STUDY ON THE THERAPEUTIC EFFECT OFPANIPENEM/BETAMIPRON ON PERINATAL INFECTION IN PREGNANT WOMEN

  • MIKAMO HIROSHIGE
    Department of Obstetrics and Gynecology, School of Medicine, Gifu University
  • KAWAZOE KYOKO
    Department of Obstetrics and Gynecology, School of Medicine, Gifu University
  • SATO YASUMASA
    Department of Obstetrics and Gynecology, School of Medicine, Gifu University
  • HAYASAKI YOH
    Department of Obstetrics and Gynecology, School of Medicine, Gifu University
  • TAMAYA TERUHIKO
    Department of Obstetrics and Gynecology, School of Medicine, Gifu University
  • IZUMI KOJI
    Department of Obstetrics and Gynecology, Ibi General Hospital
  • ITO KUNIHIKO
    Department of Obstetrics and Gynecology, Gifu Municipal Hospital
  • YAMADA YOSHITAKA
    Department of Obstetrics and Gynecology, Gifu Prefectural Gifu Hospital

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Other Title
  • 周産期におけるカルバペネム系抗菌薬パニペネム・ベタミプロンの治療効果

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Abstract

An investigation was carried out to determine the therapeutic effect of panipenem/betamipron (PAPM/BP), ainjectable carbapenem antimicrobial agent, on infections in pregnant women during perinatal period. Of the 41patients enrolled in the study, 34 were subjected to the analysis, with 1 exemption because of protocol violations (regimen), 3 because of uncertain evidence symptoms of infection, and 3 because of failure to undergo laboratorytests. PAPM/BP was administered by intravenous drip infusion at doses of 0.5g twice or three times a day dailyfor periods of 3 to 14 days. The efficacy rate according to the evaluation of the Drug Efficacy Evaluation Committeeand the attending physicians was 79.4% (27/34), with 49 of the 61 clinical isolates (80.3%) being eradicated.Safety was evaluated as “safe” in 39 of the 41 assessable patients (94.1%). Mild headache and nausea wereexperienced by 1 patient (2.4%) as adverse drug reactions, but the symptoms disappeared after the completion oftreatment. Slight elevations of GOT, GPT and LDH in laboratory tests were observed in 1 patient (2.4%), but these values returned to normal after the completion of treatment. These results suggested that PAPM/BP may bea useful drug in the treatment of bacterial infections during the perinatal period. To firmly establish its safety, however, further clinical and pharmacokinetic studies are needed in larger populations.

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