[Ceftriaxone in neonates and young infants; clinical efficacy, pharmacokinetic evaluation and effect on intestinal bacterial flora].

Author: FujitaK, InyakuF, KaeriyamaM, KakehashiH, MaruyamaS, MuronoK, OkaT, SakataH, SanaeN, YoshiokaH

Paper Details 
Original Abstract of the Article :
Twenty-two newborn and young infants, including 13 premature infants, were treated with ceftriaxone (CTRX) and the clinical efficacy and side effects were evaluated. Ages of the patients ranged from 0 to 106 days, and their body weights from 1.19 to 3.92 kg. Dose levels were 15 to 23 mg/kg every 12 ...See full text at original site
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引用元:
https://pubmed.ncbi.nlm.nih.gov/3373734

データ提供:米国国立医学図書館(NLM)

Ceftriaxone: A Powerful Tool Against Infections in Newborns

This research delves into the world of ceftriaxone (CTRX), a widely used antibiotic for treating infections in newborns and young infants. The authors conducted a study evaluating the clinical efficacy, pharmacokinetic properties, and impact on intestinal bacterial flora of CTRX in 22 newborns and young infants, including 13 premature infants. The study found that CTRX was effective in treating sepsis and other infections, with excellent or good results in 19 patients. The drug was generally well tolerated, with only a few minor side effects. The study also investigated the pharmacokinetic properties of CTRX in a subset of 8 infants, finding that the drug's half-life varied from 6.6 to 16.8 hours. The researchers also observed a significant impact of CTRX on intestinal bacterial flora, with a reduction in Bifidobacterium and Enterobacteriaceae and an increase in Candida.

Ceftriaxone: Navigating the Delicate Balance of Treatment and Side Effects

The study provides valuable information on the safety and efficacy of CTRX in treating infections in newborns and young infants. The authors emphasize the importance of carefully monitoring patients for potential side effects, such as diarrhea, eosinophilia, and elevated transaminases. However, they also highlight the effectiveness of CTRX in treating serious infections and its overall good tolerability.

Protecting Newborns: A Journey Through the Microbiome

This research emphasizes the importance of understanding the impact of antibiotics on the developing microbiome of newborns. The study's findings highlight the need for a balanced approach to antibiotic use, carefully considering the benefits of treatment against the potential disruption of the infant's intestinal flora. As Dr. Camel, I believe that protecting the delicate balance of the microbiome is crucial for ensuring the health and well-being of newborns. Just as a desert ecosystem relies on a complex interplay of organisms, the human microbiome plays a vital role in maintaining health and fighting off infections.

Dr. Camel's Conclusion

This study evaluates the clinical efficacy, pharmacokinetic properties, and impact on intestinal bacterial flora of ceftriaxone in newborns and young infants. The authors find that ceftriaxone is an effective treatment for sepsis and other infections with a generally good safety profile. However, they highlight the importance of monitoring for potential side effects and emphasize the need for a balanced approach to antibiotic use, considering its impact on the developing microbiome.

Date :
  1. Date Completed 1988-07-11
  2. Date Revised 2016-11-16
Further Info :

Pubmed ID

3373734

DOI: Digital Object Identifier

3373734

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Languages

Japanese

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