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在美国和日本,头孢菌素类是住院患者最常用的抗生索,而在欧洲,则往往选用青霉素类和氨基糖甙类,最近还选用眯唑类。一些医学教科书很少把头孢菌素列为治疗任何疾病的首选药物。更确切地说,头孢菌素类尽管应用时很安全,但是,它们仍被认为是青霉素类、氨基糖甙类或甚至氯霉素的替代药物。美国的头孢菌素用量与上述意见之间的差距,主要由于美国经常应用头孢菌素类预防腹部和盆腔手术以及必须植入异物的手术(如心脏外科和矫形外科)后感染。如果我们已有足量的头孢菌素类抗生素用于内外科预防,那么,还需要寻
Cephalosporins are the most commonly used antibiotics in hospitalized patients in the United States and Japan, while in Europe, penicillins and aminoglycosides are often used, and the most recently used is the azole. Few medical textbooks have cephalosporins as the drug of choice for the treatment of any disease. More precisely, cephalosporins, while safe to use, are still considered alternatives to penicillins, aminoglycosides or even chloramphenicol. The gap between the amount of cephalosporin used in the United States and the above observations is mainly due to the United States frequently applying cephalosporins to prevent post-infection infections such as abdominal surgery and pelvic surgery, and surgeries such as cardiology and orthopedics where foreign bodies must be implanted. If we have enough cephalosporins for endosurgical and prophylactic prevention, we need to find