CLINICAL EXPERIENCE WITH CEFUZONAM IN BACTERIAL INFECTION OF CHILDREN

  • HOSODA TEIZO
    Department of Pediatrics, School of Medicine, Tokushima University
  • MASUDA MASAHIDE
    Department of Pediatrics, School of Medicine, Tokushima University
  • MIYAO MASUHIDE
    Department of Pediatrics, School of Medicine, Tokushima University

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  • 小児科領域におけるCefuzonamの使用経験

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Clinical studies were performed on cefuzonam (L-105, CZON), a new cephem antibiotic, as follows.<BR>1. Cerebrospinal fluid (CSF) and serum concentrations.<BR>CSF and serum concentrations of CZON were measured in 1 case of septic arthritis without meningitis. One hour after 50 mg/kg intravenous bolus injection, the CSF and serum concentrations were 0.10 and 18.1 μg/ml, respectively, and CSF to serum concentration ratio was 0.55%.<BR>2. Clinical efficacy<BR>CZON was administrated to 15 patients in doses ranging 54.5-212.4 mg/kg/day (94.1 mg/kg/day on average) t.i.d. or q.i.d. for 4-12 days (6.5 days on average). Of those patients, 9 were with pneumonia, one each was with bronchitis, with tonsillitis, with septic arthritis, with septicemia, with purulent meningitis and with urinary tract infection.<BR>The overall efficacy rate was 100%, i.e., efficacy was excellent in 12, good in 3.<BR>Bacteriological efficacy was excellent, i.e., 8 of 8 strains were eradicated.<BR>Side effects were observed in 2 cases, i.e., one case with loose stool and another with eruption. Laboratory abnormalities to the drug were not observed during the treatment.<BR>The above results suggested that CZON would be a useful antibiotic for treating pediatric bacterial infections.

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