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头孢沙定的实验室及临床研究(作者译)

[Laboratory and clinical studies on cefroxadine (author's transl)].

作者信息

Nishikawa K, Aso K, Miyachi Y, Ogawa A, Yafuso M, Kuno K

出版信息

Jpn J Antibiot. 1981 Dec;34(12):1647-54.

PMID:7334589
Abstract

Cefroxadine (CXD) was applied to infectious diseases in children and the following results were obtained. 1. Serum concentration and urinary excretion: CXD was given orally in dose of 10 mg/kg in dry syrup from 30 minutes after meals. The peak serum concentration was at 1 hour after administration in 3 cases and at 2 hours in 1 case, and the average peak serum concentration was 16.41 microgram/ml in these 4 cases. The average urinary excretion rate of the antibiotic during 6 hours after administration was 93.9% in another 4 cases. 2. Antibacterial activity: The MIC of CXD against E. coli was slightly superior to that of CEX, but against S. aureus, S. epidermidis, Str. pyogenes, Str faecalis, Str. pneumoniae, Kleb. pneumoniae, Kleb. oxytoca, Pro. mirabilis, Pro, vulgaris, H. influenzae, H. parainfluenzae, H. parahaemolyticus the MICs of CXD were almost equal to those of CEX. 3. Clinical study: Thirty seven patients with bacterial infections (7 cases of urinary tract infection, 2 of cystitis, 10 of tonsillitis, 9 of scarlet fever, 7 of bronchitis and 2 of bronchopneumonia) were orally treated with CXD dry syrup, 15 approximately 48 mg/kg/day divided into 3 doses. The overall efficacy rate was 91.7%, and side effects inclusive of abnormal laboratory findings were not observed.

摘要

头孢沙定(CXD)应用于儿童传染病,得到以下结果。1.血清浓度和尿排泄:餐后30分钟以10mg/kg干糖浆的剂量口服给予CXD。3例给药后1小时达到血清峰值浓度,1例在2小时达到,这4例的平均峰值血清浓度为16.41微克/毫升。另外4例给药后6小时抗生素的平均尿排泄率为93.9%。2.抗菌活性:CXD对大肠杆菌的MIC略优于头孢氨苄,但对金黄色葡萄球菌、表皮葡萄球菌、化脓性链球菌、粪肠球菌、肺炎链球菌、肺炎克雷伯菌、产酸克雷伯菌、奇异变形杆菌、普通变形杆菌、流感嗜血杆菌、副流感嗜血杆菌、副溶血性弧菌,CXD的MIC与头孢氨苄几乎相等。3.临床研究:37例细菌感染患者(7例尿路感染、2例膀胱炎、10例扁桃体炎、9例猩红热、7例支气管炎和2例支气管肺炎)口服CXD干糖浆治疗,剂量约为48mg/kg/天,分3次给药。总有效率为91.7%,未观察到包括实验室检查异常在内的副作用。

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