학술논문

Fundamental and Clinical Studies on Intravenous Drip Infusion of HAPA-B / HAPA-B点滴静注の基礎的・臨床的検討
Document Type
Journal Article
Author
Akio AOYAGIAkira FUJIIAkira SAITOAtsushi KONDOAtsushi SAITOEtsuji TAKASAKIFumio MATSUMOTOFuyuhiko HIGASHIHajime YAMAGATAHideo OOSHIMAHiroichi KISHIHiromi KUMONHiroshi KAWANEHiroshi KIYOTAHiroshi OKUBOHiroshi OSHITANIHiroyuki KOBAYASHIHiroyuki OHMORIHisako SUZUKIIchiro NAKAYAMAIppei FUJIMORIIsao MURAHASHIIsao SAITOJoichi KUMAZAWAJoji ISHIGAMIKaneo SUZUKIKaoru OKADAKaoru OYAMAKatsuichi NANBAKatsumi ENDOKatsuo TAKANASHIKatsuyoshi KONDOKatsuyuki MITOBEKazunori OISHIKazuo TAKEBEKeiichi MIKASAKeisuke TOYAMAKeizo MATSUMOTOKeizo SUZUKIKeizo YAMAGUCHIKenichi SAITOKihachiro SHIMIZUKohei HARAKojiro YASUNAGAKoou MUROHASHIMasahiko YOSHIDAMasahiro KIZAKIMasanori MATSUMURAMasaru SUMIMasashi YONEDAMasataka KATSUMasayoshi SAWAKIMichifumi ADACHIMinoru SATOHMitsuo KITAHARAMitsuyo KIUCHINoriaki TANAKARiichiro MIKAMIRinzo SOEJIMASadao KAMIDONOSeibun YONEZUShigeki ODAGIRIShigeru KOHNOShinichi KAJIShinji OKUIShoichi ONODERATadao NIIJIMATakakazu KIYATakashi INAMATSUTakashi TOMINAGATakeshi ISHIZAKITetsuro MATSUMOTOTetsuzo KANESHIGEToshiaki YOSHIDAToshimi TAKEUCHIToshio KISHIMOTOToyohei MACHIDAToyokazu TAMURATsuneo NISHIURATsutomu FUKUDAYasuharu NAKANOYasuhiro YOSHIIKEYasumasa DOHTSUYasunori ISHIIYasuo IDOYasushi UEDAYoji SUZUYAMAYoshiaki KUMAMOTOYoshihiro UEDAYoshihito NIKIYoshio KOBAYASHIYoshiro SAWAEYoshiteru SHIGENOYoshito BANYoshitsugu NASUYukinori TAKAHASHIYukio KUMAGAIYuruko OKAMOTOYuzo FUNATSU三上 理一郎三笠 桂一上田 泰上田 良弘中山 一朗中野 康治二木 芳人井戸 康夫佐藤 実公文 裕巳副島 林造加治 慎一勝 正孝北原 光夫原 耕平吉池 保博吉田 俊昭吉田 雅彦坂 義人外山 圭助大久保 滉大山 馨大島 秀夫大森 弘之大石 和徳奥井 津二守殿 貞夫安永 幸二郎安達 倫文室橋 光宇富永 登志小林 宏行小林 芳夫小田切 繁樹小野寺 昭一山口 恵三山縣 元岡本 緩子岡田 薫岸 洋一岸本 寿男川根 博司押谷 浩斉藤 功斉藤 賢一斎藤 厚斎藤 玲斎藤 篤新島 端夫木内 充世木崎 昌弘木谷 崇和村橋 勲東 冬彦松本 哲朗松本 慶蔵松本 文夫松村 正典武部 和夫水戸部 勝幸河野 茂清水 喜八郎清田 浩澤木 政好澤江 義郎熊本 悦明熊澤 浄一熊谷 幸雄田仲 紀明田村 豊一町田 豊平石井 泰憲石崎 驍石神 襄次福田 勉稲松 孝思竹内 敏視米津 精文米田 政志船津 雄三藤井 明藤森 一平西浦 常雄角 優近藤 捷嘉近藤 淳道津 安正遠藤 勝実那須 良次重野 芳輝金重 哲三鈴山 洋司鈴木 周男鈴木 尚子鈴木 恵三難波 克一青柳 昭雄高崎 悦司高梨 勝男高橋 幸則
Source
感染症学雑誌 / Kansenshogaku Zasshi. 1986, 60(11):1216
Subject
Fundamental and clinical investigation
HAPA-B
Intravenous drip infusion
Language
Japanese
ISSN
0387-5911
1884-569X
Abstract
The clinical efficacy and safety of HAPA-B, a new aminoglycoside, was investigated fundamentally and clinically by intravenous drip infusion for internal (81 Cases) and urological (101 Cases) field infections. The following results were obtained.1. After 1 hour infusion of 200 mg of HAPA-B, the mean value of peak serum and plasma concentration was 14.13±4.44μg/ml at the termination of infusion. In patients with impaired renal function, the plasma concentration of HAPA-B tended to be maintained higher and urinary recovery rates after 12 hrs found decreased in parallel with the decreased value of creatinine clearance.2. Clinical efficacy of HAPA-B on internal field infections were 70.5%(43/61) for respiratory tract infections, 100%(6/6) for urinary tract infections and 100%(7/7) for other infections, respectively, with a total effectiveness rate of 75.7%. Its bacteriological efficacy was 62.5%.3. Clinical effectiveness rate of HAPA-B on urological field infections was 61.2%(60/98) by doctor's evaluation. According to the criteria of UTI committee, the effectiveness rate was 54.9%(50/91) and the bacteriological efficacy was 68.3%.4. Clinical symptoms seemed to be side effects were observed in three cases (1.6%) of 182 cases and abnormal laboratory findings were observed in nine cases. But all of them were transient without severe reactions observed.5. It was suggested from these investigations that intravenous drip infusion of HAPA-B was as effective and safe as intramuscular injection. Therefore, the intravenous drip infusion of HAPA-B will be useful for treatment of infections.