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成熟及未成熟新生儿头孢美唑血药浓度及尿排泄量的检测(作者译)

[Examination of blood levels and urinary excretion of cefmetazole in the mature and immature neonates (author's transl)].

作者信息

Nanri S, Sunakawa K, Yamashita N, Akita H, Hotta M, Ichihashi Y, Ishikawa K, Okazaki K, Kanemitsu T, Ri S

出版信息

Jpn J Antibiot. 1981 Jun;34(6):874-9.

PMID:6945447
Abstract
  1. Cefmetazole was administered to mature and immature neonates for the purpose of treatment and prophylaxis of infections, and the blood level was examined. The mean blood level (moni-trol I standard) of cefmetazole after a single administration, 20 mg/kg intravenously, were 63.9 mcg/ml in 0 to 3 days old neonates and 57.4 mcg/ml in 4 to 7 days old neonates after 30 minutes, and 24.2 mcg/ml and 12.4 mcg/ml, respectively, after 6 hours. 2. The mean half-life of the blood level was 5.42 hours in 0 to 3 days old neonates and 2.55 hours in 4 to 7 old neonates. 3. The urinary excretion was varied, but approximately 80% of the administered dose seemed to be excreted during 0 to 12 hours. 4. Cefmetazole is seemed to be clinically effective by a single dose of 20 mg/kg giving twice daily in every 12 hours in 0 to 3 days old neonates, a dose of 20 mg/kg giving three times daily in every 8 hours in 4 to 7 days old infants, and a single dose of 20 mg/kg giving 3 to 4 times in every 6 to 8 hours in older than 8 days old neonates.
摘要
  1. 为治疗和预防感染,对成熟和未成熟新生儿给予头孢美唑,并检测血药浓度。静脉注射20mg/kg单次给药后,0至3日龄新生儿头孢美唑的平均血药浓度(监测Ⅰ标准)在30分钟时为63.9mcg/ml,4至7日龄新生儿为57.4mcg/ml;6小时后分别为24.2mcg/ml和12.4mcg/ml。2. 0至3日龄新生儿血药浓度的平均半衰期为5.42小时,4至7日龄新生儿为2.55小时。3. 尿排泄量有所不同,但给药剂量的约80%似乎在0至12小时内排出。4. 对于0至3日龄新生儿,每12小时给予20mg/kg的单次剂量,似乎在临床上有效;对于4至7日龄婴儿,每8小时给予20mg/kg的剂量,每日三次;对于8日龄以上新生儿,每6至8小时给予20mg/kg的单次剂量,每日3至4次,头孢美唑似乎具有临床疗效。

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