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舒巴坦/氨苄西林在儿科领域的药代动力学和临床研究

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

作者信息

Ito M, Ihara T, Kamiya H, Sakurai M, Shimizu S, Nishi H, Kawaguchi H, Yoshizumi T, Inoue M, Kojima M

机构信息

Department of Pediatrics, School of Medicine, Mie University.

出版信息

Jpn J Antibiot. 1989 Mar;42(3):651-61.

PMID:2746848
Abstract

The new antibiotic, sulbactam/ampicillin (SBT/ABPC) was administered to 25 children. The results obtained are summarized as follows. 1. In 5 cases of children administered with SBT/ABPC (30 mg/kg) by intravenous drip infusion for 30 minutes, the mean values of T 1/2 (beta) were 0.94 hour (SBT) and 0.86 hour (ABPC) and the mean 6.5 hour urinary excretion rates were 64.2% and 42.9%, respectively. 2. The antibiotic was administered to a total of 25 patients with bronchopneumonia, pneumonia, bronchitis, cervical lymphadenitis, tonsillitis, streptococcal infection, urinary tract infection, felon, periappendicular abscess, sepsis or purulent meningitis. Response to the treatment were excellent in 17 cases, good in 7, fair in 1, and poor in none. The efficacy rate was 96%. From our results, this drug appears to be particularly effective against bronchopneumonia, bronchitis and urinary tract infection. 3. Eruption occurred in 1 of 25 patients and elevation of eosinophil, GOT/GPT, platelet in 3 and descent of WBC in 1 were observed, but these were transient. These results showed that SBT/ABPC is a drug which can be safely used in the pediatric field as well as for adults.

摘要

新抗生素舒巴坦/氨苄西林(SBT/ABPC)应用于25名儿童。所得结果总结如下。1. 5例儿童以30mg/kg的剂量静脉滴注SBT/ABPC 30分钟,T 1/2(β)的平均值分别为舒巴坦0.94小时、氨苄西林0.86小时,6.5小时尿排泄率平均值分别为64.2%和42.9%。2. 该抗生素共应用于25例支气管肺炎、肺炎、支气管炎、颈部淋巴结炎、扁桃体炎、链球菌感染、尿路感染、甲沟炎、阑尾周围脓肿、败血症或化脓性脑膜炎患者。治疗反应优17例,良7例,中1例,无差者。有效率为96%。从我们的结果来看,该药似乎对支气管肺炎、支气管炎和尿路感染特别有效。3. 25例患者中有1例出现皮疹,3例观察到嗜酸性粒细胞、谷草转氨酶/谷丙转氨酶、血小板升高,1例白细胞下降,但这些均为一过性。这些结果表明,SBT/ABPC是一种在儿科领域以及成人中均可安全使用的药物。

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