Miyachi Y, Nakashima T, Aso K, Ogawa A, Yafuso M, Kuno K
Jpn J Antibiot. 1983 Apr;36(4):790-802.
Laboratory and clinical studies were carried out with T-1982 (cefbuperazone) in pediatric infectious diseases. Results were as follows. 1. The average serum concentrations of T-1982 following intravenous injection of 10 mg/kg and 20 mg/kg were 35.3, 64.7 micrograms/ml at 30 minutes, 25.5, 41.5 micrograms/ml at 1 hour, 12.4, 21.8 micrograms/ml at 2 hours, respectively. Dose-response was observed. Urinary recovery rates of T-1982 during 6 hours after injection of 10 mg/kg and 20 mg/kg were 57.3% and 73.6%, respectively. 2. The antibacterial activity of T-1982 against clinically isolated organisms was determined. T-1982 was more active than cefazolin and cefmetazole against K. pneumoniae, H. influenzae and E. coli. It was also effective against ampicillin-resistant E. coli. 3. Thirty-seven patients received daily 30-69 mg/kg of T-1982 t.i.d. for 5-9 days. The rate of satisfactory clinical response was 91.9%. 4. Side effects were diarrhea in 4 cases, diarrhea and rash in 1 case and slight elevation of GOT and GPT in 1 case. But these were transient and mild.
对T-1982(头孢布宗)进行了儿科传染病方面的实验室和临床研究。结果如下:1.静脉注射10mg/kg和20mg/kg后,T-1982的平均血清浓度在30分钟时分别为35.3、64.7μg/ml,1小时时分别为25.5、41.5μg/ml,2小时时分别为12.4、21.8μg/ml。观察到了剂量反应。注射10mg/kg和20mg/kg后6小时内T-1982的尿回收率分别为57.3%和73.6%。2.测定了T-1982对临床分离菌的抗菌活性。T-1982对肺炎克雷伯菌、流感嗜血杆菌和大肠杆菌的活性比头孢唑林和头孢美唑更强。它对氨苄西林耐药的大肠杆菌也有效。3.37例患者每日接受30 - 69mg/kg的T-1982,一日三次,共治疗5 - 9天。临床疗效满意的比例为91.9%。4.副作用包括4例腹泻,1例腹泻并伴有皮疹,1例谷草转氨酶和谷丙转氨酶轻度升高。但这些都是短暂且轻微的。