Motohiro T, Sakata Y, Fujimoto T, Nishiyama T, Nakajima T, Ishimoto K, Tominaga K, Yamashita F, Shishido H, Watanabe K, Matsumoto K, Tazaki K, Oki S, Araki H, Takajo N, Yuasa K, Tanaka Y, Tsugawa S, Nagayama K, Komatsu R, Yamamoto M, Ookita R, Sakaguchi Y, Terasawa K, Kinoshita M
Jpn J Antibiot. 1980 Nov;33(11):1183-93.
Clinical trial of cefoperazone (CPZ) for the treatment of whooping cough and whooping cough syndrome was performed and the following results were obtained. 1) In 18 cases suffering from whooping cough, CPZ was given 47 approximately 106 mg/kg/day (average 72 mg/kg/day) by intravenous route. The clinical efficacy rates judged by doctors in charge were 44% on the 3 rd day, 75% on the 7 th day, 86% on the period day. And in these cases, the clinical efficacy rates judged by committee members were 56%, 83% and 86%. 2) In 6 cases diagnosed as whooping cough syndrome, CPZ was given 49 approximately 96 mg/kg/day (average 59 mg/kg/day) by the same route. The clinical efficacy rates judged by doctors in charge were 67% on the 3 rd day, 80% on the 7 th day and 75% on the period day. And in these cases, those judged by committee members were 83%, 80% and 100%. 3) In 1 case, Bordetella pertussis was searched and showed 0.012 mcg/ml of MIC. It was eliminated on the 1 st day after administration. 4) Doctors in charge judged the utility of CPZ for whooping cough. Twelve cases were useful and 6 cases were slightly useful. 5) No side effects were observed except for elevation of GOT and LDH. These results suggest that CPZ might be useful drug against whooping cough.
进行了头孢哌酮(CPZ)治疗百日咳及百日咳综合征的临床试验,并获得了以下结果。1)18例百日咳患者,通过静脉途径给予CPZ,剂量约为106mg/kg/天(平均72mg/kg/天)。主管医生判断的临床有效率在第3天为44%,第7天为75%,疗程结束时为86%。在这些病例中,委员会成员判断的临床有效率分别为56%、83%和86%。2)6例诊断为百日咳综合征的患者,通过相同途径给予CPZ,剂量约为96mg/kg/天(平均59mg/kg/天)。主管医生判断的临床有效率在第3天为67%,第7天为80%,疗程结束时为75%。在这些病例中,委员会成员判断的有效率分别为83%、80%和100%。3)1例患者中,检测到百日咳博德特菌的最低抑菌浓度(MIC)为0.012μg/ml。给药后第1天该菌被清除。4)主管医生判断CPZ对百日咳的效用。12例有效,6例稍有效果。5)除谷草转氨酶(GOT)和乳酸脱氢酶(LDH)升高外,未观察到其他副作用。这些结果表明CPZ可能是治疗百日咳的有效药物。