Sunakawa K, Ishizuka Y, Saito N
Department of Pediatrics, Second Tokyo National Hospital.
Jpn J Antibiot. 1988 Jun;41(6):745-54.
A total of 29 patients with pediatric infections was treated orally with 21.4-44.4 mg/kg/day of rokitamycin (RKM) dry syrup. The obtained results are summarized as follows. 1. Clinical responses to RKM in 24 evaluable patients were excellent in 2 and good in 3 of 5 patients with tonsillitis and laryngitis; excellent in 3 and good in 5 of 8 patients with bronchitis; excellent in 3, good in 2 and fair in one of 6 patients with bronchopneumonia; excellent in 2 and good in the other of 3 patients with psittacosis; and excellent in 2 of 2 patients with Campylobacter colitis. The overall efficacy rate was 95.8%. 2. Bacteriological responses to the drug were: reduction in 1 and no change in the other of 2 strains of Streptococcus pyogenes; eradication of a strain of Streptococcus pneumoniae and 2 strains of Staphylococcus aureus; eradication of 2 and no change in 3 of 5 strains of Haemophilus influenzae; and eradication of 2 out of 2 strains of Campylobacter spp. 3. Diarrhea was complained of as an adverse reaction to the RKM medication by 1 patient, abdominal pain was reported by another, and anorexia by another of the 27 patients treated. Laboratory examination was performed on some patients, but not abnormal test values were found except in 1 case showing an increase in platelet count from 27.6 to 78.2 X 10(4)/mm8. The results suggested that RKM dry syrup might be a very useful and safe drug for the treatment of pediatric infections.
29例儿科感染患者口服罗他霉素(RKM)干糖浆,剂量为21.4 - 44.4mg/kg/天。结果总结如下:1. 24例可评估患者中,5例扁桃体炎和喉炎患者,2例临床反应极佳,3例良好;8例支气管炎患者,3例极佳,5例良好;6例支气管肺炎患者,3例极佳,2例良好,1例尚可;3例鹦鹉热患者,2例极佳,另1例良好;2例弯曲杆菌性结肠炎患者均极佳。总有效率为95.8%。2. 药物的细菌学反应为:2株化脓性链球菌中,1株减少,另1株无变化;1株肺炎链球菌和2株金黄色葡萄球菌被根除;5株流感嗜血杆菌中,2株被根除,3株无变化;2株弯曲杆菌属菌株均被根除。3. 27例接受治疗的患者中,1例主诉腹泻为RKM用药的不良反应,另1例报告腹痛,还有1例报告厌食。对部分患者进行了实验室检查,除1例血小板计数从27.6增至78.2×10⁴/mm³外,未发现异常检测值。结果表明,RKM干糖浆可能是治疗儿科感染非常有用且安全的药物。