Hayashi I, Ohnuma K
Department of Respiratory Disease, Iwaki Kyoritsu General Hospital.
Jpn J Antibiot. 1988 Sep;41(9):1313-8.
Clinical evaluation of S 6472 (sustained release preparations of cefaclor), a granule form of cefaclor, was performed in 20 patients with chronic respiratory tract infections. The patients subjected to the study consisted of 11 males and 9 females with ages between 44 and 76 years. S 6472 was given orally to each patient in a daily dose of 750 mg in 2 divided portions. The duration of administration was 3 days in 1 case, 7 days in 11 cases, 11 days in 3 cases and 14 days in 5 cases. A total of 5 strains including 2 strains of Staphylococcus aureus, and 1 strain each of Staphylococcus epidermidis, Streptococcus pyogenes and Streptococcus pneumoniae were identified from sputum samples before the administration of the drug. All strains were eradicated but, instead 2 strains, 1 strain each of Enterobacter cloacae and Pseudomonas aeruginosa appeared after the therapy. The clinical efficacy rate was 95.0% (19/20): Excellent in 5 cases, good in 14 cases and fair in 1 case. No side effects were observed, but eosinophilia was observed in 1 case. From the above results, it appeared that S 6472 was effective, safe and useful agent for the treatment of acute exacerbation of chronic respiratory tract infections.
对20例慢性呼吸道感染患者进行了头孢克洛颗粒剂S 6472(头孢克洛缓释制剂)的临床评估。研究对象包括11名男性和9名女性,年龄在44至76岁之间。每位患者口服S 6472,每日剂量750 mg,分2次服用。给药时间为1例3天、11例7天、3例11天、5例14天。给药前从痰标本中鉴定出包括2株金黄色葡萄球菌在内的5株菌株,以及表皮葡萄球菌、化脓性链球菌和肺炎链球菌各1株。所有菌株均被清除,但治疗后出现了阴沟肠杆菌和铜绿假单胞菌各1株。临床有效率为95.0%(19/20):5例为优,14例为良,1例为中。未观察到副作用,但有1例出现嗜酸性粒细胞增多。根据上述结果,S 6472似乎是治疗慢性呼吸道感染急性加重的有效、安全且有用的药物。