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111.
Luong Dong Cao Ishiwada Naruhiko Takeda Nobue Kohno Yoichi 《Pediatrics international》2004,46(4):419-424
BACKGROUND: Haemophilus influenzae (H. influenzae) is the most frequent bacterial pathogen of respiratory tract infections in children. Detection of antimicrobial susceptibility of H. influenzae is necessary for institution of appropriate antibiotic treatments. METHODS: A total of 281 strains of H. influenzae isolated from sputum samples of 281 pediatric patients with respiratory tract infections were recruited for study. Antibiotic susceptibility was determined by assessing minimum inhibitory concentrations (MIC) of antimicrobial agents. MIC were measured by utility of Agar dilution susceptibility test. RESULTS: Of the total, 38 (13.5%) strains produced beta-lactamase (BLP), 56 (19.9%) strains were beta-lactamase non-producing, ampicillin resistant (BLNAR). The overall resistant proportion to ampicillin was 33.4%. The data indicated that sulbactam/ampicillin, cefotaxime, ceftriaxone and cefditoren are effective against BLP strains. In addition, a high prevalence of BLNAR H. influenzae strains was identified, with an overall isolation rate of 19.9%. Those strains mainly demonstrated intermediate level to ampicillin (ampicillin-MIC = 3.13 micro g/mL for most of BLNAR strains). However, antimicrobial activities of cefotaxime, ceftriaxone and cefditoren against those strains were slightly diminished. Recovery rate of BLP strains was varied by years, peaking at 19.5%. In particular, a trend of yearly increase in frequency of BLNAR strains was observed. CONCLUSION: Frequency of BLNAR strains causing respiratory infections has been dramatically increasing, which can diminish antibiotic activities of not only ampicillin but also of some cephems. 相似文献
112.
Objective:To investigate the relationship between antibiotic administration and the changes in bacteriological profile in a burn unit. Methods: The data of consumption of different kinds of antibiotics, including total antibiotic consumption [expressed as the number of defined daily doses (DDD)] as well as pathogen identification, were collected in a 8-year period. The constituent ratios of different kinds of antibiotics in total antibiotic consumption to isolation rates of various species of bacteria were calculated, and their correlation was analyzed. Results: Within this period, it was found that the aminoglycosides and first generation cephalosporins were used less frequently, while the polypeptides, carbopenem and macrolides were used proportionally more. At the same time, the isolation rates of Staphylococcus aureus, Acinetobacter sp, Enterobacter cloacae, Klebsiella pneumoniae and methicillin-resistant Staphylococcus aureus were gradually increased. The constituent ratios of predominant pathogens were correlated to the different kinds of antibiotics consumption in the burn unit. Conclusion: The results suggested that the consumption of different antibiotics was closely related to the trends of emergence of bacterial isolates from infected burn wounds. The result might imply that to regulate the administration of certain antibiotics might help decrease the emergence of certain pathogenic bacteria in burn infections. 相似文献
113.
血小板第4因子对辐射损伤小鼠免疫功能的保护作用 总被引:1,自引:0,他引:1
目的:探讨血小板第4因子(plateletfactor4,PF4)对辐射损伤小鼠免疫系统的影响。方法:雄性BALB/c小鼠随机分为3组,第1组(单纯照射组)、第Ⅱ组(PF4保护组)、第Ⅲ组(正常对照组),第Ⅱ组在照射前26h及20h腹腔注射PF440μg/kg,全身一次性5Gy60Co—γ射线照射后瑞氏染色法计数外周血淋巴细胞百分数。胸腺、脾脏制成细胞悬液计数后,MTT比色法测定胸腺及脾细胞增殖能力。结果:第Ⅱ组小鼠外周血淋巴细胞百分数下降趋势较第1组明显减慢。胸腺、脾细胞计数,第Ⅱ组明显高于第1组。淋巴细胞增殖试验,第Ⅱ组与第1组相比,小鼠胸腺及脾细胞的增殖能力明显增强。结论:PF4对免疫系统有辐射保护作用,可明显增强辐射损伤小鼠的免疫功能。 相似文献
114.
目的:探讨适合睫状体缝合复位术病人的护理方法。方法:对34例(34只眼)因外伤致睫状体分离和脱离导致低眼压,随后行睫状体缝合复位术的病人进行观察和护理。结果:32只眼术后1周至6个月眼压恢复正常,其中5只眼术后2~5个月内分别进行第二次手术或氩离子激光光凝而痊愈。视力改善者21例,无变化者13例。结论:睫状体缝合复位术是治疗外伤性睫状体分离和脱离的有效方法。术前行超声生物显微镜(UBM)检查、术后密切观察眼压变化并给予正确处理、做好心理护理和出院指导是确保手术成功的重要措施。 相似文献
115.
胃癌高系家族成员胃蛋白酶原C基因多态性及其诊断意义的探讨 总被引:1,自引:0,他引:1
采用限制性酶切片段长度多态性分析法,检测在胃癌高发区庄河检出的19例胃癌高系家族成员胃蛋白酶原C基因多态性,发现三种常见片段及一种稀有片段。对其中4例携带稀有片段的受检者进行了胃镜追踪观察,2.5年后发现1例早期胃癌。本文对此作了初步探讨。 相似文献
116.
Donald B. White Cynthia A. Walawander Dong Y. Liu Thaddeus H. Grasela 《Journal of pharmacokinetics and pharmacodynamics》1992,20(3):295-313
In a simulation study of inference on population pharmacokinetic parameters, two methods of performing tests of hypotheses comparing two populations using NONMEM were evaluated. These two methods are the test based upon 95% confidence intervals and the likelihood ratio test. Data were simulated according to a monoexponential model and, in that context, power curves for each test were generated for (i)the ratio of mean clearance and (ii)the ratio of the population standard deviations of clearance. To generate the power curves, a range of these parameters was employed; other pharmacokinetic parameters were selected to reflect the variability typically present in a Phase II clinical trial. For tests comparing the means, the confidence interval tests had approximately the same power as the likelihood ratio tests and were consistently more faithful to the nominal level of significance. For comparison of the standard deviations, and when the volume of information available was relatively small, however, the likelihood ratio test was more able to detect differences between the two groups. These results were then compared to results on parameter estimation in order to gain insight into the question of power. As an example, the nonnormality of estimates of the ratio of standard deviations plays an important role in explaining the low power for the confidence interval tests. We conclude that, except for the situation of modeling standard deviations with only sparse information, NONMEM produces tests of significance that are effective at detecting clinically significant differences between two populations.Partial support from the Upjohn Company, NIH-BRSG SO RR 07066, and the Burroughs Wellcome Foundation. 相似文献
117.
对食管癌高发区粮食中分离的互隔交链孢霉的毒素交链孢酚单甲醚(AME)在大鼠、小鼠体内的分布进行研究。给动物腹腔内注射氚标记的交链孢酚单甲醚(~3H-AME),然后在不同时间测各脏器的放射性。结果表明:在所测9个脏器中,2h肝脏含量最高,食管下段在大小鼠分别居第四和第三。但大小鼠分别在72、24h则以食管下段最高,说明AME及其代谢物在此清除较慢,即对其有较高的亲和力。 相似文献
118.
应用电子自旋共振波谱仪(ESR)直接检测了缺血-再灌注兔心肌肌浆网自由基的变化,以探讨肌质网系统与氧自由基的关系。实验中将20只兔随机分为再灌注对照组、超氧化物歧化酶(SOD)组、ATP-氯化镁组和人参皂甙Re组。实验结果,g值2.0046处为半醌自由基波谱,其相对浓度各组依次为78.94±2.126,14.46±2.86,20.65±7.65,14.66±3.67(x±SD),对照组与用药组均有显著性差异(P<0.05),表明缺血-再灌注兔心肌肌浆网产生大量的自由基,用ESR可以直接检测到半醌自由基,外源性高能磷酸盐制剂ATP-氯化镁及人参皂甙Re与超氧化物歧化酶一样,发挥清除兔心肌肌浆网自由基的作用。 相似文献
119.
64层螺旋CT在冠状动脉支架置入术后评估中的价值 总被引:1,自引:0,他引:1
目的:评价64层螺旋CT在冠状动脉支架置入术后复查中的临床价值。方法:采用64层螺旋CT对27例冠状动脉支架置入术后的患者(共47个支架)进行CT冠状动脉成像。观察支架及其支架血管和非支架血管的通畅性。结果:支架通畅43例,支架内狭窄3个、闭塞1个,支架前后血管狭窄25支(包括两近端狭窄4例),非支架血管狭窄26支。结论:64层螺旋CT比16层螺旋CT观察冠状动脉内支架优越,可作为冠状动脉支架置入术后效果随访观察和了解原有冠心病进展情况的重要手段。 相似文献
120.