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婴幼儿美洛西林的临床及药代动力学评估。

Clinical and pharmacokinetic evaluation of moxalactam in infants and children.

作者信息

Varghese M, Khan A J, Quaye G, Patel U, Kumar K, Evans H E

出版信息

Chemotherapy. 1982;28(6):417-20. doi: 10.1159/000238132.

DOI:10.1159/000238132
PMID:6218971
Abstract

Moxalactam, a new beta-lactam antibiotic was evaluated in the treatment of 21 pediatric patients including 16 with clinical and radiological evidence of pneumonia and 5 with urinary tract infection (UTI). Clinical and radiological resolution of pneumonia occurred in all. Bacteriological efficacy in pneumonia, however, was assessed in only 1 patient whose blood culture grew H. influenzae type b. In patients with UTI, the therapy was successful, bacteriologically as well as clinically. The only side effects observed were mild transient elevation of SGOT and alkaline phosphatase in 6 cases. The peak and trough levels of the drug were manyfold higher than the known minimum inhibitory concentrations of common pathogens. The mean t1/2 projected of 95 and 124 min with intravenous and intramuscular route, respectively, were similar to those reported in adults.

摘要

莫西拉坦是一种新型β-内酰胺类抗生素,对21例儿科患者进行了评估,其中16例有肺炎的临床和影像学证据,5例有尿路感染(UTI)。所有肺炎患者的临床和影像学症状均得到缓解。然而,仅对1例血培养出b型流感嗜血杆菌的肺炎患者评估了细菌学疗效。对于UTI患者,治疗在细菌学和临床上均取得成功。观察到的唯一副作用是6例患者出现轻度短暂性谷草转氨酶和碱性磷酸酶升高。该药物的峰浓度和谷浓度比常见病原体已知的最低抑菌浓度高许多倍。静脉注射和肌肉注射途径的平均半衰期分别预计为95分钟和124分钟,与成人报告的相似。

相似文献

1
Clinical and pharmacokinetic evaluation of moxalactam in infants and children.婴幼儿美洛西林的临床及药代动力学评估。
Chemotherapy. 1982;28(6):417-20. doi: 10.1159/000238132.
2
[Moxalactam in pediatrics. Clinical and pharmacokinetic experience. Apropos of 37 cases].
Sem Hop. 1983 Jun 30;59(26):1972-6.
3
Pharmacokinetic and clinical evaluation of moxalactam in infants and children.羟羧氧酰胺菌素在婴幼儿和儿童中的药代动力学及临床评估。
Dev Pharmacol Ther. 1981;3(4):222-31. doi: 10.1159/000457446.
4
Absorption, excretion, and clinical efficacy of moxalactam in pediatric patients.羟羧氧酰胺菌素在儿科患者中的吸收、排泄及临床疗效。
Rev Infect Dis. 1982 Nov-Dec;4 Suppl:S656-63. doi: 10.1093/clinids/4.supplement_3.s656.
5
Moxalactam pharmacokinetics in children.儿童中莫西拉坦的药代动力学。
Antimicrob Agents Chemother. 1982 Jul;22(1):47-50. doi: 10.1128/AAC.22.1.47.
6
Clinical efficacy of moxalactam with emphasis on infections due to multidrug-resistant organisms in patients with renal insufficiency.羟羧氧酰胺菌素的临床疗效,重点关注肾功能不全患者中耐多药菌所致感染。
Chemotherapy. 1981;27(4):287-95. doi: 10.1159/000237993.
7
Clinical evaluation of a new broad-spectrum oxa-beta-lactam antibiotic, moxalactam, in neonates and infants.新型广谱氧杂β-内酰胺抗生素莫西拉坦在新生儿和婴儿中的临床评估。
J Pediatr. 1981 Jan;98(1):129-36. doi: 10.1016/s0022-3476(81)80559-8.
8
[Clinical evaluation of 6059-S therapy in children (author's transl)].
Jpn J Antibiot. 1981 Apr;34(4):599-607.
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Moxalactam therapy for bacterial infections.莫西拉坦治疗细菌感染。
Arch Intern Med. 1981 Nov;141(12):1607-12.
10
[Fundamental and clinical studies in pediatric field on 6059-S (author's transl)].儿科领域关于6059-S的基础与临床研究(作者译)
Jpn J Antibiot. 1981 Apr;34(4):562-75.

引用本文的文献

1
Moxalactam (latamoxef). A review of its antibacterial activity, pharmacokinetic properties and therapeutic use.拉氧头孢。对其抗菌活性、药代动力学特性及治疗用途的综述。
Drugs. 1983 Oct;26(4):279-333. doi: 10.2165/00003495-198326040-00001.