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[Clinical study of aztreonam on respiratory tract infections caused by gram-negative pathogens].

Abstract
Aztreonam (E-0734, AZT) was administered to pneumonia and chronic respiratory tract infections. The results were as follows: AZT was administered to 29 patients. Twenty-six cases were evaluable and 3 cases were excluded from evaluation of efficacy because 1 was Gram-positive infection, 2 were unclear symptom of infection. Pneumonia was 4 cases. Chronic respiratory tract infections were 22 cases. Clinical efficacy was judged as follows; excellent in 7 cases, good in 10 cases, fair in 5 cases and poor in 4 cases, then the efficacy rate was 65.4%. Efficacy rate in pneumonia, acute aggravation of diffuse panbronchiolitis and bronchiectasis with infection was 50%, 67% and 83%, respectively. Bacteriological response was judged on 21 cases with eradication rate was 66.7%. Bacteriological response classified by pathogen was as follows: All 6 isolates of H. influenzae, 2 in 6 isolates of P. aeruginosa, 4 in 5 isolates of H. parainfluenzae and all 3 isolates of K. pneumoniae were cleared. Total eradicated rate was 74.1%. Eruption was observed in 1 case as side effect. Abnormal laboratory findings were observed in 4 cases. Elevation of GOT and GPT was in 3 cases. Increase of eosinophil and basophil was in 1 case. AZT was considered to be a useful antibiotic for the treatment of respiratory tract infections, especially chronic respiratory tract infections, caused by Gram-negative pathogens.
AuthorsK Shimokata, Y Totani, M Morishita, H Hashigami, M Yamamoto, S Suetsugu, A Tanaka, H Umeda, S Sakai, T Kobayashi
JournalThe Japanese journal of antibiotics (Jpn J Antibiot) Vol. 38 Issue 11 Pg. 3415-33 (Nov 1985) ISSN: 0368-2781 [Print] Japan
PMID3912526 (Publication Type: Clinical Trial, English Abstract, Journal Article)
Chemical References
  • Aztreonam
Topics
  • Adult
  • Aged
  • Aztreonam (administration & dosage, pharmacology, therapeutic use)
  • Clinical Trials as Topic
  • Female
  • Gram-Negative Bacteria (drug effects)
  • Humans
  • Infusions, Parenteral
  • Male
  • Middle Aged
  • Respiratory Tract Infections (drug therapy, microbiology)

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