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101.
Comparisons between Antimicrobial Pharmacodynamic Indices and Bacterial Killing as Described by Using the Zhi Model 总被引:5,自引:1,他引:4 下载免费PDF全文
S. Corvaisier P. H. Maire M. Y. Bouvier dyvoire X. Barbaut N. Bleyzac R. W. Jelliffe 《Antimicrobial agents and chemotherapy》1998,42(7):1731-1737
Various suggestions have been made for empirical pharmacodynamic indices of antibiotic effectiveness, such as areas under the drug concentration-time curve in serum (AUC), AUC>MIC, AUC/MIC, area under the inhibitory curve (AUIC), AUC above MIC, and time above MIC (T>MIC). In addition, bacterial growth and killing models, such as the Zhi model, have been developed. The goal of the present study was to compare the empirical behavior of the Zhi model of bacterial growth and killing with the other empirical pharmacodynamic indices described above by using simulated clinical data analyzed with the USC*PACK PC clinical programs for adaptive control of drug therapy, with one model describing a concentration-dependent antibiotic (tobramycin) and another describing a concentration-independent antibiotic (ticarcillin). The computed relative number of CFU was plotted against each pharmacodynamic index, with each axis parameterized over time. We assumed that a good pharmacodynamic index should present a clear and continuous relationship between the time course of its values and the time course of the bacterial killing as seen with the Zhi model. Preliminary work showed that some pharmacodynamic indices were very similar. A good sensitivity to the change in the values of the MIC was shown for AUC/MIC and also for T>MIC. In addition, the time courses of some other pharmacodynamic indices were very similar. Since AUC/MIC is easily calculated and shows more sensitivity, it appeared to be the best of the indices mentioned above for the concentration-dependent drug, because it incorporated and used the MIC the best. T>MIC appeared to be the best index for a concentration-independent drug. We also propose a new composite index, weighted AUC (WAUC), which appears to be useful for both concentration-dependent and concentration-independent drugs. 相似文献
102.
纤维支气管镜胸膜腔检查对原因不明胸腔积液的诊断价值 总被引:2,自引:0,他引:2
为评价纤维支所管镜行胸膜检查在诊断原因不明胸腔积液中的价值,用纤维支气管镜对10例原因不明的胸腔积液患者进行胸腔检查。结果9例2检查后明确了病因,且无并发症,提示该法对于不明胸腔积液的诊断是一种阳性率高、安全、简便的检查方法。 相似文献
103.
Zusammenfassung
Eine neu aufgetretene Dyspnoesymptomatik und eine symmetrische, apikal betonte retikulonodul?re Zeichnungsvermehrung im R?ntgen-Thorax
bei jungen rauchenden Erwachsenen müssen an das seltene Krankheitsbild der pulmonalen Histiocytosis X denken lassen. Klinischer
Befund, laborchemische- und Lungenfunktionsuntersuchungen zeigen unspezifische Befunde. Neue radiologische Verfahren wie die
hochaufl?sende Computertomographie (HRCT) leisten bei gezielter Indikationsstellung eine entscheidende differentialdiagnostische
Hilfestellung.
Dieser Fall verdeutlicht die M?glichkeit einer Diagnosesicherung durch transbronchiale Biopsien unter Verzicht auf offene
Lungenbiopsien. Eine ambulante Diagnostik war m?glich, das h?here Risiko eines operativen Eingriffes konnte vermieden werden.
Die Indikation zur Therapie ist nicht gesichert und wird daher durch den Grad der subjektiven bzw. funktionellen Einschr?nkung
sowie den Verlauf bestimmt. 相似文献
104.
Five commercially available nitropolyclyclic aromatic hydrocarbons (nitro-PAH), namely, 4-nitrobiphenyl, 2-nitrofluorene, 9-nitroanthracene, 1-nitropyrene, and 2,7-dinitrofluorene, were exposed under restricted sunlight in the open air. The direct-acting mutagenicities of the samples after an exposure of 45 days were measured in order to compare them with those of the original samples in the Ames Salmonella typhimurium bioassay. It was found that the mutagenicities of some nitro-PAH do not change significantly while the mutagenicities of others increase or decrease after exposure. A preliminary study of nitro-PAH reaction products after exposure using GC, GC/MS, and FT-IR is also reported. 相似文献
105.
我院耐甲氧西林金黄色葡萄球菌的耐药性及肠毒素分析 总被引:12,自引:0,他引:12
收集了我院1994年10月至1995年4月金黄色葡萄球菌100株,应用药敏试验筛选MRSA,并检测其对12种抗生素的耐药性,计算MIC50和MIC90,应用乳胶凝集试验法,测定其肠毒素产生率。结果我院总的MRSA阳性率为60%,烧伤科的MRSA的阳性率为67.4%,内科62.5%,骨科44.5%,MRSA耐药性低于50%的有万古霉素(3.3%)去甲万古霉素(5%),丁胺卡那霉素(21.5%)3种, 相似文献
106.
Adult female rats were i.p. infused (Alzet osmotic minipumps) with neurotensin (NT, 2 micrograms/rat/day for 7 days), arginine-vasopressin (AVP, 2 micrograms/rat/day for 8 days), bombesin (BM, 0.75 microgram/rat/day for 7 days) or injected with neuropeptide Y (NPY, 0.5 microgram/rat twice a day for 4 days). NT infusion increased absolute and relative thyroid gland weight and decreased serum T4 level, while serum TSH and T3 levels remained unchanged. AVP treatment increased thyroid gland weight and serum TSH and T4 levels and a similar effect was induced by prolonged BM infusion. On the other hand, NPY administration had no effect either on thyroid gland weight or on serum TSH, T4 and T3 levels. Results of the present study thus clearly demonstrate a potent stimulatory action of AVP and BM on thyroid gland function and suggest that this effect is mediated by the pituitary gland. On the contrary, prolonged NT infusion decrease serum T4 level while NPY had no effect on thyroid gland function. 相似文献
107.
108.
109.
Twenty-one patients, under 6 years of age, with root avulsion of the brachial plexus were treated from 1975 to 1987. Among them, 9 had root avulsion of the upper trunk, 2 root avulsion of the lower trunk with middle trunk broken, and 10 root avulsion of the whole brachial plexus. Follow-up of 16 patients showed excellent results in 2 patients, good in 11, fair in 1 and poor in 2. It is suggested that good results can be obtained if multi-paired nerve transfer is adopted in treatment. We conclude that owing to anatomical and physiological characteristics of the respiratory system in children, it is harmful to perform phrenic nerve transfer concomitantly with intercostal nerve transfer. Advisably, two-stage operation is required, otherwise dyspnea and pneumonia are liable to occur. In addition, the time of the operation could be extended to 4-5 years after injury in children, but best results are obtained if the operation is performed within 1 year.
相似文献
110.
Within a number of physiological preparations, the effects of alcohol and cocaine in combination are reported to be greater
than the effects of either drug given alone. Little has been reported, however, on the behavioral effects of the interaction.
The present study investigated this issue by assessing the effects of cocaine and alcohol (alone and in combination) on schedule-controlled
responding. Specifically, rats were trained to respond on an FR20 schedule for a water reinforcer. They were then administered
cumulative doses of cocaine or alcohol. Following this, subjects were administered ineffective doses of alcohol prior to further
dose-response assessments with cocaine and with ineffective doses of cocaine prior to further dose-response assessments with
alcohol. Cocaine and alcohol alone produced dose-related decreases in responding. Furthermore, the dose-response function
for cocaine was shifted to the left by alcohol and the dose-response function for alcohol was shifted to the left by cocaine.
An isobolographic analysis revealed that the interaction between cocaine and alcohol was additive in nature. The possible
bases for the interaction (e.g., changes in cocaine pharmacokinetics by alcohol and the formation of cocaethylene following
co-administration of cocaine and alcohol) were discussed.
Received: 22 February 1996 / Final version: 23 August 1996 相似文献