Document Detail


Gentamicin and penicillin in the treatment of severe respiratory infections.
MedLine Citation:
PMID:  375433     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A combination of penicillin and gentamicin has been used for severely ill patients in a respiratory intensive care ward. It has been shown that predictable mean blood levels of gentamicin can be obtained in these patients by relating the dose to surface area (60 mg/m2/8 h). When renal function was initially normal it did not deteriorate during the course of therapy (10 days); gentamicin assays are not essential for safe treatment. In patients with renal failure, increasing the interval between doses also resulted in satisfactory levels, but close monitoring of the serum creatinine level is considered necessary. No clinical difference could be detected when gentamicin was given by constant or intermittent infusion.
Authors:
J P Wright; P D Potgieter; A A Forder; P Botha; G Brinkworth; G Elisha; A D Ferguson
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde     Volume:  55     ISSN:  0256-9574     ISO Abbreviation:  S. Afr. Med. J.     Publication Date:  1979 Feb 
Date Detail:
Created Date:  1979-07-28     Completed Date:  1979-07-28     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0404520     Medline TA:  S Afr Med J     Country:  SOUTH AFRICA    
Other Details:
Languages:  eng     Pagination:  197-200     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Clinical Trials as Topic
Creatinine / blood
Drug Therapy, Combination
Gentamicins / administration & dosage*,  blood
Humans
Infusions, Parenteral
Injections, Intravenous
Kidney Failure, Chronic / complications
Lung Diseases, Obstructive / drug therapy
Middle Aged
Penicillins / administration & dosage*
Pneumonia / drug therapy
Respiratory Distress Syndrome, Adult / drug therapy
Respiratory Tract Diseases / drug therapy*
Urea / blood
Chemical
Reg. No./Substance:
0/Gentamicins; 0/Penicillins; 57-13-6/Urea; 60-27-5/Creatinine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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