更多
关键词 头孢菌素 皮试 影响因素 格林模式 结构方程模型
下载PDF
Analysis of Polymer Impurities in Cephalosporin Antibiotics
20
作者 Shiqiang OU Yanxi LAI +6 位作者 Peng XIE Hao LIU Shicheng LIU Jin QIN Yiping QIN Yizhang WANG Shengjiu GU 《Medicinal Plant》 2024年第5期22-26,30,共6页
[Objectives]To establish a HPLC-MS method for the determination of polymer impurities in cefathiamidine and its preparations.[Methods]Kromasil 100-5 C_(18) column(4.6 mm ×250 mm,5μm)was used for analysis;mobile ... [Objectives]To establish a HPLC-MS method for the determination of polymer impurities in cefathiamidine and its preparations.[Methods]Kromasil 100-5 C_(18) column(4.6 mm ×250 mm,5μm)was used for analysis;mobile phase ammonium acetate solution(pH 6.30)-acetonitrile,gradient elution;volumetric flow rate 1.0 mL/min;column temperature 40℃;multi-reaction monitoring mode was used for analysis,and positive ion scanning was chosen as the electrospray ion source.[Results]The resolution between impurities and main peaks under this method was greater than 1.5,and 8 known impurities and 2 polymer impurities could be completely separated and distinguish-ed.It was inferred that the molecular ion peak[M+H]^(+):m/z727.1874,m/z 785.1937 was the possible polymer impurity of this product.[Conclusions]A method for the analysis of polymer impurities in cefathiamidine and its preparations was formed,which could achieve the purpose of simultaneous analysis of small molecule impurities and polymer impurities,and could better control the content of single impurities in the polymer,providing a reliable inspection basis for strict control of cefathiamidine quality. 展开更多
关键词 cefathiamidine Cephalosporin polymer impurities Impurity analysis High Performance Liquid Chromatography-Mass Spectrometry
下载PDF
上一页 1 2 75 下一页 到第
使用帮助 返回顶部