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[Clinical study and trial of penetration to the cerebrospinal fluid of aspoxicillin in the pediatric field].

Abstract
Penetration of aspoxicillin (ASPC), a new semisynthetic penicillin, to cerebrospinal fluid (CSF) and clinical studies against bacterial infections were carried out and the following results were obtained. The concentration of ASPC in CSF was below 1 microgram/ml at 1 hour after intravenous administration of about 50 mg/kg dose to 2 cases of aseptic meningitis on the acute stage. The concentration of ASPC in CSF was above 10 micrograms/ml at 1 hour after intravenous administration of about 80 mg/kg dose to 3 cases of purulent meningitis on the acute stage, and was above 2 micrograms/ml even on the recovering stage. On each stage, its concentration was more than minimum inhibitory concentration of H. influenzae (less than or equal to 0.05 microgram/ml; at inoculum size of 10(6) cells/ml). Clinical efficacy of ASPC was good in all 3 cases of purulent meningitis, excellent in 3 cases, good in 3 cases and poor in 1 case out of 7 cases of septicemia, good in 2 cases and poor in 1 case out of 3 cases of gastroenteritis, respectively. And clinical efficacy of other diseases were excellent or good, that were 2 cases of tonsillitis, 2 cases of soft tissue abscess, 1 case of purulent lymphadenitis and 1 case of urinary tract infection, respectively. Side effects were mild eosinophilia in only 2 cases out of 22 cases.
AuthorsT Okada, S Furukawa
JournalThe Japanese journal of antibiotics (Jpn J Antibiot) Vol. 38 Issue 7 Pg. 1931-43 (Jul 1985) ISSN: 0368-2781 [Print] Japan
PMID3877821 (Publication Type: Case Reports, Journal Article)
Chemical References
  • aspoxicillin
  • Amoxicillin
Topics
  • Amoxicillin (analogs & derivatives, cerebrospinal fluid, pharmacology, therapeutic use)
  • Bacterial Infections (drug therapy)
  • Child
  • Child, Preschool
  • Drug Evaluation
  • Female
  • Haemophilus influenzae (drug effects)
  • Humans
  • Infant
  • Injections, Intravenous
  • Male
  • Meningitis (drug therapy)
  • Sepsis (drug therapy)

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