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CS-1170在儿科领域的基础与临床研究(作者译)

[Fundamental and clinical studies on CS--1170 in pediatric field (author's transl)].

作者信息

Nakazawa S, Sato H, Niino K, Nakazawa S, Hirama Y, Narita A, Chikaoka H, Oka S

出版信息

Jpn J Antibiot. 1979 Feb;32(2):227-37.

PMID:439394
Abstract

Fundamental studies and clinical evaluation of CS-1170 were carried out in the field of pediatrics, and the following results were obtained: 1) A high serum concentration of the drug was observed by 30 minutes after the commencement of intravenous drip infusion of 20 and 30 mg/kg, with the peak appearing at the end of the infusion. Serum level of 10.0 micrograms/ml or more was observed even 2 hours after the completion of the drip infusion. 2) The peak of serum concentration appeared at 30 minutes after intravenous injection of 20 mg/kg, and the blood level 4 hours after the injection was 4.3 micrograms/ml or more. 3) Excretion of the drug into the urine by 6 hours after intravenous drip infusion or one-shot injection was 60% or more on the average, with the major portion of the drug in the active state excreted by 4 hours after the administration. 4) Twenty-five children with acute infections (5 types of diseases) were treated with CS-1170 mainly by intravenous drip infusion, and the following clinical results were obtained: The overall clinical effective rate of 96.0% was obtained with the daily dosage of CS-1170 ranging mostly from 50 to 80 mg/kg in the total 25 cases including 7 cases of acute bronchitis (100%), 13 cases of bronchopneumonia (92.3%), 3 cases of acute urinary tract infections (100%), a case each of staphylococal exanthema and lymphadenitis in the neck (100%). 5) Thorough analyses of the liver and kidney functions and the hematological features at the time of, and about 10 days after the administration of CS-1170 in each case so far revealed no abnormality. The drug did not affect the site of injection or the whole body.

摘要

在儿科领域对CS - 1170进行了基础研究和临床评估,获得了以下结果:1)静脉滴注20和30mg/kg开始后30分钟观察到药物血清浓度较高,峰值出现在滴注结束时。滴注结束后2小时血清水平仍观察到10.0微克/毫升或更高。2)静脉注射20mg/kg后30分钟出现血清浓度峰值,注射后4小时血药浓度为4.3微克/毫升或更高。3)静脉滴注或单次注射后6小时药物经尿液排泄平均为60%或更多,给药后4小时大部分药物以活性状态排泄。4)25例急性感染(5种疾病)儿童主要通过静脉滴注接受CS - 1170治疗,获得了以下临床结果:在包括7例急性支气管炎(100%)、13例支气管肺炎(92.3%)、3例急性尿路感染(100%)、1例葡萄球菌疹和1例颈部淋巴结炎(100%)的总共25例病例中,CS - 1170每日剂量大多为50至80mg/kg,总体临床有效率为96.0%。5)到目前为止,对每例病例在给予CS - 1170时以及给药后约10天的肝肾功能和血液学特征进行的全面分析未发现异常。该药物对注射部位或全身均无影响。

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