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口服头孢呋辛酯:尿路感染的临床药理学及比较剂量研究

Oral cefuroxime axetil: clinical pharmacology and comparative dose studies in urinary tract infection.

作者信息

Adams D H, Wood M J, Farrell I D, Fox C, Ball A P

出版信息

J Antimicrob Chemother. 1985 Sep;16(3):359-66. doi: 10.1093/jac/16.3.359.

Abstract

Cefuroxime axetil, an orally absorbed pro-drug of cefuroxime was used to treat a mainly elderly group of patients with symptomatic urinary tract infections. The drug was clinically effective and the bacteriological short term and long term cure rates (55% and 48% respectively) comparable to those of other antibiotics. The study had to be terminated however after the development of three cases of antibiotic associated colitis. Studies of the pharmacokinetics of the drug in volunteers gave inconsistent results suggesting that there may be variable bioavailability of the compound.

摘要

头孢呋辛酯是一种口服吸收的头孢呋辛前体药物,用于治疗以老年患者为主的有症状的尿路感染患者群体。该药物临床有效,细菌学短期和长期治愈率(分别为55%和48%)与其他抗生素相当。然而,在出现3例抗生素相关性结肠炎病例后,该研究不得不终止。对该药物在志愿者体内的药代动力学研究结果不一致,表明该化合物的生物利用度可能存在差异。

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