Kohi F, Ohmoto E, Endo Y, Oda Y, Fujimoto S, Uchida K, Takaoka K, Hara M, Lai M, Takahashi I
Jpn J Antibiot. 1983 Jul;36(7):1645-52.
Ceftizoxime (CZX) and latamoxef (LMOX), new synthetic cephems, are stable against various types of beta-lactamase and highly active against Gram-negative rods, such as H. influenzae, Serratia, Enterobacter and indole (+) Proteus. In this study, we evaluated clinical effects of CZX and LMOX in the clinical management of infections in acute leukemia. Sixteen episodes of infections were treated with CZX or LMOX. Four causative organisms, P. aeruginosa, S. faecalis, K. pneumoniae and A. faecalis, were identified in 2 episodes of infections. Clinical effects were recognized at 75% in 8 episodes treated with CZX and at 71% in 7 episodes treated with LMOX, respectively. The transient evaluation of GOT, GPT and Al-P, recognized in several cases. In conclusion, the clinical effects of CZX and LMOX are promised in clinical management of infections in acute leukemia.
头孢唑肟(CZX)和拉氧头孢(LMOX)是新型合成头孢菌素,对各种类型的β-内酰胺酶稳定,对革兰氏阴性杆菌如流感嗜血杆菌、沙雷氏菌、肠杆菌和吲哚(+)变形杆菌具有高度活性。在本研究中,我们评估了CZX和LMOX在急性白血病感染临床管理中的临床效果。16例感染患者接受了CZX或LMOX治疗。在2例感染中鉴定出4种病原体,即铜绿假单胞菌、粪肠球菌、肺炎克雷伯菌和屎肠球菌。分别用CZX治疗的8例患者和用LMOX治疗的7例患者中,临床有效率分别为75%和71%。在几例患者中发现了谷草转氨酶、谷丙转氨酶和碱性磷酸酶的短暂变化。总之,CZX和LMOX在急性白血病感染的临床管理中具有良好的临床效果。