Niino K, Sato H, Narita A, Nakazawa S, Suzuki H, Matsumoto K, Nakazawa S
Department of Pediatrics, Oquchi Higashi General Hospital.
Jpn J Antibiot. 1989 Jul;42(7):1505-18.
Pharmacokinetic and clinical evaluation of cefpodoxime proxetil (CPDX-PR, CS-807) were performed in the field of pediatrics. The obtained results are summarized as follows. 1. Peak serum concentrations of CPDX upon single oral doses of 3.0 mg/kg and 4.4 mg/kg of CPDX-PR were 1.26-1.46 micrograms/ml and 1.45 micrograms/ml, respectively, achieved at 4 hours and 1 hour after administration. Urinary excretion rates for CPDX in the first 8 hours ranged between 28.1 and 30.2%. 2. Clinical efficacy rates for pediatric infections obtained at single dose levels ranging 3 to 6 mg/kg were 97.5%, and that at a single dose of 1 mg/kg were 90.9%. 3. Bacteriological effectiveness was determined in 45 strains identified in recent cases. Eradication rates for these bacteria at dose levels of 3 to 6 mg/kg and 1 mg/kg were 91.3% and 95.5%, respectively. 4. No side effect nor abnormal laboratory test data were found in any of the cases examined. From these results, CPDX-PR appeared to be a useful antibiotic agent in the field of pediatrics.
头孢泊肟酯(CPDX-PR,CS-807)的药代动力学及临床评估在儿科领域开展。所得结果总结如下。1. 单次口服3.0 mg/kg和4.4 mg/kg的CPDX-PR后,CPDX的血清峰值浓度分别为1.26 - 1.46微克/毫升和1.45微克/毫升,给药后4小时和1小时达到峰值。给药后前8小时CPDX的尿排泄率在28.1%至30.2%之间。2. 单剂量3至6 mg/kg范围内的儿科感染临床有效率为97.5%,单剂量1 mg/kg时为90.9%。3. 对近期病例中鉴定出的45株菌株进行了细菌学有效性测定。剂量水平为3至6 mg/kg和1 mg/kg时,这些细菌的根除率分别为91.3%和95.5%。4. 在所有检查病例中均未发现副作用或实验室检查数据异常。根据这些结果,CPDX-PR似乎是儿科领域一种有用的抗生素药物。