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头孢甲肟在儿科领域的临床研究

[Clinical studies on cefmenoxime in pediatric field].

作者信息

Yanagisawa K, Yanagisawa K, Hoshina H, Ichihashi H

出版信息

Jpn J Antibiot. 1982 Oct;35(10):2414-22.

PMID:6306293
Abstract

A new cephalosporin antibiotic, cefmenoxime (CMX) was administered to 22 patients aged 5 days to 8 years, and who had moderate or severe pediatric infections, to examine its clinical effect. The infections were 3 of acute bronchitis, 2 cases of asthmatic bronchitis, 6 of acute pneumonia, 1 of Mycoplasma pneumonia, 2 of sepsis (1 accompanied with pneumonia), 3 of vacterial meningitis, 2 of urinary tract infection, 1 of acute appendicitis, 1 of aseptic meningitis and 1 of fever of undetermined origin. The drug was administered by one shot intravenous injection 4 times daily at the dose of 40 approximately 200 mg/kg/day. The drug was administered for 3 approximately 15 days, the total dosage administered being 0.7 approximately 43.5 g. Clinically, excellent, good and fair response was obtained in 2, 11 and 4 cases, respectively, the drug being effective in all cases excluding the 5 cases in which judgement was unknown. The 6 strains of bacteria isolated from the lesion as the assumed causative bacteria (1 strain of S. pneumoniae, 2 of H. influenzae, 2 of E. coli, 1 of K. pneumoniae) were all eradicated after drug administration. No notable side effects were produced.

摘要

对22例年龄在5天至8岁之间、患有中度或重度儿科感染的患者使用了一种新型头孢菌素抗生素头孢甲肟(CMX),以检查其临床效果。感染情况为:急性支气管炎3例、喘息性支气管炎2例、急性肺炎6例、支原体肺炎1例、败血症2例(1例伴有肺炎)、细菌性脑膜炎3例、尿路感染2例、急性阑尾炎1例、无菌性脑膜炎1例、不明原因发热1例。药物通过静脉注射给药,每天4次,剂量约为40至200mg/kg/天。给药3至15天,给药总量为0.7至43.5g。临床上,分别有2例、11例和4例获得了优、良和中效反应,除5例判断不明的病例外,该药物在所有病例中均有效。从病变部位分离出的作为假定病原菌的6株细菌(肺炎链球菌1株、流感嗜血杆菌2株、大肠杆菌2株、肺炎克雷伯菌1株)在给药后均被清除。未产生明显副作用。

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