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头孢米诺在儿科领域的实验室及临床研究

[Laboratory and clinical studies of cefminox in the pediatric field].

作者信息

Nishimura T, Takashima T, Tabuki K, Takagi M

出版信息

Jpn J Antibiot. 1985 Mar;38(3):730-6.

PMID:3839862
Abstract

The authors have carried out the pharmacokinetic and clinical studies of cefminox (CMNX, MT-141). The results were as follows: CMNX was given by intravenous drip infusion for 1 hour at a dose of 20 mg/kg b.w. to 2 children. The serum levels of CMNX were 103.02 micrograms/ml and 77.73 micrograms/ml at 1 hour after drip infusion, and the levels at 7 hours were 4.39 micrograms/ml and 4.19 micrograms/ml, respectively. The half life times were 1.20 hours and 1.32 hours, respectively. CSF concentrations of CMNX at 1 hour after drip infusion of a dose of 50 mg/kg in 3 patients with aseptic meningitis were 1.68 micrograms/ml (d.i. for 30 minutes), less than or equal to 0.25 micrograms/ml (d.i. for 1 hour) and 0.51 micrograms/ml (d.i. for 1 hour), respectively. CSF/serum ratios were 1.1% and 0.6%. Clinical efficacy was evaluated in 10 cases with purulent tonsillitis (3 cases), pneumonia (3 cases), pyelonephritis (1 case) and enteritis (3 cases). Excellent and good responses were obtained in all cases. Bacteriological response in the form of eradication was noted 8 of 9 cases. No side effects were observed.

摘要

作者们进行了头孢米诺(CMNX,MT - 141)的药代动力学和临床研究。结果如下:以20mg/kg体重的剂量对2名儿童进行1小时静脉滴注CMNX。滴注后1小时血清中CMNX水平分别为103.02微克/毫升和77.73微克/毫升,7小时时水平分别为4.39微克/毫升和4.19微克/毫升。半衰期分别为1.20小时和1.32小时。对3例无菌性脑膜炎患者以50mg/kg的剂量滴注后1小时,脑脊液中CMNX浓度分别为1.68微克/毫升(滴注30分钟)、≤0.25微克/毫升(滴注1小时)和0.51微克/毫升(滴注1小时)。脑脊液/血清比值分别为1.1%和0.6%。对10例化脓性扁桃体炎(3例)、肺炎(3例)、肾盂肾炎(1例)和肠炎(3例)患者进行了临床疗效评估。所有病例均获得了优和良的反应。9例中有8例出现细菌学清除反应。未观察到副作用。

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