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Jpn J Antibiot ; 55(6): 875-81, 2002 Dec.
Article in Japanese | MEDLINE | ID: mdl-12621741

ABSTRACT

Seventy-two women diagnosed as parametritis were enrolled in this study and examined on the effective administration method of carbapenems, imipenem/cilastatin (IPM/CS), panipenem/betamipron (PAPM/BP) and meropenem (MEPM). The total dosage of each carbapenem was 1.5 g/day, and administration frequency was twice a day (0.75 g x 2) or three times a day (0.5 g x 3). We reviewed the highest body temperature, white blood cell count and CRP value, before treatment and the fourth day after the start of treatment. Three times a day method was statistically superior to twice a day method in the highest body temperature, and CRP value. When we use carbapenem antimicrobial agents, the basis of PK/PD of time above MIC would lead to the increasing clinical effects.


Subject(s)
Carbapenems/administration & dosage , Cilastatin/administration & dosage , Imipenem/administration & dosage , Parametritis/drug therapy , Thienamycins/administration & dosage , beta-Alanine/administration & dosage , Adult , Aged , Body Temperature , C-Reactive Protein , Carbapenems/pharmacokinetics , Cilastatin/pharmacokinetics , Cilastatin, Imipenem Drug Combination , Drug Administration Schedule , Drug Combinations , Female , Humans , Imipenem/pharmacokinetics , Leukocyte Count , Meropenem , Middle Aged , Parametritis/physiopathology , Thienamycins/pharmacokinetics , beta-Alanine/analogs & derivatives , beta-Alanine/pharmacokinetics
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