持续非卧床腹膜透析患者葡萄球菌性腹膜炎的治疗。

J Drinovec, A Bren, A Gucek, J Lindic, A Kandus, R Ponikvar
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引用次数: 0

摘要

这项前瞻性、随机、开放研究的目的是调查持续动态腹膜透析(CAPD)患者葡萄球菌引起的腹膜炎的频率过程并评估其治疗方法。自1983年6月至1986年11月,共收治20例患者,男9例,女11例,年龄25 ~ 73岁。在258个月的CAPD治疗期间,他们有54次腹膜炎发作。腐生葡萄球菌是腹膜炎最常见的病原体,44%的病例从腹膜流出物中分离出来,表皮葡萄球菌在7%的病例中分离出来。在5%的病例中分离出金黄色葡萄球菌,并引起更严重的腹膜炎。庆大霉素联合甲氧西林治疗14例,2例治疗不成功。庆大霉素与氯西林合用5例,克林霉素与美洛西林合用12例,均取得良好效果。最后的组合似乎是最有效的治疗葡萄球菌性腹膜炎。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The treatment of staphylococcus peritonitis in patients on continuous ambulatory peritoneal dialysis.

The aim of this prospective, randomized, open study was to survey the frequency course and to evaluate the therapy of peritonitis induced by staphylococci in patients on continuous ambulatory peritoneal dialysis (CAPD). From June 1983 to November 1986, 20 patients (9 men, 11 women) aged from 25 to 73 were treated. During 258 months of the CAPD treatment they had 54 episodes of peritonitis. Staphylococcus saprophyticus was the most frequent offender of peritonitis, isolated from peritoneal effluent in 44% of the cases, Staphylococcus epidermidis was isolated in 7% of the cases. Staphylococcus aureus was isolated in 5% of the cases and caused a more severe form of peritonitis. The combination of gentamicin and methicillin was used in 14 cases, in 2 cases this treatment was unsuccessful. A combination of gentamicin and cloxacillin was used in 5 cases and a combination of clindamycin and mezlocillin in 12 cases of peritonitis, giving good results in all cases. The last combination seemed to be the most effective in the treatment of staphylococcus induced peritonitis.

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