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[美罗培南在儿科领域的临床评估]

[Clinical evaluation of meropenem in the pediatric field].

作者信息

Mikuni K, Matsuda H, Watanabe N

机构信息

Department of Pediatrics, School of Medicine, Kyorin University.

出版信息

Jpn J Antibiot. 1992 Jun;45(6):738-43.

PMID:1507405
Abstract

We studied the clinical efficacy of meropenem (SM-7338, MEPM), a new parenteral carbapenem beta-lactam antibiotic, in pediatric field. Thirteen patients with 2 months to 8 years and 8 months of ages, with acute infectious diseases were administered with doses at 39.3 to 76.7 mg/kg/day of MEPM intravenously. The diagnoses consisted of 7 respiratory tract infections, 1 sepsis, 2 orbital cellulitis, 1 parotid abscess, 1 lymphadenitis and 1 pyoderma. The clinical efficacy rate was 84.6% (11/13), and the bacteriological eradication rate was 71.4% (5/7). Clinical laboratory examinations revealed 1 patient with eosinophilia and another with anemia. No other side effects attributable to this drug were observed. It appears that MEPM is a useful antibiotic for moderate to severe acute bacterial infections in children.

摘要

我们研究了新型胃肠外碳青霉烯β-内酰胺抗生素美罗培南(SM - 7338,MEPM)在儿科领域的临床疗效。13例年龄在2个月至8岁8个月的急性传染病患儿接受了静脉注射美罗培南治疗,剂量为39.3至76.7mg/kg/天。诊断包括7例呼吸道感染、1例败血症、2例眼眶蜂窝织炎、1例腮腺脓肿、1例淋巴结炎和1例脓疱病。临床有效率为84.6%(11/13),细菌清除率为71.4%(5/7)。临床实验室检查发现1例患儿嗜酸性粒细胞增多,另1例贫血。未观察到其他与该药物相关的副作用。美罗培南似乎是治疗儿童中重度急性细菌感染的有效抗生素。

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