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[A clinical study on the efficacy of ceftazidime alone or in combination with aspoxicillin against infections in obstetric and gynecological patients].

Abstract
We studied clinical effects of ceftazidime (CAZ) alone or in combination with aspoxicillin (ASPC) against various infections in obstetric and gynecological patients. 1. Obstetric and gynecological patients (n = 91) with various infectious diseases were treated with CAZ alone (1-2 g x 2/day, n = 54) or in combination with ASPC (1-2 g x 2/day, n = 37) administered via drip infusion. 2. CAZ alone or in combination with ASPC was efficacious in 50 out of 54 (92.6%) or 33 out of 36 (91.7%) patients, respectively. Overall, the efficacy ratios were 46/49 (93.9%) against gynecological infections, 21/25 (84.0%) against perinatal infections and 16/16 (100%) against other infections. The bacteriological efficacy ratio was 21/21 (100%) while clinical effectiveness in cases in which causative agents were known was observed in 20 out of 21 (95.2%) patients. In patients who had not respond to other treatments, CAZ alone, and in combination with ASPC were effective in 15 out of 16 (93.8%) and 6 out of 8 (75.0%) patients, respectively, hence the overall efficacy ratio was 21/24 (87.5%). 3. Abnormal values in clinical laboratory tests were obtained in 3 out of 91 (3.3%) patients. No other adverse side effects were observed in any of the patients.
AuthorsT Chimura, T Hirayama, T Funayama, N Nara, R Miyata, H Kanasugi, S Sato, T Oda, N Saito, N Morisaki
JournalThe Japanese journal of antibiotics (Jpn J Antibiot) Vol. 46 Issue 9 Pg. 827-35 (Sep 1993) ISSN: 0368-2781 [Print] Japan
PMID8254902 (Publication Type: Clinical Trial, English Abstract, Journal Article)
Chemical References
  • aspoxicillin
  • Amoxicillin
  • Ceftazidime
Topics
  • Adult
  • Aged
  • Aged, 80 and over
  • Amoxicillin (administration & dosage, analogs & derivatives)
  • Bacterial Infections (drug therapy, microbiology)
  • Ceftazidime (administration & dosage)
  • Drug Therapy, Combination (administration & dosage)
  • Female
  • Genital Diseases, Female (drug therapy, microbiology)
  • Humans
  • Middle Aged
  • Pregnancy
  • Pregnancy Complications, Infectious (drug therapy, microbiology)

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