Bergan T
Infection. 1979;7 Suppl 5:S507-512. doi: 10.1007/BF01659785.
This symposium has focused on the bacteriological, pharmacokinetic, therapeutic, and adverse effects of the aminopenicillins. The compounds which are currently being assessed are primarily amoxycillin, ampicillin, bacampicillin, pivampicillin, and talampicillin. The three last mentioned are prodrugs which upon gastrointestinal absorption are rapidly split to yield circulating ampicillin. Pharmacokinetics and side-effects are reasons why one may narrow the selection of most suitable compounds within this group down to three. Ampicillin and amoxycillin are primary choices for parenteral dosage, and amoxycillin and bacampicillin the most suitable for oral therapy.
本次研讨会聚焦于氨基青霉素的细菌学、药代动力学、治疗效果及不良反应。目前正在评估的化合物主要有阿莫西林、氨苄西林、巴氨西林、匹氨西林和酞氨西林。最后提到的三种是前体药物,经胃肠道吸收后会迅速分解产生循环中的氨苄西林。药代动力学和副作用是将该组中最合适化合物的选择范围缩小至三种的原因。氨苄西林和阿莫西林是肠胃外给药的主要选择,而阿莫西林和巴氨西林最适合口服治疗。