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6059-S在儿科的基础与临床检查(作者译)

[Basic and clinical examinations of 6059-S in pediatrics (author's transl)].

作者信息

Yamashita N, Sunakawa K, Hara N, Nanri S, Morikawa Y, Akita H, Hotta M, Tojo M, Ichihashi Y, Hirose M

出版信息

Jpn J Antibiot. 1981 Apr;34(4):576-86.

PMID:6457166
Abstract
  1. MIC of 6059-S against 92 strains of clinically isolated bacteria were measured. The compound was active against most of Gram-negative rods, but was not active against Staphylococcus aureus. 2. 20 mg/kg of 6059-S (newly synthesized oxacephem antibiotics) was administered to the pediatric patients and its blood concentration was measured by agar well method using E. coli 7437 as a test organism. 3. The mean blood concentrations were maximum at 15 minutes after intravenous one-bolus injection. Maximum levels were 94.5 mcg/ml in the patients of below 5 years old and 98.7 mcg/ml above 6 years old. Their half-life of the blood levels were 95.4 and 110.6 minutes respectively. 4. The mean blood concentrations were highest at the end of the infusion in the cases of 60 minutes drip injection. Maximum levels were 85.0 mcg/ml in the patients of below 5 years old and 64.8 mcg/ml above 6 years old. 5. Clinical efficacy of 6059-S in 6 cases pyelonephritis, 2 cases of sepsis, 1 case of meningitis, 1 case of intraperitoneal abscess, 9 cases pneumonia and 2 case of tonsillitis was 100%. In the case of urinary tract infection, 4 patients were treated successfully by the administration of 20 mg/kg/day of 6059-S. Other bacterial infections were treated with 55 to 200 mg/kg/day. 6. 100% of the causative organisms were eliminated by 6059-S. They were E. coli, Klebsiella pneumoniae, Serratia marcescens, H. influenzae and beta-Streptococcus. 7. No remarkable side effect was noticed during administration.
摘要
  1. 测定了6059 - S对92株临床分离细菌的最低抑菌浓度。该化合物对大多数革兰氏阴性杆菌有活性,但对金黄色葡萄球菌无活性。2. 给儿科患者施用20mg/kg的6059 - S(新合成的氧头孢烯类抗生素),并以大肠杆菌7437作为测试菌,通过琼脂孔法测量其血药浓度。3. 静脉一次性推注后15分钟时平均血药浓度最高。5岁以下患者的最高血药浓度为94.5μg/ml,6岁以上患者为98.7μg/ml。其血药浓度的半衰期分别为95.4分钟和110.6分钟。4. 在60分钟滴注的情况下,平均血药浓度在输注结束时最高。5岁以下患者的最高血药浓度为85.0μg/ml,6岁以上患者为64.8μg/ml。5. 6059 - S对6例肾盂肾炎、2例败血症、1例脑膜炎、1例腹腔脓肿、9例肺炎和2例扁桃体炎的临床疗效为100%。在尿路感染病例中,通过每天施用20mg/kg的6059 - S成功治疗了4名患者。其他细菌感染则采用55至200mg/kg/天的剂量进行治疗。6. 6059 - S清除了100%的病原体。它们是大肠杆菌、肺炎克雷伯菌、粘质沙雷氏菌、流感嗜血杆菌和β - 链球菌。7. 给药期间未观察到明显的副作用。

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