ABSENCE OF TOXICITY IN PATIENTS WITH MALIGNANT OTITIS-EXTERNA FOLLOWING LONG-TERM TREATMENT WITH HIGH DOSAGE TOBRAMYCIN

被引:9
作者
IOANNIDESDEMOS, LL
LI, SC
BASTONE, EB
SPELMAN, DW
HOOPER, RE
COUSINS, VC
MCLEAN, AJ
机构
[1] MONASH UNIV,ALFRED HOSP,DEPT CLIN PHARMACOL,MELBOURNE,VIC 3181,AUSTRALIA
[2] MONASH UNIV,ALFRED HOSP,DEPT PHARM,MELBOURNE,VIC 3181,AUSTRALIA
[3] MONASH UNIV,ALFRED HOSP,DEPT MICROBIOL & INFECT DIS,MELBOURNE,VIC 3181,AUSTRALIA
[4] MONASH UNIV,ALFRED HOSP,DEPT OTOLARYNGOL,MELBOURNE,VIC 3181,AUSTRALIA
[5] MONASH UNIV,ALFRED HOSP,DEPT MED,MELBOURNE,VIC 3181,AUSTRALIA
关键词
D O I
10.1093/jac/34.2.267
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
An in-vitro model of aminoglycoside dosing was used to demonstrate that the bactericidal activity of tobramycin against Pseudomonas aeruginosa is directly related to the peak concentration of the drug. In addition, six patients who were being treated for malignant otitis externa with long-term, high dosage tobramycin were monitored for oto- and nephro-toxicity; the only adverse effects were transient increases in the serum creatinine concentration in two patients. © 1994 The British Society for Antimicrobial Chemotherapy.
引用
收藏
页码:267 / 274
页数:8
相关论文
共 12 条
[1]   KILL KINETICS AND REGROWTH PATTERNS OF ESCHERICHIA-COLI EXPOSED TO GENTAMICIN CONCENTRATION-TIME PROFILES SIMULATING INVIVO BOLUS AND INFUSION DOSING [J].
BASTONE, EB ;
LI, SC ;
IOANNIDESDEMOS, LI ;
SPICER, WJ ;
MCLEAN, AJ .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1993, 37 (04) :914-917
[2]  
GIAMARELLOU H, 1992, J ANTIMICROB CHEMOTH, V30, P745
[3]  
KIRKWOOD BR, 1988, ESSENTIALS MED STATI, P73
[4]   PROSPECTIVE AUDIT OF AN AMINOGLYCOSIDE CONSULTATIVE SERVICE IN A GENERAL-HOSPITAL [J].
LI, SC ;
IOANNIDESDEMOS, LL ;
SPICER, WJ ;
SPELMAN, DW ;
TONG, N ;
MCLEAN, AJ .
MEDICAL JOURNAL OF AUSTRALIA, 1992, 157 (05) :308-311
[5]  
LI SC, 1989, AUST J HOSP PHARM, V19, P147
[6]   BACTERICIDAL EFFECT OF GENTAMICIN PEAK CONCENTRATION PROVIDES A RATIONALE FOR ADMINISTRATION OF BOLUS DOSES [J].
MCLEAN, AJ ;
IOANNIDESDEMOS, LL ;
LI, SC ;
BASTONE, EB ;
SPICER, WJ .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 1993, 32 (02) :301-305
[7]   RISK-FACTORS FOR THE DEVELOPMENT OF AUDITORY TOXICITY IN PATIENTS RECEIVING AMINOGLYCOSIDES [J].
MOORE, RD ;
SMITH, CR ;
LIETMAN, PS .
JOURNAL OF INFECTIOUS DISEASES, 1984, 149 (01) :23-30
[8]   ONCE-DAILY VS CONTINUOUS AMINOGLYCOSIDE DOSING - EFFICACY AND TOXICITY IN ANIMAL AND CLINICAL-STUDIES OF GENTAMICIN, NETILMICIN, AND TOBRAMYCIN [J].
POWELL, SH ;
THOMPSON, WL ;
LUTHE, MA ;
STERN, RC ;
GROSSNIKLAUS, DA ;
BLOXHAM, DD ;
GRODEN, DL ;
JACOBS, MR ;
DISCENNA, AO ;
CASH, HA ;
KLINGER, JD .
JOURNAL OF INFECTIOUS DISEASES, 1983, 147 (05) :918-932
[9]   ONCE VERSUS THRICE DAILY GENTAMICIN IN PATIENTS WITH SERIOUS INFECTIONS [J].
PRINS, JM ;
BULLER, HR ;
KUIJPER, EJ ;
TANGE, RA ;
SPEELMAN, P .
LANCET, 1993, 341 (8841) :335-339
[10]   MALIGNANT EXTERNAL OTITIS - INSIGHTS INTO PATHOGENESIS, CLINICAL MANIFESTATIONS, DIAGNOSIS, AND THERAPY [J].
RUBIN, J ;
YU, VL .
AMERICAN JOURNAL OF MEDICINE, 1988, 85 (03) :391-398