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[Studies on S-1108 in pediatric infection].

Abstract
Pharmacokinetic and clinical studies on S-1108, a new oral cephem antibiotic, were performed in pediatric infections and the following results were obtained. 1. Pharmacokinetics studies Pharmacokinetics of S-1108 was studied in 4 children (3 y 7 m-11 y 1 m) using doses of 2 mg/kg (n = 2) and 4 mg/kg (n = 2). The average peak plasma level was 0.88 microgram/ml at 2 hours after administration of 2 mg/kg and 2.00 micrograms/ml at 3 hours after administration of 4 mg/kg, and plasma half-lives were 1.45 and 0.96 hours, respectively. Average cumulative urinary recovery rates at 0-6 hours were 30.0 and 34.8%, respectively. 2. Clinical studies S-1108 was administered to 32 patients with various infectious diseases (6 with acute tonsillitis, 2 each with pertussis and acute bronchitis, 3 with pneumonia, 4 with scarlet fever, 5 with impetigo contagiosa, 6 with acute urinary infection and 1 each with subcutaneous abscess, impetigo, vulvitis and urethritis) at daily doses between 6-12 mg/kg/day, t.i.d., for 5-12 days. Clinical responses were excellent in 17 patients, good in 13, and poor in 2, and the efficacy rate was 93.8%. Bacteria were identified and 33 strains of 12 species were found. The eradication rate was 93.9%. No side effects were observed in 43 patients. Abnormal laboratory test values were observed in 2 patients, 1 with elevation of eosin. and the other with elevations of GOT and GPT. The results suggest that S-1108 may be a very useful and safe drug for the treatment of pediatric infections.
AuthorsK Niinou, H Sato
JournalThe Japanese journal of antibiotics (Jpn J Antibiot) Vol. 46 Issue 11 Pg. 978-90 (Nov 1993) ISSN: 0368-2781 [Print] Japan
PMID8309074 (Publication Type: English Abstract, Journal Article)
Chemical References
  • Cephalosporins
  • S 1108
Topics
  • Administration, Oral
  • Bacteria (drug effects, isolation & purification)
  • Bacterial Infections (drug therapy, metabolism, microbiology)
  • Cephalosporins (administration & dosage, pharmacokinetics, therapeutic use)
  • Child
  • Child, Preschool
  • Drug Evaluation
  • Female
  • Humans
  • Infant
  • Male
  • Microbial Sensitivity Tests

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