[Therapeutic efficacy of ceftibuten in chronic respiratory tract infections].

Abstract

We evaluated the therapeutic efficacy of ceftibuten (CETB, 7432-S), a new cephem antibiotic for oral use, in chronic respiratory tract infections. A daily dose of 400 mg (b.i.d.: 15 cases) or 600 mg (t.i.d.: 5 cases) of CETB was given orally for 3-14 days (mean: 10.6 days) to 20 patients: 9 with infected bronchiectasis, 3 with infection supervened on pulmonary emphysema, 3 with acute pneumonia (supervened on bronchiectasis in 2 of 3 cases), 2 with infected bronchial asthma, 1 each with infection supervened on old pulmonary tuberculosis, chronic bronchitis and pulmonary fibrosis. The clinical effects were excellent in 3, good in 11, fair in 3 and poor in 3. Eighteen strains were identified as causative organisms. Eight of 15 strains for which bacteriological responses were evaluable were eradicated by the use of CETB. Eosinophilia in 2 patients and an elevation of S-GPT value was observed in 1 patient. These adverse reactions disappeared after the completion of the therapy. From the above results, we conclude that CETB is one of the most useful antibiotics for oral use as a first choice in chronic respiratory tract infections.

• Authors: A Watanabe, K Oizumi, M Motomiya, T Yoshida, T Ito, H Kanayama, J Saito, Y Nakai, K Sato
• Journal: The Japanese journal of antibiotics (Jpn J Antibiot) Vol. 43 Issue 5 Pg. 768-78 (May 1990) ISSN: 0368-2781 [Print] Japan
• PMID: 2391748 (Publication Type: Case Reports, Journal Article)

Chemical References

• Capsules
• Cephalosporins
• Ceftibuten

Topics

• Adult
• Aged
• Aged, 80 and over
• Bacteria (isolation & purification)
• Capsules
• Ceftibuten
• Cephalosporins (administration & dosage, adverse effects, therapeutic use)
• Chronic Disease
• Drug Evaluation
• Eosinophilia (etiology)
• Female
• Humans
• Male
• Middle Aged
• Respiratory Tract Infections (drug therapy, microbiology)