[1]张成汉.夫西地酸钠和万古霉素用于ICU病房耐甲氧西林 金黄色葡萄球菌患者的疗效比较[J].医学信息,2019,32(18):149-150.[doi:10.3969/j.issn.1006-1959.2019.18.051]
 ZHANG Cheng-han.Efficacy Comparison of Sodium Fusidate and Vancomycin to Treat Patients with Methicillin-resistant Staphylococcus Aureus in ICU Ward[J].Journal of Medical Information,2019,32(18):149-150.[doi:10.3969/j.issn.1006-1959.2019.18.051]
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夫西地酸钠和万古霉素用于ICU病房耐甲氧西林 金黄色葡萄球菌患者的疗效比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年18期
页码:
149-150
栏目:
药物与临床
出版日期:
2019-09-15

文章信息/Info

Title:
Efficacy Comparison of Sodium Fusidate and Vancomycin to Treat Patients with Methicillin-resistant Staphylococcus Aureus in ICU Ward
文章编号:
1006-1959(2019)18-0149-02
作者:
张成汉
大石桥市中心医院重症监护病房,辽宁 大石桥 115100
Author(s):
ZHANG Cheng-han
Intensive Care Unit,Dashiqiao Central Hospital,Dashiqiao 115100,Liaoning,China
关键词:
夫西地酸钠万古霉素ICU病房耐甲氧西林金黄色葡萄球菌
Keywords:
Key words:Sodium citrateVancomycinICU wardMethicillin-resistantStaphylococcus aureus
分类号:
R459.7
DOI:
10.3969/j.issn.1006-1959.2019.18.051
文献标志码:
A
摘要:
目的 对比夫西地酸钠和万古霉素用于ICU病房耐甲氧西林金黄色葡萄球菌(MRSA)患者中的临床效果。方法 选取我院2018年3月~12月收治的ICU病房MRSA患者42例,随机分为参照组和研究组,各21例。参照组给予万古霉素治疗,研究组给予夫西地酸钠治疗,比较两组患者的治疗效果及细菌清除率。结果 参照组与研究组的治疗总有效率分别为90.48%、85.71%,差异无统计学意义(P>0.05)。参照组与研究组的细菌清除分别为95.24%、90.48%,差异无统计学意义(P>0.05)。结论 应用夫西地酸钠对ICU病房MRSA患者进行治疗,获得了与万古霉素治疗效果相当的结果,两者细菌清除率也比较接近,因此对此类患者治疗过程中可应用夫西地酸钠作为替代药物。
Abstract:
Abstract:Objective To compare the clinical effects of sodium fusidate and vancomycin in patients with methicillin-resistant Staphylococcus aureus (MRSA) in the ICU ward. Methods 42 patients with ICU wards MRSA admitted to our hospital from March to December 2018 were randomly divided into reference group and study group, 21 cases each. The reference group was treated with vancomycin, and the study group was treated with sodium fusidate. The treatment effect and bacterial clearance rate of the two groups were compared. Results The total effective rate of the reference group and the study group was 90.48% and 85.71%, respectively,the difference was not statistically significant (P>0.05). The bacterial clearance of the reference group and the study group were 95.24% and 90.48%, respectively,the difference was not statistically significant (P>0.05). Conclusion The treatment of MRSA patients in ICU ward with sodium fusidate has achieved comparable results with vancomycin. The bacterial clearance rate is similar. Therefore, fusidic acid can be applied to the treatment of such patients. Sodium is used as an alternative medicine.

参考文献/References:

[1]杨志忠.三种抗菌药物治疗耐甲氧西林金黄色葡萄球菌感染的经济学分析[J].解放军药学学报,2016,9(2):174-176. [2]谢朝云.NICU与综合性ICU感染金黄色葡萄球菌的耐药性对比分析[J].中国微生态学杂志,2017,29(1):58-61. [3]翟蕙,李家斌.万古霉素单用及联合用药对MRSA耐药性的影响[J].中国现代医学杂志,2017,27(29):16-20. [4]吴汀溪.万古霉素血药浓度对老年患者肾功能的影响[J].中国医药导报,2017,14(6):160-163. [5]杨小蕊.住院患者金黄色葡萄球菌的临床分布和耐药性研究[J].中国现代药物应用,2016,10(18):197-198.

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更新日期/Last Update: 2019-09-15