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[Clinical evaluation of cefpodoxime proxetil, a new oral cephem, in the treatment of respiratory tract infections with the special reference to community-acquired Streptococcus Pneumoniae infections].

Abstract
The clinical usefulness of cefpodoxime proxetil (CPDX-PR) was investigated in the treatment of pneumonia and chronic airway infections occurring in patients first visiting our outpatient clinic or those being treated at the outpatient clinic. CPDX-PR was orally administered twice a day after meals at a dose of 100-200 mg for acute respiratory tract infections and at a dose of 200 mg for chronic respiratory tract infections. Excellent, good, fair, and poor responses were observed in 20, 33, 10, and 3 of 66 patients (4 with acute bronchitis, 27 with pneumonia, and 35 with acute exacerbation of chronic airway infection), respectively, demonstrating an 80.3% efficacy rate (53/66). Causative organisms, including Streptococcus pneumoniae, were all eradicated from the patients whose causative organisms were examined over time, although 2 of the patients were superinfected with Pseudomonas aeruginosa. There were no serious adverse reactions or abnormal changes in laboratory test results. It was concluded that CPDX-PR could be used as a first-choice drug for the treatment of respiratory tract infections at an outpatient clinic, and that this drug should acquire greater importance in particular consideration of recent increases in infections with S. pneumoniae.
AuthorsO Akiyama, T Ito, M Ogata, H Okano, J Kabe, M Kawakami, K Kida, K Kudo, K Komatsuzaki, K Konno
JournalThe Japanese journal of antibiotics (Jpn J Antibiot) Vol. 48 Issue 4 Pg. 522-8 (Apr 1995) ISSN: 0368-2781 [Print] Japan
PMID7783315 (Publication Type: Case Reports, Clinical Trial, English Abstract, Journal Article, Multicenter Study)
Chemical References
  • cefpodoxime proxetil
  • Ceftizoxime
Topics
  • Adult
  • Aged
  • Aged, 80 and over
  • Ceftizoxime (administration & dosage, analogs & derivatives, therapeutic use)
  • Chronic Disease
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pneumococcal Infections (drug therapy)
  • Pneumonia (drug therapy)
  • Respiratory Tract Infections (drug therapy)

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