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舒巴坦/氨苄西林在儿科领域的药代动力学、细菌学及临床研究

[Pharmacokinetic, bacteriological and clinical studies on sulbactam/ampicillin in pediatric field].

作者信息

Nakao Y, Kimura H, Miura K, Miyajima Y, Ishikawa H, Hayakawa F, Kuno K

机构信息

Department of Pediatrics, Anjo Kosei Hospital.

出版信息

Jpn J Antibiot. 1989 Mar;42(3):639-50.

PMID:2746847
Abstract

Clinical trials were carried out on the use of sulbactam/ampicillin (SBT/ABPC) (combination rate of 1:2) in pediatric infections. Results were as follows: 1. The mean half-lives of SBT and ABPC in the serum following intravenous injection of SBT/ABPC were about 1.05 and 0.90 hours, respectively. 2. The mean urinary excretions of SBT and ABPC in 6 hours after intravenous injection of SBT/ABPC were 71.2% and 62.2%, respectively. 3. SBT/ABPC was administered to 23 pediatric patients with various infections: 17 patients with pneumonia, 3 with tonsillitis, 2 with urinary tract infection and 1 with cervical lymphadenitis. The overall efficacy rate was 95.7%. In particular, 2 urinary tract infections caused by highly beta-lactamase producing Escherichia coli were improved by the treatment with SBT/ABPC. 4. No adverse reactions were observed except 2 cases of mild diarrhea. Abnormal laboratory test values included thrombocytosis in 4 and slight elevation of GOT and GPT in 1, but they were transient.

摘要

开展了关于舒巴坦/氨苄西林(SBT/ABPC)(联合比例为1:2)用于小儿感染的临床试验。结果如下:1. 静脉注射SBT/ABPC后,血清中SBT和ABPC的平均半衰期分别约为1.05小时和0.90小时。2. 静脉注射SBT/ABPC后6小时内,SBT和ABPC的平均尿排泄率分别为71.2%和62.2%。3. 对23例患有各种感染的小儿患者给予SBT/ABPC治疗:17例肺炎患者,3例扁桃体炎患者,2例尿路感染患者和1例颈部淋巴结炎患者。总有效率为95.7%。特别是,2例由高产β-内酰胺酶的大肠杆菌引起的尿路感染经SBT/ABPC治疗后病情好转。4. 除2例轻度腹泻外,未观察到不良反应。实验室检查异常值包括4例血小板增多症和1例谷草转氨酶(GOT)及谷丙转氨酶(GPT)轻度升高,但均为一过性。

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