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左氧氟沙星静脉/口服序贯治疗老年社区获得性下呼吸道感染
引用本文:胡家安,高蓓莉. 左氧氟沙星静脉/口服序贯治疗老年社区获得性下呼吸道感染[J]. 老年医学与保健, 2008, 14(3): 164-166
作者姓名:胡家安  高蓓莉
作者单位:1. 200025上海交通大学医学院附属瑞金医院老年病科
2. 200025上海交通大学医学院附属瑞金医院呼吸科
摘    要:目的 观察左氧氟沙星静脉/口服序贯治疗老年下呼吸道感染的疗效和安全性。方法 100例老年下呼吸道感染患者分成两组,分别予左氧氟沙星500mg/d静脉/口服序贯治疗或全程静脉治疗。结果 序贯治疗有效率84%,菌清除率69.2%。全程静脉治疗有效率86%,菌清除率72.7%。两组不良反应均轻微。结论 左氧氟沙星静脉/口服序贯治疗老年社区获得性下呼吸道感染有效,安全。

关 键 词:氧氟沙星  序贯治疗  呼吸道感染  社区获得性感染  老年人

IV-PO switch regiment of levofloxacin in the treatment of community-acquired lower respiratory tract infections
HU Jia-an,GAO Bei-li. IV-PO switch regiment of levofloxacin in the treatment of community-acquired lower respiratory tract infections[J]. Geriatrics & Health Care, 2008, 14(3): 164-166
Authors:HU Jia-an  GAO Bei-li
Affiliation:HU Jia-an, GAO Bei-li ( Department of Geriatrics, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China; Department of Respiratory Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai200025, China.)
Abstract:Objective To evaluate the efficacy and safety of IV-PO switch regiment of levofloxacin (LVFX) for the treatment of community-acquired lower respiratory tract infections (LRTIs) in elders. Methods 100 elderly patients with LRTIs were randomized into two groups: the treatment group (n=50) receiving IV-PO switch treatment ofLVFX, 0.5g, qd, and the control group receiving IV treatment of LVFX, 0.5g, qd. The course of treatment was 7-14 days for both groups. Results The clinical efficacy was 84 % in the treatment group and 86 % in the control group. The bactericidal rate was 69.2% vs 72.7%. The clinical adverse reactions were mild in both groups. Conclusions IV-PO switch regiment of LVFX is effective and safe for the treatment of LRTIs in elders.
Keywords:Ofloxacin  Switch regiment  Respiratory tract infections  Community-acquired infections  Aged
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