Yamaki K, Suzuki R, Taki F, Takagi K, Satake T, Mizuno K, Baba K, Aihara H, Mori M, Yamada K
2nd Department of Internal Medicine, Nagoya University School of Medicine.
Jpn J Antibiot. 1992 Oct;45(10):1282-94.
Both aspoxicillin (ASPC) and ceftazidime (CAZ) were administered together to 55 patients with intractable respiratory tract infections. ASPC and CAZ were administered at daily doses of 4 g and 2 to 4 g, respectively. Clinical effects were excellent in 11 cases, good in 33, fair in 7 and poor in 4, thus the efficacy rate was 80.0%. Bacteriologically, identified organisms were eradicated in 14 cases out of 21, decreased in 3, exchanged in 2 and unchanged in 2. The eradication rate was 76.2%. As a side effect, diarrhea was found in only one case, and abnormal laboratory test values were observed in 4 cases. However, these adverse reactions were not severe, therefore it was possible to continue the chemotherapy. These results indicate that the combination antimicrobial chemotherapy of ASPC and CAZ is effective against intractable respiratory tract infections.
对55例难治性呼吸道感染患者联合使用阿扑西林(ASPC)和头孢他啶(CAZ)。ASPC和CAZ的日剂量分别为4g和2至4g。临床疗效优11例,良33例,中7例,差4例,有效率为80.0%。细菌学方面,21例中14例鉴定出的病原体被根除,3例减少,2例更换,2例无变化。根除率为76.2%。作为副作用,仅1例出现腹泻,4例观察到实验室检查值异常。然而,这些不良反应并不严重,因此可以继续化疗。这些结果表明,ASPC和CAZ联合抗菌化疗对难治性呼吸道感染有效。