Isepamicin versus amikacin for the treatment of acute pyelonephritis in children

In this study we compared the efficacy and safety of isepamicin versus amikacin at a dose of 7.5 mg/kg i.v. q12h for 10–14 days in children with pyelonephritis. Sixteen children were enrolled in the study; ten received isepamicin and six amikacin. Urine cultures grew Escherichia coli in all patients...

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Veröffentlicht in:International journal of antimicrobial agents 2000-02, Vol.14 (1), p.51-55
Hauptverfasser: Kafetzis, D.A, Maltezou, H.C, Mavrikou, M, Siafas, C, Paraskakis, I, Delis, D, Bartsokas, C
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container_start_page 51
container_title International journal of antimicrobial agents
container_volume 14
creator Kafetzis, D.A
Maltezou, H.C
Mavrikou, M
Siafas, C
Paraskakis, I
Delis, D
Bartsokas, C
description In this study we compared the efficacy and safety of isepamicin versus amikacin at a dose of 7.5 mg/kg i.v. q12h for 10–14 days in children with pyelonephritis. Sixteen children were enrolled in the study; ten received isepamicin and six amikacin. Urine cultures grew Escherichia coli in all patients. All patients were treated successfully with either isepamicin or amikacin. Clinical and bacteriological response rates were 100% for both groups. No adverse events occurred. Peak serum levels ranged from 9.05 to 30.70 mg/l (median: 16.165) and from 12.20 to 25.90 mg/l (median: 19.05) for isepamicin and amikacin, respectively. Trough serum levels ranged from 0.11 to 3.20 mg/l (median: 0.75) and from 0.1 to 2.1 mg/l (median: 0.655), respectively. Isepamicin was shown to be as effective and safe as amikacin in the treatment of children with pyelonephritis and might prove an advantageous alternative in areas with high incidence of resistance to other aminoglycosides.
doi_str_mv 10.1016/S0924-8579(99)00138-7
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Antiinfectious agents. Antiparasitic agents</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Escherichia coli</topic><topic>Escherichia coli - isolation &amp; purification</topic><topic>Escherichia coli Infections - drug therapy</topic><topic>Escherichia coli Infections - microbiology</topic><topic>Female</topic><topic>Gentamicins - pharmacokinetics</topic><topic>Gentamicins - therapeutic use</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Isepamicin</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pharmacology. 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subjects Amikacin - pharmacokinetics
Amikacin - therapeutic use
Anti-Bacterial Agents - pharmacokinetics
Anti-Bacterial Agents - therapeutic use
Antibacterial agents
Antibiotics. Antiinfectious agents. Antiparasitic agents
Biological and medical sciences
Child
Child, Preschool
Children
Escherichia coli
Escherichia coli - isolation & purification
Escherichia coli Infections - drug therapy
Escherichia coli Infections - microbiology
Female
Gentamicins - pharmacokinetics
Gentamicins - therapeutic use
Humans
Infant
Infant, Newborn
Isepamicin
Male
Medical sciences
Pharmacology. Drug treatments
Pyelonephritis
Pyelonephritis - drug therapy
Pyelonephritis - microbiology
Treatment Outcome
Urine - microbiology
title Isepamicin versus amikacin for the treatment of acute pyelonephritis in children
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