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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1989-8-18
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pubmed:abstractText |
Sulbactam/Ampicillin (SBT/ABPC), a combination at a fixed ratio of ABPC and SBT which is an irreversible inhibitor of beta-lactamase in a 2:1 ratio, was clinically evaluated for its efficacy and safety in 24 patients with ages from 5 month-old to 12 years old with bacterial infection. The results obtained are summarized as follows. 1. A pharmacokinetic study following 30 mg/kg SBT/ABPC administration by 30 minutes drip infusion or intravenous bolus injection showed that mean half-lives of SBT and ABPC were 48.9 minutes and 40.2 minutes, respectively, and mean urinary excretion rates of SBT and ABPC in the first 6 hours were 67.1% and 48.3%, respectively. 2. SBT/ABPC was administered to 14 patients with bronchopneumonia, 4 patients with tonsillitis, a patient each with acute upper respiratory infection, with submandibular lymphadenitis, with phlegmon, with enterocolitis, with pyelonephritis and with cystitis at a daily dosage of 88.2-133.3 mg/kg, divided into 3 or 4, by intravenous bolus injection or by 30 minutes drip infusion. Clinical responses of the 24 patients were as follows: excellent: 17 patients, good: 7 patients. The efficacy rate was 100%. 3. Neither clinical adverse reactions nor abnormal laboratory test values, except slight eosinophilia in a patient and an elevation of GOT, GPT in another were observed. 4. MICs of SBT/ABPC against 7 strong beta-lactamase producing strains isolated from some of the patients were as follows. MIC against a strain of Staphylococcus aureus was 3.13 micrograms/ml, MICs against 2 out of 5 strains of Branhamella catarrhalis were 0.10 microgram/ml and those of the remaining 3 strains were 0.20 microgram/ml. MIC against a strain of Haemophilus parainfluenzae was 3.13 micrograms/ml. 5. These data described above show that SBT/ABPC has excellent bactericidal capacity against beta-lactamase producing bacteria as well as beta-lactamase non-producing Gram-positive and negative bacteria and suggest that SBT/ABPC is a very useful antibiotic for pediatric patients.
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pubmed:language |
jpn
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0368-2781
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
42
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
675-85
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pubmed:dateRevised |
2009-11-11
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pubmed:meshHeading |
pubmed-meshheading:2664251-Age Factors,
pubmed-meshheading:2664251-Ampicillin,
pubmed-meshheading:2664251-Bacteria,
pubmed-meshheading:2664251-Bacterial Infections,
pubmed-meshheading:2664251-Child,
pubmed-meshheading:2664251-Child, Preschool,
pubmed-meshheading:2664251-Clinical Trials as Topic,
pubmed-meshheading:2664251-Drug Therapy, Combination,
pubmed-meshheading:2664251-Female,
pubmed-meshheading:2664251-Humans,
pubmed-meshheading:2664251-Infant,
pubmed-meshheading:2664251-Infusions, Intravenous,
pubmed-meshheading:2664251-Injections, Intravenous,
pubmed-meshheading:2664251-Male,
pubmed-meshheading:2664251-Penicillin Resistance,
pubmed-meshheading:2664251-Sulbactam
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pubmed:year |
1989
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pubmed:articleTitle |
[Clinical evaluation of sulbactam/ampicillin in children].
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pubmed:affiliation |
Department of Pediatrics, Kyoto University.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
English Abstract,
Case Reports
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