Haruta T, Kuroki S, Yamamoto H, Okura K, Tsutsui T, Kobayashi Y
Department of Pediatrics, Kobe Central Municipal Hospital.
Jpn J Antibiot. 1988 Dec;41(12):1947-53.
Sultamicillin fine granules were used orally in 18 pediatric patients with infections in doses ranging 7.3-10.0 mg/kg t.i.d. or q.i.d. The following is a summary of the results: 1. Clinical efficacies in 16 cases with tonsillitis were excellent in 13 cases, good in 2 cases and fair in 1 case. Efficacy in 1 case of bronchitis and 1 case of pneumonia were good. The overall efficacy rate in the 18 cases was 94.4%. 2. Four out of 5 strains of Staphylococcus aureus were eradicated but 1 strain persisted. Three out of 7 strains of Haemophilus influenzae were rated as eradicated, 1 strain as decreased and 3 strains as persisted. Two strains of Streptococcus pyogenes and 3 strains of Haemophilus parainfluenzae were eradicated. The bacteriological efficacy rate for the 17 strains was 70.6%. Four strains out of the 17 were found to produce beta-lactamase and 3 strains were suspected, to produce the enzyme, but of these 7 strains, 5 strains were eradicated. 3. Diarrhea and loose stool were observed as side effects in each of 2 cases. It appeared that diarrhea was related to this drug. A slight elevation of GOT was observed in 1 case in laboratory tests. 4. This drug appears to be easy for children to take in terms of taste and smell.
18例儿科感染患者口服舒他西林细颗粒,剂量为7.3 - 10.0mg/kg,每日三次或四次。以下是结果总结:1. 16例扁桃体炎患者中,临床疗效为优的13例,良的2例,中1例。1例支气管炎和1例肺炎患者疗效为良。18例患者的总有效率为94.4%。2. 5株金黄色葡萄球菌中有4株被根除,但1株持续存在。7株流感嗜血杆菌中有3株被评为根除,1株减少,3株持续存在。2株化脓性链球菌和3株副流感嗜血杆菌被根除。17株细菌的细菌学有效率为70.6%。17株中有4株被发现产生β-内酰胺酶,3株疑似产生该酶,但在这7株中,5株被根除。3. 2例患者均出现腹泻和稀便作为副作用。腹泻似乎与该药物有关。1例患者实验室检查发现谷草转氨酶略有升高。4. 就味道和气味而言,这种药物似乎很容易被儿童接受。