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[Laboratory and clinical studies on aspoxicillin in the field of pediatrics].

Abstract
Laboratory and clinical studies were carried out with aspoxicillin (TA-058, ASPC), a new semisynthetic penicillin, in pediatric infectious disease, and following results were obtained. The average serum concentrations of ASPC after intravenous injection were 53.6, 151.2 micrograms/ml at 15 minutes, 28.0, 72.8 micrograms/ml at 30 minutes, 17.6, 43.3 micrograms/ml at 1 hour, 7.0, 19.9 micrograms/ml at 2 hours, 0.3, 1.8 micrograms/ml at 6 hours, when the doses were 20 mg/kg and 40 mg/kg, respectively. The mean half-lives of ASPC in blood after injection were 0.87 hour and 1.1 hours when the doses were 20 mg/kg and 40 mg/kg, respectively. The mean recovery rates in the urine during 6 hours after intravenous injection of 20 mg/kg and 40 mg/kg were 62.0 and 62.8%, respectively. The antibacterial activity of ASPC against clinically isolated organisms was determined. ASPC had good activity against H. influenzae, H. parainfluenzae, S. pneumoniae and S. pyogenes. Thirty-four patients; 26 cases of respiratory tract infections, 6 cases of urinary tract infections, 1 case of bacterial meningitis and 1 case of bacterial lymphadenitis, were treated with 57.0-159 mg/kg daily dose of ASPC for 4-19 days. The rate of satisfactory clinical response was 85.3%. As to side effects, loose stool was observed in 3 cases, slight elevation of GOT & GPT and elevation of platelet were noted, in 2 cases, respectively. All were transient and considered to be minor.
AuthorsS Ueda, F Hayakawa, T Nakashima, Y Miyachi, T Hakamada, K Kuno
JournalThe Japanese journal of antibiotics (Jpn J Antibiot) Vol. 38 Issue 7 Pg. 1853-67 (Jul 1985) ISSN: 0368-2781 [Print] Japan
PMID3851859 (Publication Type: English Abstract, Journal Article)
Chemical References
  • aspoxicillin
  • Amoxicillin
Topics
  • Amoxicillin (analogs & derivatives, metabolism, pharmacology, therapeutic use)
  • Bacteria (drug effects)
  • Bacterial Infections (drug therapy, microbiology)
  • Child
  • Child, Preschool
  • Drug Evaluation
  • Female
  • Humans
  • Male
  • Penicillin Resistance

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