Prophylactic Mezlocillin-Netilmicin Combination in Permanent Transvenous Cardiac Pacemaker Implantation: a Single-Center, Prospective, Randomized Study
| Autor: | F. De Lalla, Walter Bonini, T. Broffoni, G. Alegente, Giovanni Ferrari |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
0301 basic medicine
Pacemaker Artificial medicine.medical_specialty Premedication medicine.medical_treatment 030106 microbiology Single Center Cardiac pacemaker law.invention 03 medical and health sciences Postoperative Complications 0302 clinical medicine Bolus (medicine) Randomized controlled trial Risk Factors law polycyclic compounds Humans Medicine Pharmacology (medical) Prospective randomized study Netilmicin Prospective Studies Adverse effect Pharmacology Mezlocillin business.industry Bacterial Infections Surgery Infectious Diseases Oncology 030220 oncology & carcinogenesis Anesthesia Injections Intravenous Drug Therapy Combination business medicine.drug |
| Zdroj: | Journal of Chemotherapy. 2:252-256 |
| ISSN: | 1973-9478 1120-009X |
| Popis: | A prospective, randomized study was carried out in order to assess the efficacy and safety of the mezlocillin-netilmicin combination in the prophylaxis of first permanent transvenous cardiac pacemaker implantation. Five hundred and fifty-two consecutive patients were randomly administered either 2 g mezlocillin and 200 mg netilmicin both as an i.v. bolus before implantation or 2g mezlocillin before and then 6 and 12 hours after surgery and 200 mg netilmicin before and then 12 hours after implantation. No adverse events were seen. Neither pocket nor electrode infections were observed in the 457 subjects still alive (mean follow-up: 29.2 months) or in patients who died after 1 year of follow-up (mean follow-up: 20.1 months) or before this time (mean follow-up: 4.7 months). The serum and pocket concentrations of mezlocillin and netilmicin at the end of surgery were found to be adequate to cover microorganisms that most often cause infections, including methicillin-resistant staphylococci. |
| Databáze: | OpenAIRE |
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