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舒他西林细粒剂在泌尿外科领域的临床研究

[Clinical studies on sultamicillin fine granules in the urological field].

作者信息

Arakawa S, Takagi S, Maeda H, Ka S, Sia I C, Kamidono S, Hirooka K, Shimatani N, Inoue T, Tanaka H

机构信息

Department of Urology, School of Medicine, Kobe University.

出版信息

Jpn J Antibiot. 1988 Dec;41(12):2044-58.

PMID:3249375
Abstract

Clinical studies of sultamicillin (SBTPC) fine granules, an oral antibiotic with ester linked ampicillin and beta-lactamase inhibitor, sulbactam, were performed in acute uncomplicated cystitis and complicated urinary tract infections. 1. SBTPC fine granules were administrated at a dose of 187.5 mg 2-3 times daily for 5-7 days to 6 patients with acute uncomplicated cystitis. Clinical efficacies as judged according to the criteria of the UTI Committee were excellent in 5 cases and moderate in 1 case with an effectiveness rate of 100%. All of 7 identified bacteria were eradicated by the treatment. 2. SBTPC fine granules were administrated at a dose of 187.5 mg or 375 mg 3 times daily for 5-7 days to 17 patients with complicated urinary tract infections. Clinical efficacies as judged according to the criteria of the UTI Committee were excellent in 8 cases, moderate in 4 cases and poor in 5 cases with an effectiveness rate of 70.6%. Out of 17 identified bacteria, 14 (82.4%) were eradicated by the treatment. 3. As adverse reactions, glossitis, diarrhea and pharyngeal redness were observed in 1 case out of 31 cases treated with the drug. These symptoms, however, were mild and transient. No abnormal laboratory test values were observed. From the above results, it appears that SBTPC fine granules are useful in the treatment of urinary tract infections.

摘要

对口服抗生素舒他西林(SBTPC)细颗粒进行了临床研究,该药物为酯基连接的氨苄西林与β-内酰胺酶抑制剂舒巴坦的组合,研究针对急性单纯性膀胱炎和复杂性尿路感染展开。1. 对6例急性单纯性膀胱炎患者给予SBTPC细颗粒,剂量为187.5mg,每日2 - 3次,疗程5 - 7天。根据泌尿道感染委员会的标准判断,临床疗效为优5例,中1例,有效率100%。治疗清除了所有7株已鉴定的细菌。2. 对17例复杂性尿路感染患者给予SBTPC细颗粒,剂量为187.5mg或375mg,每日3次,疗程5 - 7天。根据泌尿道感染委员会的标准判断,临床疗效为优8例,中4例,差5例,有效率70.6%。在17株已鉴定的细菌中,14株(82.4%)被治疗清除。3. 作为不良反应,在31例接受该药物治疗的患者中,有1例出现舌炎、腹泻和咽部发红。然而,这些症状轻微且短暂。未观察到实验室检查值异常。从上述结果来看,SBTPC细颗粒似乎对尿路感染的治疗有效。

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