期刊文献+
共找到410篇文章
< 1 2 21 >
每页显示 20 50 100
替考拉宁(Teicoplanin)一种可治疗甲氧西林耐药菌感染的新的糖肽类抗生素
1
作者 陈永乐 《四川生理科学杂志》 1994年第Z1期20-21,共2页
1991年由Marion Merrell Dow—Lepetit公司首先在意大利上市的Teicoplanin,由于在临床上可治疗甲氧西林耐药菌以及多剂耐药菌引起的子种感染,故引起人们的关注。
关键词 甲氧西林 teicoplanin 替考拉宁 耐药菌感染 糖肽类抗生素 抗菌活性 肺炎链球菌 药代动力学 肠球菌 鼠败血症
暂未订购
Accelerated Cutaneous Wound Healing Using an Injectable Teicoplanin-loaded PLGA-PEG-PLGA Thermogel Dressing 被引量:7
2
作者 Wei-Ke Xu Jing-Yu Tang +7 位作者 Zhang Yuan Cai-Yun Cai Xiao-Bin Chen Shu-Quan Cui Peng Liu Lin Yu Kai-Yong Cai Jian-Dong Ding 《Chinese Journal of Polymer Science》 SCIE CAS CSCD 2019年第6期548-559,共12页
Bacterial infection is a very troublesome issue in wound treatment, which stimulates exudate formation and severely delays the healing process. Herein, a thermogelling dressing system composed of two triblock copolyme... Bacterial infection is a very troublesome issue in wound treatment, which stimulates exudate formation and severely delays the healing process. Herein, a thermogelling dressing system composed of two triblock copolymers of poly(D,L-lactic acid-co-glycolic acid)-b-poly(ethylene glycol)-b-poly(D,L-lactic acid-co-glycolic acid)(PLGA-PEG-PLGA) with different block lengths was developed to deliver teicoplanin(TPN), a glycopeptide antibiotic, for cutaneous wound repair. The TPN-loaded thermogel was a free-flowing sol at room temperature and formed a semi-solid gel at physiological temperature. In vitro studies demonstrated that the TPN-loaded thermogel system exhibited desired tissue adhesiveness and realized the sustained release of TPN in a fast-followed-slow manner for over three weeks. Furthermore, a full-thickness excision wound model in Sprague-Dawley(SD) rats was constructed to assess the efficacy of TPNloaded thermogel formulation. Gross and histopathologic observations implied that treatment with the thermogel formulation reduced inflammation response, promoted disposition of collagen, enhanced angiogenesis, and accelerated wound closure and maturity of SD rats.The combination of the bioactivity of TPN and the acidic nature of the thermogel matrix was responsible for such an enhanced wound healing process. Consequently, the TPN-loaded PLGA-PEG-PLGA thermogel is a good candidate of wound dressing for full-thickness excision wound healing. 展开更多
关键词 Wound DRESSING PLGA-PEG-PLGA thermogel ANTI-INFECTION teicoplanin SUSTAINED release
原文传递
Aptamer-quantum dots and teicoplanin-gold nanoparticles constructed FRET sensor for sensitive detection of Staphylococcus aureus 被引量:6
3
作者 Xiaoqi Tao Ziyi Liao +4 位作者 Yaqing Zhang Fei Fu Mengqi Hao Yang Song Erqun Song 《Chinese Chemical Letters》 SCIE CAS CSCD 2021年第2期791-795,共5页
The detection of bacterial pathogen such as Staphylococcus aureus(S.aureus) is essential for the regulation of food hygiene and disease diagnosis.Herein,we developed a simple one-step fluorescence resonance energy tra... The detection of bacterial pathogen such as Staphylococcus aureus(S.aureus) is essential for the regulation of food hygiene and disease diagnosis.Herein,we developed a simple one-step fluorescence resonance energy transfer(FRET)-based sensor for specific and sensitive detection of S.aureus in food and serum samples,in which aptamer-modified quantum dots(aptamer-QDs) was employed as the energy donor and antibiotic of teicoplanin functionalized-gold nanoparticles(Teico-AuNPs) was chosen as the energy acceptor.Within 1 h,the FRET-based sensor showed a linear range of from 10 cfu/mL to 5 × 10^(8) cfu/mL,with the low limit of detection(LOD,2 cfu/mL) for S.aureus in buffer.When further applied to assay S.aureus in real samples,the FRET-based sensor showed good recoveries ranging from 84.5% to 110.0%,with relative standard derivations(RSDs) of 0.01%-0.44% and a LOD of 100 cfu/mL in milk,orange juice and human serum. 展开更多
关键词 Fluorescence resonance energy transfer(FRET) Staphylococcus aureus APTAMER Quantum dot teicoplanin Gold nanoparticles
原文传递
TEICOPLANIN体外抗菌活性研究 被引量:2
4
作者 陈林 王其南 +3 位作者 蒋玉富 郑行萍 刘鸿渝 李崇智 《重庆医科大学学报》 CAS CSCD 1994年第3期173-176,共4页
Teicoplamin为一种新的糖肽类抗生素。本文报道teicoplanin对临床检验的165株革兰氏阳性球菌,包括甲氧西林敏感及耐药金黄色葡萄球菌(MSSA、MRSA)、肺炎球菌、粪链球菌和草绿色链球菌的体外抗菌活... Teicoplamin为一种新的糖肽类抗生素。本文报道teicoplanin对临床检验的165株革兰氏阳性球菌,包括甲氧西林敏感及耐药金黄色葡萄球菌(MSSA、MRSA)、肺炎球菌、粪链球菌和草绿色链球菌的体外抗菌活性,并与去甲万古霉素等抗菌剂比较。结果显示,teicoplanin对MRSAMSSA、肺炎球菌和草绿色链球菌有强的抗菌活性,MIC_(90)≤2mg/L,抑菌率为95~100%,对MRSE和MSSE的抗菌率为71.4%和82.6%。但对粪链球菌的MIC_(90)为64mg/L,抑菌率为58.3%。 展开更多
关键词 teicoplanin 体外抗菌活性 抗菌素
暂未订购
Teicoplanin combined with conventional vancomycin therapy for the treatment of pulmonary methicillin-resistant Staphylococcus aureus and Staphylococcus epidermidis infections 被引量:3
5
作者 Wei Wu Min Liu +1 位作者 Jia-Jing Geng Mei Wang 《World Journal of Clinical Cases》 SCIE 2021年第34期10549-10556,共8页
BACKGROUND Vancomycin and teicoplanin are both antibiotics that have significant antimicrobial effects on Gram-positive cocci.AIM To explore the value of teicoplanin combined with conventional(vancomycin only)anti-inf... BACKGROUND Vancomycin and teicoplanin are both antibiotics that have significant antimicrobial effects on Gram-positive cocci.AIM To explore the value of teicoplanin combined with conventional(vancomycin only)anti-infective therapy for the treatment of methicillin-resistant Staphylococcus aureus and Staphylococcus epidermidis pulmonary infections.METHODS A total of 86 patients with methicillin-resistant Staphylococcus aureus or methicillin-resistant Staphylococcus epidermidis pulmonary infections,treated in our hospital between January 2018 and February 2020,were assigned to the study and control groups using a random number table method,with 43 patients in each group.The control group received conventional treatment(vancomycin),and the study group received both teicoplanin and conventional treatment.The following indicators were assessed in both groups:the time required for symptom relief,treatment effectiveness,serum levels of inflammatory factors(procalcitonin,interleukin-1β,tumor necrosis factor-α,C-reactive protein),clinical pulmonary infection scores before and after treatment,and the incidence of adverse reactions.RESULTS Patients in the study group were observed to have faster cough and expectoration resolution,white blood cell count normalization,body temperature normalization,and rales disappearance than patients in the control group(all P<0.05);the total rate of effectiveness was 93.02%in the study group,higher than the 76.74%in the control group(P<0.05).The pre-treatment serum levels of procalcitonin,interleukin-1β,tumor necrosis factor-α,and C-reactive protein as well as the clinical pulmonary infection scores were similar among the patients in both groups.However,the post-treatment serum levels of procalcitonin,interleukin-1β,tumor necrosis factor-α,and C-reactive protein as well as the clinical pulmonary infection scores were significantly lower in the study group than in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the groups.CONCLUSION Compared with conventional(vancomycin only)therapy,teicoplanin and vancomycin combination therapy for patients with pulmonary methicillinresistant Staphylococcus aureus and methicillin-resistant Staphylococcus epidermidis infections can improve patient clinical symptoms,modulate serum inflammatory factor levels,and improve treatment efficacy,without increasing the risk of adverse reactions. 展开更多
关键词 VANCOMYCIN teicoplanin Methicillin-resistant Staphylococcus aureus Methicillin-resistant Staphylococcus epidermidis Lung infection
暂未订购
Determination of Teicoplanin A2's Partition Coefficient in Different Liquid-Liquid Extraction Systems 被引量:2
6
作者 陈勇 Bin Mat Hanapi +2 位作者 徐志南 金志华 岑沛霖 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2004年第4期493-497,共5页
Teicoplanin is one of the macrocyclic glycopeptide antibiotics, which is active against Gram-positive bacteria, and has attracted a lot of attention in the field of chiral separation recently. In this work, the partit... Teicoplanin is one of the macrocyclic glycopeptide antibiotics, which is active against Gram-positive bacteria, and has attracted a lot of attention in the field of chiral separation recently. In this work, the partition coefficients and extraction ratio of teicoplanin in three different solvent systems were studied: conventional extraction, reactive extraction and reverse micelle extraction. With conventional solvent extraction, n-butanol demonstrated high partition coefficient for teicoplanin, but low extraction ratio because of its high solubility in water. Reactive extraction of teicoplanin showed the highest partition coefficient with almost 100% recovery in organic phase when tri-n-octylmethyl ammonium chloride (TOMAC) was used as extractant and pH value was above 5.0. A reverse micelle system, consisted of isooctane +10mmol-L-1 TOMAC +1% n-octanol, also offered high separation factor for teicoplanin. The results are beneficial for the design of teicoplanin separation and purification process. 展开更多
关键词 teicoplanin partition coefficients conventional extraction reverse micelle extraction
在线阅读 下载PDF
AO-MW-PLS method applied to rapid quantification of teicoplanin with near-infrared spectroscopy 被引量:1
7
作者 Jiemei Chen Tian Ai +2 位作者 Tao Pan Lijun Yao Fenggeng Xia 《Journal of Innovative Optical Health Sciences》 SCIE EI CAS 2017年第1期21-33,共13页
Teicoplanin(TCP)is an important lipoglycopeptide antibiotic produced by fermenting Acti-noplanes teichomyceticus.The change in TCP concentration is important to measure in the fermentation process.In this study,a reag... Teicoplanin(TCP)is an important lipoglycopeptide antibiotic produced by fermenting Acti-noplanes teichomyceticus.The change in TCP concentration is important to measure in the fermentation process.In this study,a reagent-free and rapid quantification method for TCP in the TCP-Tris-HCl mixture samples was developed using near infrared(NIR)spectroscopy by focusing our attention on the fermentation process for TCP.The absorbance optimization(AO)partial least squares(PLS)was proposed and integrated with the moving window(MW)PLS,which is called AO-MW-PLS method,to select appropriate wavebands.Amodel set that includes various wavebands that were equivalent to the optimal AO-MW-PLS waveband was,proposed based on statistical considerations.The public region of all equivalent wavebands was just one of the equivalent wavebands.The obtained public regions were 1540-1868 nm for TCP and 1114-1310 nm for Tris.The root-mean-square error and correlation coeficient for leave-one-out cross validation were 0.046 mg mL^(-1)and 0.9998 mg mL^(-1)for TCP,and 0.235 mg mL^(-1)and 0.9986 mg mL^(-1)for Tris,respectively.All the models achieved highly accurate prediction effects,and the selected wavebands provided valuable references for designing specialized spectrometers.This study provided a valuable reference for further application of the proposed methods to TCP fermentation broth and to other spectroscopic analysis fields. 展开更多
关键词 teicoplanin near-infrared spectroscopic analysis absorbance optimization partial least squares moving window partial least squares equivalent model set
原文传递
Wavelength Selection for Near-Infrared Spectroscopic Analysis of Teicoplanin 被引量:1
8
作者 Jing Zhang Tian Ai +1 位作者 Jiemei Chen Tao Pan 《American Journal of Analytical Chemistry》 2016年第5期460-468,共9页
Teicoplanin (TCP) is a multiple drug-resistant lipoglycopeptide antibiotic produced by fermenting Actinoplanes teichomyceticus. In this study, a mixture of TCP with the Tris-HCl buffer (TCP-Tris- HCl) was used to simu... Teicoplanin (TCP) is a multiple drug-resistant lipoglycopeptide antibiotic produced by fermenting Actinoplanes teichomyceticus. In this study, a mixture of TCP with the Tris-HCl buffer (TCP-Tris- HCl) was used to simulate TCP fermentation broth. The reagent-free, rapid and simultaneous quantitative analysis models for TCP and Tris in the TCP-Tris-HCl mixtures were established by near-infrared (NIR) spectroscopy. The equidistant combination partial least squares (EC-PLS) method and the equivalent model sets were proposed, the simplest equivalent model with the smallest number of wavelengths were further selected. The initial wavelength, number of wavelengths, number of wavelength gaps, number of PLS factors were 1520 nm, 28, 5, 5 for TCP and 1084 nm, 13, 6, 4 for Tris, respectively. Compared with the optimal EC-PLS models, the simplest equivalent models adopted fewer wavelengths. Thus, the redundant wavelengths were removed, the models were further simplified. The root-mean-square errors (SEP) and correlation coefficients (R<sub>P</sub>) for prediction were 0.043 mg·mL<sup>-1</sup> and 0.9998 for TCP, and 0.222 mg·mL<sup>-1</sup> and 0.9989 for Tris, respectively. The results indicate that NIR method can be applied to highly accurate quantitative analysis for TCP and provide valuable references for further application to TCP fermentation broth. 展开更多
关键词 teicoplanin Near-Infrared Spectroscopy Equidistant Combination Partial Least Squares Equivalence Model Set The Simplest Equivalent Model
在线阅读 下载PDF
糖肽类抗生素Teicoplanin
9
作者 徐积恩 《国外医药(抗生素分册)》 CAS 北大核心 1991年第5期367-372,共6页
Teicoplanin系由游动放线菌(Actino-planes teichomyceticus)产生的一种糖肽类抗生素,原名teichomycinA_2。它是有5种密切相关的糖肽抗生素的复合物,每种糖肽抗生素有类似三环结构万古霉素的四环分子结构(附图)。本品由意大利开发上市,... Teicoplanin系由游动放线菌(Actino-planes teichomyceticus)产生的一种糖肽类抗生素,原名teichomycinA_2。它是有5种密切相关的糖肽抗生素的复合物,每种糖肽抗生素有类似三环结构万古霉素的四环分子结构(附图)。本品由意大利开发上市,商品名为Targocid。 展开更多
关键词 糖肽类 抗生素 teicoplanin
暂未订购
万古霉素和Teicoplanin的体外抗生素后效作用的比较
10
作者 Cooper M A 黄为 《国外医药(抗生素分册)》 CAS 北大核心 1991年第5期373-374,共2页
万古霉素被确定用来作为治疗革兰氏阳性菌感染的抗生素,尤其是当菌类对多种抗生素产生耐药性造成治疗上的困难时。Tei-coplanin是由5个结构很相似的糖肽抗生素组成,其基本结构与万古霉素类似,并有类似的抗菌谱和作用方式,但药代动力学... 万古霉素被确定用来作为治疗革兰氏阳性菌感染的抗生素,尤其是当菌类对多种抗生素产生耐药性造成治疗上的困难时。Tei-coplanin是由5个结构很相似的糖肽抗生素组成,其基本结构与万古霉素类似,并有类似的抗菌谱和作用方式,但药代动力学不同。Teicoplanin有很长的半衰期和较好的组织渗透力以及可能毒性较低,而且与万古霉素形成对照。 展开更多
关键词 万古霉素 teicoplanin 抗生素
暂未订购
Teicoplanin:替考拉宁
11
《国外新药介绍》 1991年第2期3-6,共4页
关键词 替考拉宁 teicoplanin 抗生素
暂未订购
Evaluation and Comparison of a 3,5-Dimethylphenyl Isocyanate Teicoplanin with Phenyl Isocyanate Teicoplanin Chiral Stationary Phase Using RP-HPLC
12
作者 沈报春 张大同 +3 位作者 余小燕 郭伟 韩亚琼 徐秀珠 《Chinese Journal of Chemistry》 SCIE CAS CSCD 2012年第1期157-162,共6页
HPLC enantiomeric separations of 8 a-amino acids were achieved using two self-made chiral stationary phases (CSP)-henyl isocyanate teicoplanin (Phe-TE) and 3,5-dimethylphenyl isocyanate teicoplanin (DMP-TE), usi... HPLC enantiomeric separations of 8 a-amino acids were achieved using two self-made chiral stationary phases (CSP)-henyl isocyanate teicoplanin (Phe-TE) and 3,5-dimethylphenyl isocyanate teicoplanin (DMP-TE), using reversed phase mobile phases. The Phe-TE or the DMP-TE CSP was prepared from the TE using derivative agents, phenyl isocyanate or 3,5-dimethylphenyl isocyanate, respectively. The chromatographic results were given as the retention, selectivity, resolution factor and the enantioselective free energy difference corresponding to the separation of the two enantiomers. The effect of pH, organic modifier type and amount were discussed, and the stereose- lectivities for two TE-based CSPs were compared. The chiral selectivity factor for six a-amino acids on DMP-TE is somewhat bigger than that on Phe-TE CSP under reversed phase (RP) mode. Comparison of the enantiomeric separations using self-made Phe-TE and DMP-TE was conducted to gain a better understanding of the chiral recognition mechanism of the macrocyclic glycopeptide CSP. 展开更多
关键词 chiral stationary phase phenylisocyanate teicoplanin 3 5-dimethylphenylisocyanate teicoplanin
原文传递
Granulicatella adiacens Infective Endocarditis Treated With Teicoplanin and Ceftriaxone:A Case Report
13
作者 Min Tang Hongji Zhou +3 位作者 Ju Zhang Fengying Peng Golamaully Sumayyah Bei Jia 《Infectious Microbes & Diseases》 2021年第3期168-170,共3页
We describe a case of infective endocarditis(IE)caused by Granulicatella adiacens in a patient who had fever for 4months before admission.He had a complex medical history of active hyperthyroidism and schizophrenia,wh... We describe a case of infective endocarditis(IE)caused by Granulicatella adiacens in a patient who had fever for 4months before admission.He had a complex medical history of active hyperthyroidism and schizophrenia,which might have misled the clinician in ignoring the existence of a serious infection like IE.A history of splenectomy and the likelihood of congenital cardiac valve deficiency were the possible underlying risk factors.His persistent leukocytosis perplexed our judgement in terms of resolution of infection and treatment efficacy,which was probably due to his splenectomy.C-reactive protein was the alternative laboratory indicator.Clinical and Laboratory Standards Institute criteria have not been established for the fastidious G.adiacens.Therefore,we referred to the viridans group streptococci and literature to evaluate antimicrobial susceptibility testing.We suggest that teicoplanin combined with ceftriaxone could serve as an effective therapy for IE caused by G.adiacens. 展开更多
关键词 CEFTRIAXONE Granulicatella adiacens infective endocarditis teicoplanin Introduction
原文传递
游离替考拉宁血药浓度监测及其影响因素 被引量:1
14
作者 王晶 吴泽君 +2 位作者 金路 罗雪梅 朱怀军 《医药导报》 北大核心 2025年第2期293-298,共6页
替考拉宁是目前临床上治疗多重耐药金黄色葡萄球菌和肠球菌感染疾病的首选药物之一。其血浆蛋白结合率较高,绝大部分药物进入人体后与蛋白结合,只有部分药物以游离形式存在,但仅游离药物可透过生物膜,进入靶组织发挥疗效,因此对游离替... 替考拉宁是目前临床上治疗多重耐药金黄色葡萄球菌和肠球菌感染疾病的首选药物之一。其血浆蛋白结合率较高,绝大部分药物进入人体后与蛋白结合,只有部分药物以游离形式存在,但仅游离药物可透过生物膜,进入靶组织发挥疗效,因此对游离替考拉宁血药浓度进行监测具有个体化用药指导价值和重要的临床意义。该文总结对比游离替考拉宁药物浓度测定方法并分析其优劣势,并在此基础上对影响游离替考拉宁药物浓度的可能因素进行分析,为后期开发新的游离替考拉宁浓度检测方法及基于游离浓度提供更精准的个体化用药方案提供参考。 展开更多
关键词 替考拉宁 血药浓度监测 游离药物浓度
暂未订购
治疗耐甲氧西林金黄色葡萄球菌抗菌药物注射剂临床快速综合评价
15
作者 胡爱玲 刘秀娟 +4 位作者 于小杰 王娜 王莉 魏颖 袁括 《药物评价研究》 北大核心 2025年第5期1281-1292,共12页
目的以《中国医疗机构药品评价与遴选快速指南(第二版)》为基准构建评估体系,对注射用抗耐甲氧西林金黄色葡萄球(MRSA)药物开展多维度综合评价,旨在为临床合理用药及医疗机构药品遴选提供循证依据。方法采用系统性文献回顾策略,全面纳... 目的以《中国医疗机构药品评价与遴选快速指南(第二版)》为基准构建评估体系,对注射用抗耐甲氧西林金黄色葡萄球(MRSA)药物开展多维度综合评价,旨在为临床合理用药及医疗机构药品遴选提供循证依据。方法采用系统性文献回顾策略,全面纳入参评药品的真实世界研究、Meta分析、随机对照试验、临床指南、系统综述、专家共识及药品说明书等多源证据,结合治疗MRSA注射剂的临床特性,优化评价指标体系,并从5个维度进行量化评估,分别为药学特性、经济性、有效性、安全性及其他属性。结果所有纳入评估的注射用MRSA治疗药物综合评分均高于65分,其中江苏正大丰海制药生产的利奈唑胺注射液以80.0分位居首位,丽珠集团生产的万古霉素(75.9分)与VIANEX S.A.生产的万古霉素(75.6分)分列其后。其他注射液的评分结果依次为:利奈唑胺注射液(Pfizer AS)73.7分、奈诺沙星(浙江医药)70.0分、达托霉素(安士制药)69.7分、替考拉宁(浙江医药)68.8分、去甲万古霉素(华北制药)得分最低为66.2分。纳入不同生产企业的万古霉素与利奈唑胺制剂进行评估,结果显示国家药品集中采购的仿制药(已通过一致性评价)在药品经济学维度中显著优于原研产品。结论所有纳入评估的MRSA治疗用注射剂均展现出良好的临床应用价值,为医疗机构在治疗MRSA抗菌药物注射剂遴选与促进临床合理用药提供数据支持。 展开更多
关键词 耐甲氧西林金黄色葡萄球菌 万古霉素 利奈唑胺 替考拉宁 达托霉素 奈诺沙星 综合评价
原文传递
重症感染患者使用不同剂量替考拉宁的血药浓度达标情况及其影响因素分析 被引量:1
16
作者 朱虚阳 王伟娇 +1 位作者 刘文凯 秦侃 《中国医院用药评价与分析》 2025年第3期301-304,308,共5页
目的:探讨不同剂量替考拉宁在重症感染患者中的血药浓度分布特征、达标情况及影响血药浓度的相关因素。方法:回顾分析2021年12月至2023年12月该院使用替考拉宁的63例重症感染患者及其106份血样,按给药剂量分为标准剂量组(400 mg)33例和... 目的:探讨不同剂量替考拉宁在重症感染患者中的血药浓度分布特征、达标情况及影响血药浓度的相关因素。方法:回顾分析2021年12月至2023年12月该院使用替考拉宁的63例重症感染患者及其106份血样,按给药剂量分为标准剂量组(400 mg)33例和高剂量组(800 mg)30例,采用高效液相色谱法测定替考拉宁血药浓度,采用多元线性回归分析影响替考拉宁血药浓度的相关因素。结果:替考拉宁平均血药浓度为(13.91±11.53)μg/mL,仅54.72%的患者(58例次/106例次)血药浓度在治疗窗范围内。标准剂量组、高剂量组患者替考拉宁平均血药浓度分别为(10.19±8.59)、(17.34±12.85)μg/mL,两组的差异有统计学意义(P<0.05)。标准剂量组、高剂量组患者替考拉宁的血药浓度达标率分别为43.14%(22例次/51例次)、65.45%(36例次/55例次),两组的差异有统计学意义(P<0.05)。治疗期间,所有患者的不良反应发生率为22.22%(14/63),标准剂量组患者的不良反应发生率为24.24%(8/33),高剂量组患者的不良反应发生率为20.00%(6/30),两组的差异无统计学意义(P>0.05)。多元线性回归分析显示,肾小球滤过率、给药剂量、白蛋白水平和性别对替考拉宁血药浓度具有显著影响。结论:为了确保血药浓度保持在治疗窗内,应根据患者的感染情况和肾功能实施个体化的负荷剂量给药,以提高替考拉宁在重症感染患者中的治疗效果。 展开更多
关键词 替考拉宁 血药浓度 血药浓度监测 影响因素
暂未订购
替考拉宁治疗脓毒症患者的血药谷浓度与临床疗效和安全性的相关性分析 被引量:1
17
作者 岑菁 高倩 +1 位作者 刘睿翔 马攀 《中国抗生素杂志》 北大核心 2025年第1期92-98,共7页
目的探讨脓毒症患者使用替考拉宁血药谷浓度(C_(min))达标情况与疗效和安全性的相关性,为临床合理用药提供参考。方法回顾性收集2017年11月—2022年7月陆军军医大学第一附属医院脓毒症患者使用替考拉宁治疗后的血药谷浓度达标情况、临... 目的探讨脓毒症患者使用替考拉宁血药谷浓度(C_(min))达标情况与疗效和安全性的相关性,为临床合理用药提供参考。方法回顾性收集2017年11月—2022年7月陆军军医大学第一附属医院脓毒症患者使用替考拉宁治疗后的血药谷浓度达标情况、临床疗效及安全性。结果116例脓毒症患者共监测替考拉宁C_(min)169例次。第4剂前和第6剂前C_(min)平均值分别为(16.35±10.05)mg/L和(20.46±10.27)mg/L,差异有统计学意义(P<0.05)。第4剂前和第6剂前C_(min)≥15 mg/L的达标率分别为43.97%(51/116)和62.26%(33/53),差异无统计学意义(P=0.226)。116例患者临床有效率85.34%,不良反应发生率6.03%。75例目标性治疗患者共检出90株革兰阳性菌,临床总有效率86.67%,细菌清除率87.78%,不良反应发生率6.67%。目标性治疗中按C_(min)达标情况分为达标组和未达标组,两组的临床总有效率分别为93.18%(41/44)和77.42%(24/31),细菌总清除率分别为92.98%(53/57)和78.79%(26/33),差异均有统计学意义(P<0.05);不良反应发生率分别为4.55%(2/44)和9.68%(3/31),差异无统计学意义(P>0.05)。按替考拉宁起始负荷剂量分为高剂量组和低剂量组,两组的临床总有效率分别为97.06%(33/34)和78.05%(32/41),细菌总清除率分别为97.73%(43/44)和78.79%(36/46),差异均有统计学意义(P<0.05);不良反应发生率分别为5.88%(2/34)和7.32%(3/41),差异无统计学意义(P>0.05)。结论替考拉宁在治疗脓毒症革兰阳性菌感染时疗效好,安全性较高。替考拉宁起始负荷剂量及C_(min)与临床疗效呈正相关,且未导致不良反应增加。 展开更多
关键词 替考拉宁 脓毒症 血药谷浓度 负荷剂量 临床疗效
暂未订购
注射用替考拉宁和瑞巴派特片致血小板和白细胞减少1例分析
18
作者 寇洁健 王彦改 《中国药物警戒》 2025年第2期227-230,共4页
目的探讨注射用替考拉宁和瑞巴派特片致血小板和白细胞减少的临床特点及其可能的发生机制,为临床安全用药提供参考。方法通过分析1例使用注射用替考拉宁和瑞巴派特片致血小板和白细胞减少的病例,并检索相关文献,分析白细胞及血小板减少... 目的探讨注射用替考拉宁和瑞巴派特片致血小板和白细胞减少的临床特点及其可能的发生机制,为临床安全用药提供参考。方法通过分析1例使用注射用替考拉宁和瑞巴派特片致血小板和白细胞减少的病例,并检索相关文献,分析白细胞及血小板减少不良反应的特点及发生机制。结果患者分别在使用注射用替考拉宁和瑞巴派特片第2天出现血小板和白细胞减少,梳理患者用药并查阅药品说明书及相关文献,考虑血小板减少与注射用替考拉宁相关,白细胞减少与瑞巴派特片相关。建议临床停用相关药物,患者在停用注射用替考拉宁8天、停用瑞巴派特片4天,并予以输注血小板治疗后,血小板和白细胞计数逐渐恢复至正常范围。结论临床治疗过程中应关注注射用替考拉宁和瑞巴派特片有致血小板减少和白细胞减少不良反应的风险,若有相关反应,应及时停药,并给予对症处理,确保用药安全。 展开更多
关键词 注射用替考拉宁 瑞巴派特片 血小板减少 白细胞减少 药品不良反应
暂未订购
美罗培南联合替考拉宁治疗老年重症肺部感染患者的临床疗效
19
作者 邢婧 王玥坤 +1 位作者 吴安妮 杜德慧 《中国临床医生杂志》 2025年第9期1089-1093,共5页
目的探讨美罗培南(MER)联合替考拉宁(TCP)治疗老年重症肺部感染(SPI)患者的疗效。方法选择2022年1月至2025年1月中国人民解放军东部战区总医院收治的108例老年SPI患者,根据组间一般基线资料均衡的原则,按随机数字表法分为对照组(n=54,... 目的探讨美罗培南(MER)联合替考拉宁(TCP)治疗老年重症肺部感染(SPI)患者的疗效。方法选择2022年1月至2025年1月中国人民解放军东部战区总医院收治的108例老年SPI患者,根据组间一般基线资料均衡的原则,按随机数字表法分为对照组(n=54,常规治疗+MER)和观察组(n=54,常规治疗+MER+TCP)。对比两组患者症状体征(体温/咳嗽/肺部啰音)改善情况、痰菌转阴时间及血气指标、炎症指标、药物不良反应(ADR)、28d病死率。结果观察组患者经美罗培南联合替考拉宁治疗,症状体征(体温/咳嗽/肺部啰音)改善良好、痰菌转阴时间较对照组短,两组比较差异有统计学意义(P<0.05)。治疗后,两组患者的动脉血氧分压(PaO_(2))较治疗前明显升高,但观察组高于对照组高,差异有统计学意义(P<0.05);而两组患者的二氧化碳分压(PaCO_(2))、超敏C反应蛋白(hs-CRP)、降钙素原、正五聚体蛋白(PTX3)、高迁移率族蛋白B1(HMGB1)均较治疗前显著降低,但观察组较对照组低,差异有统计学意义(P<0.05)。观察组患者的ADR发生率(9.26%)较对照组(18.52%)低,但差异无统计学意义(P>0.05)。观察组患者28d病死率(9.26%)低于对照组(24.07%),差异有统计学意义(Log-rankχ^(2)=4.845,P=0.028)。结论MER联合TCP治疗老年SPI有效且安全。 展开更多
关键词 美罗培南 替考拉宁 老年 重症肺部感染
暂未订购
耐甲氧西林金黄色葡萄球菌对抗菌药物MIC值的监测 被引量:20
20
作者 陈栎江 周铁丽 +2 位作者 吴庆 刘媚娜 吴莲凤 《中华医院感染学杂志》 CAS CSCD 北大核心 2009年第11期1407-1409,共3页
目的了解医院5年分离的耐甲氧西林金黄色葡萄球菌(MRSA)对抗菌药物MIC值的变迁。方法用Etest法检测临床分离的MRSA对万古霉素、替考拉宁和利奈唑烷的MIC值。结果2003-2007年5年内,MRSA检出率从2003年的52.2%上升到2007年的74.5%,万古霉... 目的了解医院5年分离的耐甲氧西林金黄色葡萄球菌(MRSA)对抗菌药物MIC值的变迁。方法用Etest法检测临床分离的MRSA对万古霉素、替考拉宁和利奈唑烷的MIC值。结果2003-2007年5年内,MRSA检出率从2003年的52.2%上升到2007年的74.5%,万古霉素的MIC几何均数从1.85μg/ml上升到2.15μg/ml,替考拉宁的MIC几何均数从1.28μg/ml上升到2.07μg/ml,利奈唑烷的MIC值的变化不大。结论2003-2007年5年内,MRSA检出率逐年上升,MRSA对万古霉素、替考拉宁的MIC值有升高的趋势,且以替考拉宁的升高更为明显。 展开更多
关键词 耐甲氧西林金黄色葡萄球菌 万古霉素 替考拉宁 利奈唑烷
原文传递
上一页 1 2 21 下一页 到第
使用帮助 返回顶部