Kitamura K, Ihara T, Kamiya H, Nakano T, Itoh M, Sakurai M
Department of Pediatrics, Mie National Hospital.
Jpn J Antibiot. 1995 Jan;48(1):133-9.
SY5555, a new oral penem, in the form of dry syrup (powder which is dissolved before use) was evaluated for its pharmacokinetics and clinical efficacy in pediatric patients. Oral administration of 5 mg/kg and 10 mg/kg of SY5555 in dry syrup resulted in respective maximum plasma concentrations of 1.08 +/- 0.38 micrograms/ml (n = 4) and 2.50 +/- 1.81 micrograms/ml (n = 4), half-lives (T 1/2) of 2.72 +/- 1.86 hours (n = 3) and 1.14 +/- 0.88 hours (n = 4), and urinary excretion until 6 hours of 4.7% (n = 1) and 3.86 +/- 2.01% (n = 4). Clinical efficacy was evaluable in 22 patients, and the overall efficacy rate was 100%. As for bacteriological efficacy, all 5 strains of pathogenic organisms identified were eradicated (eradication rate, 100%). No remarkable adverse reactions or abnormal laboratory values were observed.
新型口服青霉烯类药物SY5555制成干糖浆剂(一种使用前需溶解的粉末剂型),对其在儿科患者中的药代动力学和临床疗效进行了评估。口服5mg/kg和10mg/kg干糖浆剂的SY5555后,血浆最大浓度分别为1.08±0.38μg/ml(n = 4)和2.50±1.81μg/ml(n = 4),半衰期(T1/2)分别为2.72±1.86小时(n = 3)和1.14±0.88小时(n = 4),6小时内的尿排泄率分别为4.7%(n = 1)和3.86±2.01%(n = 4)。22例患者可评估临床疗效,总有效率为100%。细菌学疗效方面,鉴定出的5株致病微生物全部被清除(清除率100%)。未观察到明显的不良反应或实验室检查值异常。