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63例患葡萄球菌败血症的足月新生儿在常规抗感染治疗疗效不佳时,接受国产盐酸去甲万古霉素治疗。首量15mg/kg,静脉滴注,继之10mg/kg维持治疗。结果:其血药浓度可达到20~40μg/ml的有效水平,治愈率达90.5%。用药不超过2周未见严重耳、肾毒性。结果表明:只要合理用药,去甲万古霉素在新生儿重症葡萄球菌感染的治疗中是安全有效的。
Sixty-three full-term newborns with staphylococcal septicemia were treated with domestic norvancomycin during routine anti-infective therapy. The first volume of 15mg / kg, intravenous infusion, followed by 10mg / kg maintenance treatment. Results: The plasma concentration of 20 ~ 40μg / ml effective level, the cure rate was 90.5%. No more than 2 weeks medication no serious ear, nephrotoxicity. The results show that: as long as reasonable medication, norvancomycin in the treatment of neonatal Staphylococcus aureus is safe and effective.