CLINICAL STUDIES ON BRL 28500 (CLAVULANIC ACID-TICARCILLIN)

BRL 28500, a formulation of ticarcillin (TIPC, 15 parts) and clavulanic acid (CVA, 1 part) was evaluated for clinical efficacy in 20 patients suffering from pneumonia (8), chronic bronchitis (2), acute cystitis (1), chronic cystitis (4), acute pyelitis (3) and chronic pyelitis (2). The clinical resp...

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Published inCHEMOTHERAPY Vol. 34; no. Supplement4; pp. 371 - 378
Main Authors YOSHIDA, SHUICHIRO, YONETA, MASASHI, TAMURA, TOYOICHI, YASHIRO, HITOSHI, FUKUCHI, KAZUHIKO, SAGARA, MORIO, KASHIWAMURA, HIDEAKI, TAKEBE, KAZUO, OKAMOTO, KATSUHIRO, NAKAMURA, TERUO, BABA, MASAYUKI
Format Journal Article
LanguageEnglish
Japanese
Published Japanese Society of Chemotherapy 1986
公益社団法人 日本化学療法学会
Online AccessGet full text
ISSN0009-3165
1884-5894
DOI10.11250/chemotherapy1953.34.Supplement4_371

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Abstract BRL 28500, a formulation of ticarcillin (TIPC, 15 parts) and clavulanic acid (CVA, 1 part) was evaluated for clinical efficacy in 20 patients suffering from pneumonia (8), chronic bronchitis (2), acute cystitis (1), chronic cystitis (4), acute pyelitis (3) and chronic pyelitis (2). The clinical response was excellent in 7 patients, good in 12 and poor in 1. All strains of bacteria were eradicated following the administration of BRL 28500 including 3 that were considered ticarcillin-resistant. Against 2 of these resistant strains the MIC of BRL 28500 was determined. One strain (K. Oxytoca) was sensitive to BRL 28500 although the other strain (P.aeruginosa) appeared resistant. There were no side effects. Laboratory abnormalities were limited to a slight elevation of GOT, GPT, LDH and γ-GTP in 1 case.
AbstractList BRL 28500, a formulation of ticarcillin (TIPC, 15 parts) and clavulanic acid (CVA, 1 part) was evaluated for clinical efficacy in 20 patients suffering from pneumonia (8), chronic bronchitis (2), acute cystitis (1), chronic cystitis (4), acute pyelitis (3) and chronic pyelitis (2). The clinical response was excellent in 7 patients, good in 12 and poor in 1. All strains of bacteria were eradicated following the administration of BRL 28500 including 3 that were considered ticarcillin-resistant. Against 2 of these resistant strains the MIC of BRL 28500 was determined. One strain (K. Oxytoca) was sensitive to BRL 28500 although the other strain (P.aeruginosa) appeared resistant. There were no side effects. Laboratory abnormalities were limited to a slight elevation of GOT, GPT, LDH and γ-GTP in 1 case.
BRL 28500, a formulation of ticarcillin (TIPC, 15 parts) and clavulanic acid (CVA, 1 part) was evaluated for clinical efficacy in 20 patients suffering from pneumonia (8), chronic bronchitis (2), acute cystitis (1), chronic cystitis (4), acute pyelitis (3) and chronic pyelitis (2). The clinical response was excellent in 7 patients, good in 12 and poor in 1.All strains of bacteria were eradicated following the administration of BRL 28500 including 3 that were considered ticarcillin-resistant. Against 2 of these resistant strains the MIC of BRL 28500 was determined. One strain (K. Oxytoca) was sensitive to BRL 28500 although the other strain (P.aeruginosa) appeared resistant.There were no side effects. Laboratory abnormalities were limited to a slight elevation of GOT, GPT, LDH and γ-GTP in 1 case. BRL 28500の臨床効果を肺炎8例, 慢性気管支炎2例, 急性膀胱炎1例, 慢性膀胱炎4例, 急性腎盂腎炎3例および慢性腎盂腎炎2例を含む20例で検討した。結果は, 著効7例, 有効12例, 無効1例で, 全体の有効率は95%であった。呼吸器感染症の有効率は90%, 尿路感染症の有効率は100%であった。起炎菌と推定されたものは15株が見出され, 本剤投与によりすべて消失した。そのうちTIPC感受性を検討したのが13株で, TIPC耐性は3株であった。この3株のうち2株についてBRL 28500の感受性の検査を行ったところ, 1株がBRL 28500に感受性があり, 他の1株はBRL 28500に耐性であった。自他覚的副作用はみられなかった。臨床検査値は1例に本剤投与後にGOT, GPT, LDH, γ-GTPの軽度上昇が認められた。上記の結果より, BRL 28500は呼吸器および尿路感染症に対して優れた薬剤であり, 副作用, 臨床検査値異常をほとんど認めず, 有用な抗生剤である。
Author BABA, MASAYUKI
KASHIWAMURA, HIDEAKI
FUKUCHI, KAZUHIKO
TAKEBE, KAZUO
YASHIRO, HITOSHI
YOSHIDA, SHUICHIRO
SAGARA, MORIO
NAKAMURA, TERUO
OKAMOTO, KATSUHIRO
TAMURA, TOYOICHI
YONETA, MASASHI
Author_FL 米田 政志
岡本 勝博
八代 均
吉田 秀一郎
相楽 衛男
武部 和夫
馬場 正之
福士 一彦
柏村 英明
田村 豊一
中村 光男
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公益社団法人 日本化学療法学会
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References 3) 第33回日本化学療法学会総会, 新薬シンポジウム, BRL 28500 (Clavulanic acid-Ticarcillin). 1985, 東京
1) READING, C. & M. COLE: Clavulanic acid: a beta-lactamase-inhibiting beta-lactam from Streptomyces clavuligerus. Antimicrob. Agents Chemother. 11 (5): 852-857, 1977
2) PAISLEY, J. W. & J. A. WASHINGTON II: Combined activity of clavulanic acid and ticarcillin against ticarcillin-resistant, Gram-Negative bacilli. Antimicrob. Agents Chemother. 14 (2): 224-227, 1978
References_xml – reference: 2) PAISLEY, J. W. & J. A. WASHINGTON II: Combined activity of clavulanic acid and ticarcillin against ticarcillin-resistant, Gram-Negative bacilli. Antimicrob. Agents Chemother. 14 (2): 224-227, 1978
– reference: 3) 第33回日本化学療法学会総会, 新薬シンポジウム, BRL 28500 (Clavulanic acid-Ticarcillin). 1985, 東京
– reference: 1) READING, C. & M. COLE: Clavulanic acid: a beta-lactamase-inhibiting beta-lactam from Streptomyces clavuligerus. Antimicrob. Agents Chemother. 11 (5): 852-857, 1977
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Title CLINICAL STUDIES ON BRL 28500 (CLAVULANIC ACID-TICARCILLIN)
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