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利福昔明治疗急性感染性腹泻111例临床疗效及安全性 被引量:3

Evaluation of clinical effect and safety of rifaximin in treating 111 patients with acute infectious diarrhea
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摘要 目的:评价利福昔明治疗急性感染性腹泻的临床疗效及安全性.方法:采用多中心、随机、双盲双模拟、阳性药物平行对照研究.入选急性感染性腹泻240例,完成227例,其中利福昔明组111例,男性52例,女性49例,年龄(30±s 11) a,入组d 1,服用利福昔明300 mg和左氧氟沙星安慰剂1片,po,tid,d 2~5,利福昔明400 mg和左氧氟沙星安慰剂1片,po,bid;左氧氟沙星组116例,男性57例,女性59例,年龄(30±11) a,入组d 1,服用左氧氟沙星100 mg和利福昔明安慰剂3片,po,tid, d 2~5,左氧氟沙星100 mg和利福昔明安慰剂4片,po,bid.2组疗程均为3~5 d.观察2组疗效和不良反应.结果:利福昔明组痊愈率和有效率分别为84.7 %和100 %,左氧氟沙星组痊愈率和有效率分别为77.6 %和100 %.2组疗效无统计学差异(P>0.05).利福昔明组和左氧氟沙星组细菌清除率分别为100 %和99 %, 2组无统计学差异( P>0.05).2组均未出现不良反应.结论:利福昔明治疗急性感染性腹泻具有明显疗效,未见不良反应. AIM:To evaluate the efficacy and safety of rifaximin in treating acute infectious diarrhea. METHODS: A multi-center randomized, doubleblind with double dummy under positive drug parallel controlled investigation clinical trial was carried out. Two hundred and forty patients were enrolled with only 227 patients finished the trial and divided into two groups in the end. Rifaximin group of 111 patients ( M 52,F 59; age(30 ±s 11) a) took: thed 1, rifaximin 300 mg and 1 levofloxacin consoled tablets, po, rid; from d 2-5, rifaximin 400 mg and 1 levofloxacin consoled tablets ,po, bid. Levofoxacin group of 116 pa- tients(M 57, F59; age(30 ±11) a )took: the d 1, levofloxacin 100 mg and 3 rifaximin consoled tablets, po, tid; from d 2-5, levofloxacin 100 mg and 4 rifaxicin consoled tablets ,po, bid. The period of treatment for each groups was 5 d. RESULTS: After 5 d of treatment, the recovery rate and the effective rate of rifaximin were 84.7 % and 100 % ,those of levofloxacin were 77.6 % and 100 % ; outcoming with no statistical that difference between the two groups ( P 〉 0. 05 ). The bacteritcal eliminating rate of rifaximin was 100 %, that of levofloxacin was 99 % ; also with no statistical difference between the two groups (P 〉 0.05), including no occurrence of adverse reaction. CONCLUSION: Rifaximin is safe and effective in treating acute infectious diarrhea.
出处 《中国新药与临床杂志》 CAS CSCD 北大核心 2005年第10期781-784,共4页 Chinese Journal of New Drugs and Clinical Remedies
关键词 利福昔明 腹泻 随机对照试验 双盲法 多中心研究 左氧氟沙星 rifaximin diarrhea randomized controlled trials double-blind method multice nter studies levofloxacin
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参考文献4

  • 1辛小娟,袁喆,黄文祥,刘宏宇.利福昔明治疗感染性腹泻50例的随机双盲对照试验[J].中国新药与临床杂志,2004,23(12):846-848. 被引量:9
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二级参考文献4

  • 1GOMI H, JIANG ZD, ADACHI JA, et al. In vitro antimicrobial susceptibility testing of bacterial enteropathogenscausing traveler's diarrhea in four geographic regions[J]. Antimicrob Agents Chemother, 2001, 45(1): 212-216.
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共引文献8

同被引文献19

  • 1辛小娟,袁喆,黄文祥,刘宏宇.利福昔明治疗感染性腹泻50例的随机双盲对照试验[J].中国新药与临床杂志,2004,23(12):846-848. 被引量:9
  • 2缪晓辉.对感染性腹泻的新认识[J].中华传染病杂志,2006,24(4):217-219. 被引量:40
  • 3GOMI H, JIANG ZD, ADACHI JA, et al. In vitro antimicrobial susceptibility testing of bacterial enteropathogens causing traveler's diarrhea in four geographic regions [ J ]. Antimicrob Agents Chemother,2001,45 ( 1 ) :212-216.
  • 4JIANG ZD, KE S, PALAZZINI E, et al. In vitro activity and fecal concentration of rifaximin after oraladministration [ J ]. Antimicrob Agents Chemother ,2000 ,40 (8) :2205-2206.
  • 5SIERRA JM, NAVIA MM, VARGAS M, et al. In vitro activity of rifaximin against bacterial enteropathogens causing diarrhoea in children under 5 years of age in ifakara,tanzania[ J]. J Antimicrob Cbemother , 2001,47(6) :904-905.
  • 6DUPONT HL, JIANG ZD, ERICSSON CD, et al. Rifaximin versus ciprofloxacin for the treatment of traveler's diarrhea: a randomized,double-blind clinical trial[J]. Clin Infect Dis ,2001,33 (11): 1807-1815.
  • 7Gomi H,Jiang ZD,Adachi JA,et al.In vitro antimicrobial susceptibility testing of becterial enteropathogens causing traveler,s diarrhea in four geographic regionts[J].Antimicrob Agents Chemother,2001,45(1):212-216.
  • 8全国腹泻病防治学术研讨会.腹泻病疗效判断的补充建议[J].中国实用儿科杂志,2008,12(6):384.
  • 9蒲增惠,赵茂茂,于红霞.蒙脱石散联合左氧氟沙星片治疗成人急性细菌性腹泻50例[J].现代中西医结合杂志,2010,19(1):81-81. 被引量:14
  • 10李连标,姚许一.左氧氟沙星联合阿米卡星治疗急性重症细菌感染性腹泻疗效观察[J].现代实用医学,2011,23(6):654-655. 被引量:15

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