Double-Blind Comparative Clinical Study of Cefpiramide (SM-1652) and Cefmetazole in Complicated Urinary Tract Infections

The clinical efficacy and safety of cefpiramide (SM-1652, CPM) were compared with those of cefmetazole (CMZ) in patients with complicated urinary tract infections by double-blind method. Either of CPM or CMZ was assigned to each patient at random. Administration was performed by intravenous drip inf...

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Veröffentlicht in:Kansenshogaku Zasshi 1983/08/20, Vol.57(8), pp.695-723
Hauptverfasser: ISHIGAMI, Joji, KAMIDONO, Sadao, ARAKAWA, Sohichi, KATAOKA, Nobumasa, NAKANO, Koji, HARADA, Masuyoshi, HIROOKA, Kyubei, SHIMATANI, Nobori, ITANI, Atsushi, MATSUSHITA, Masami, HIKOSAKA, Koji, MATSUMOTO, Osamu, OHYA, Kakuyoshi, ITO, Noboru, HARADA, Kenji, KIYOTA, Toshikazu, SAITO, Hiroshi, KITANO, Yoshihiko, TAKAHASHI, Yasumasa, HARA, Shinji, OHMAE, Hiroshi, OHBE, Toru, YASUNO, Hirohiko, KATAOKA, Nobuo, OKUDAIRA, Hiroshi, KAWABATA, Gaku, OHSHIMA, Hideo, DEN, Shusoo, TOMIOKA, Osamu, TADERA, Shigenori, UEHARAGUCHI, Hiroshi, ODA, Yoshinori, YAMAZAKI, Hiroshi, TAKADA, Kenichi, OKADA, Yasunaga, HINENO, Suguru, KURODA, Yasuji, MOMOSE, Shunro, TAKEI, Mineo, KUMAZAWA, Joichi, NAKAMUTA, Seiichi, SAKAMOTO, Kimitaka, OSHIMA, Kazuhiro, ISHIZAWA, Nobuyuki, OSADA, Yukio, HARA, Sanshin, EMOTO, Kanichi, HIRATA, Kozo, MORITA, Ichikiro, MINODA, Kunihiro, HIRANO, Haruka, NAGAYOSHI, Hiroyuki, SATO, Shinichi, OMOTO, Tetsuo, YAGI, Hiroaki, HIRATA, Hiroshi, ANDO, Sadamu, IWATSUBO, Eiji, KOMINE, Shinichiro, OGAWA, Nobuya
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container_issue 8
container_start_page 695
container_title Kansenshogaku Zasshi
container_volume 57
creator ISHIGAMI, Joji
KAMIDONO, Sadao
ARAKAWA, Sohichi
KATAOKA, Nobumasa
NAKANO, Koji
HARADA, Masuyoshi
HIROOKA, Kyubei
SHIMATANI, Nobori
ITANI, Atsushi
MATSUSHITA, Masami
HIKOSAKA, Koji
MATSUMOTO, Osamu
OHYA, Kakuyoshi
ITO, Noboru
HARADA, Kenji
KIYOTA, Toshikazu
SAITO, Hiroshi
KITANO, Yoshihiko
TAKAHASHI, Yasumasa
HARA, Shinji
OHMAE, Hiroshi
OHBE, Toru
YASUNO, Hirohiko
KATAOKA, Nobuo
OKUDAIRA, Hiroshi
KAWABATA, Gaku
OHSHIMA, Hideo
DEN, Shusoo
TOMIOKA, Osamu
TADERA, Shigenori
UEHARAGUCHI, Hiroshi
ODA, Yoshinori
YAMAZAKI, Hiroshi
TAKADA, Kenichi
OKADA, Yasunaga
HINENO, Suguru
KURODA, Yasuji
MOMOSE, Shunro
TAKEI, Mineo
KUMAZAWA, Joichi
NAKAMUTA, Seiichi
SAKAMOTO, Kimitaka
OSHIMA, Kazuhiro
ISHIZAWA, Nobuyuki
OSADA, Yukio
HARA, Sanshin
EMOTO, Kanichi
HIRATA, Kozo
MORITA, Ichikiro
MINODA, Kunihiro
HIRANO, Haruka
NAGAYOSHI, Hiroyuki
SATO, Shinichi
OMOTO, Tetsuo
YAGI, Hiroaki
HIRATA, Hiroshi
ANDO, Sadamu
IWATSUBO, Eiji
KOMINE, Shinichiro
OGAWA, Nobuya
description The clinical efficacy and safety of cefpiramide (SM-1652, CPM) were compared with those of cefmetazole (CMZ) in patients with complicated urinary tract infections by double-blind method. Either of CPM or CMZ was assigned to each patient at random. Administration was performed by intravenous drip infusion for a fixed period of 5 days and daily dosage was fixed at each 2 g for CPM or CMZ. Out of 249 patients, 211 patients (CPM; 110 cases, CMZ: 101 cases) were evaluated for clinical efficacy by the criteria proposed by UTI committee in Japan. It was indicated that there was no significant difference between the two groups (CPM group and CMZ group) regarding the all of background factors. Overall clinical effectiveness; Response was excellent in 27.7%, moderate in 39.8% and poor in 32.5% of the CPM group, excellent in 17.3%, moderate in 33.3% and poor in 49.3% of the CMZ group. Response rate inclusive of excellent and moderate was significantly higher in the CPM group than in the CMZ (p
doi_str_mv 10.11150/kansenshogakuzasshi1970.57.695
format Article
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Either of CPM or CMZ was assigned to each patient at random. Administration was performed by intravenous drip infusion for a fixed period of 5 days and daily dosage was fixed at each 2 g for CPM or CMZ. Out of 249 patients, 211 patients (CPM; 110 cases, CMZ: 101 cases) were evaluated for clinical efficacy by the criteria proposed by UTI committee in Japan. It was indicated that there was no significant difference between the two groups (CPM group and CMZ group) regarding the all of background factors. Overall clinical effectiveness; Response was excellent in 27.7%, moderate in 39.8% and poor in 32.5% of the CPM group, excellent in 17.3%, moderate in 33.3% and poor in 49.3% of the CMZ group. Response rate inclusive of excellent and moderate was significantly higher in the CPM group than in the CMZ (p&lt;0.05). Effect on pyuria; Rate of improvement (Cleared and Decreased) on pyuria was 44.6% in the CPM group and 36.0% in the CMZ group. There was no significant difference between the two groups. Effect on bacteriuria; Rate of improvement (Eliminated and Decreased) on bacteriuria was 60.2% in the CPM group and 46.7% in the CMZ group. There was no significant difference between the two groups. Bacteriological response; The eradication rate for all organisms isolated before treatment was 75.8% in the CPM group and 80.2% in the CMZ group. There was no significant difference between the two groups. The incidence rate of side effects and abnormal laboratory findings were 2 cases (eruption 2) and 3 cases (elevation of transaminase), respectively in the CPM group and 1 case (itching and pericheiloparalysis) and 4 cases (elevation of transaminase or BUN), respectively in the CMZ group, with no significant differences between the two groups. These results indicate that CPM is a useful drug for the treatment of complicated urinary tract infections.</description><identifier>ISSN: 0387-5911</identifier><identifier>EISSN: 1884-569X</identifier><identifier>DOI: 10.11150/kansenshogakuzasshi1970.57.695</identifier><identifier>PMID: 6420483</identifier><language>eng ; jpn</language><publisher>Japan: The Japanese Association for Infectious Diseases</publisher><subject>A new cephem antibiotics ; Adolescent ; Adult ; Aged ; Cefmetazole ; Cefpiramide (CPM, SM-1652) ; Cephalosporins - therapeutic use ; Cephamycins - therapeutic use ; Clinical Trials as Topic ; Double-blind comparative study ; Double-Blind Method ; Female ; Humans ; Male ; Middle Aged ; Urinary tract infection ; Urinary Tract Infections - drug therapy</subject><ispartof>Kansenshogaku Zasshi, 1983/08/20, Vol.57(8), pp.695-723</ispartof><rights>The Japansese Association for Infectious Diseases</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1876,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6420483$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ISHIGAMI, Joji</creatorcontrib><creatorcontrib>KAMIDONO, Sadao</creatorcontrib><creatorcontrib>ARAKAWA, Sohichi</creatorcontrib><creatorcontrib>KATAOKA, Nobumasa</creatorcontrib><creatorcontrib>NAKANO, Koji</creatorcontrib><creatorcontrib>HARADA, Masuyoshi</creatorcontrib><creatorcontrib>HIROOKA, Kyubei</creatorcontrib><creatorcontrib>SHIMATANI, Nobori</creatorcontrib><creatorcontrib>ITANI, Atsushi</creatorcontrib><creatorcontrib>MATSUSHITA, Masami</creatorcontrib><creatorcontrib>HIKOSAKA, Koji</creatorcontrib><creatorcontrib>MATSUMOTO, Osamu</creatorcontrib><creatorcontrib>OHYA, Kakuyoshi</creatorcontrib><creatorcontrib>ITO, Noboru</creatorcontrib><creatorcontrib>HARADA, Kenji</creatorcontrib><creatorcontrib>KIYOTA, Toshikazu</creatorcontrib><creatorcontrib>SAITO, Hiroshi</creatorcontrib><creatorcontrib>KITANO, Yoshihiko</creatorcontrib><creatorcontrib>TAKAHASHI, Yasumasa</creatorcontrib><creatorcontrib>HARA, Shinji</creatorcontrib><creatorcontrib>OHMAE, Hiroshi</creatorcontrib><creatorcontrib>OHBE, Toru</creatorcontrib><creatorcontrib>YASUNO, Hirohiko</creatorcontrib><creatorcontrib>KATAOKA, Nobuo</creatorcontrib><creatorcontrib>OKUDAIRA, Hiroshi</creatorcontrib><creatorcontrib>KAWABATA, Gaku</creatorcontrib><creatorcontrib>OHSHIMA, Hideo</creatorcontrib><creatorcontrib>DEN, Shusoo</creatorcontrib><creatorcontrib>TOMIOKA, Osamu</creatorcontrib><creatorcontrib>TADERA, Shigenori</creatorcontrib><creatorcontrib>UEHARAGUCHI, Hiroshi</creatorcontrib><creatorcontrib>ODA, Yoshinori</creatorcontrib><creatorcontrib>YAMAZAKI, Hiroshi</creatorcontrib><creatorcontrib>TAKADA, Kenichi</creatorcontrib><creatorcontrib>OKADA, Yasunaga</creatorcontrib><creatorcontrib>HINENO, Suguru</creatorcontrib><creatorcontrib>KURODA, Yasuji</creatorcontrib><creatorcontrib>MOMOSE, Shunro</creatorcontrib><creatorcontrib>TAKEI, Mineo</creatorcontrib><creatorcontrib>KUMAZAWA, Joichi</creatorcontrib><creatorcontrib>NAKAMUTA, Seiichi</creatorcontrib><creatorcontrib>SAKAMOTO, Kimitaka</creatorcontrib><creatorcontrib>OSHIMA, Kazuhiro</creatorcontrib><creatorcontrib>ISHIZAWA, Nobuyuki</creatorcontrib><creatorcontrib>OSADA, Yukio</creatorcontrib><creatorcontrib>HARA, Sanshin</creatorcontrib><creatorcontrib>EMOTO, Kanichi</creatorcontrib><creatorcontrib>HIRATA, Kozo</creatorcontrib><creatorcontrib>MORITA, Ichikiro</creatorcontrib><creatorcontrib>MINODA, Kunihiro</creatorcontrib><creatorcontrib>HIRANO, Haruka</creatorcontrib><creatorcontrib>NAGAYOSHI, Hiroyuki</creatorcontrib><creatorcontrib>SATO, Shinichi</creatorcontrib><creatorcontrib>OMOTO, Tetsuo</creatorcontrib><creatorcontrib>YAGI, Hiroaki</creatorcontrib><creatorcontrib>HIRATA, Hiroshi</creatorcontrib><creatorcontrib>ANDO, Sadamu</creatorcontrib><creatorcontrib>IWATSUBO, Eiji</creatorcontrib><creatorcontrib>KOMINE, Shinichiro</creatorcontrib><creatorcontrib>OGAWA, Nobuya</creatorcontrib><title>Double-Blind Comparative Clinical Study of Cefpiramide (SM-1652) and Cefmetazole in Complicated Urinary Tract Infections</title><title>Kansenshogaku Zasshi</title><addtitle>J. J. A. Inf. D</addtitle><description>The clinical efficacy and safety of cefpiramide (SM-1652, CPM) were compared with those of cefmetazole (CMZ) in patients with complicated urinary tract infections by double-blind method. Either of CPM or CMZ was assigned to each patient at random. Administration was performed by intravenous drip infusion for a fixed period of 5 days and daily dosage was fixed at each 2 g for CPM or CMZ. Out of 249 patients, 211 patients (CPM; 110 cases, CMZ: 101 cases) were evaluated for clinical efficacy by the criteria proposed by UTI committee in Japan. It was indicated that there was no significant difference between the two groups (CPM group and CMZ group) regarding the all of background factors. Overall clinical effectiveness; Response was excellent in 27.7%, moderate in 39.8% and poor in 32.5% of the CPM group, excellent in 17.3%, moderate in 33.3% and poor in 49.3% of the CMZ group. Response rate inclusive of excellent and moderate was significantly higher in the CPM group than in the CMZ (p&lt;0.05). Effect on pyuria; Rate of improvement (Cleared and Decreased) on pyuria was 44.6% in the CPM group and 36.0% in the CMZ group. There was no significant difference between the two groups. Effect on bacteriuria; Rate of improvement (Eliminated and Decreased) on bacteriuria was 60.2% in the CPM group and 46.7% in the CMZ group. There was no significant difference between the two groups. Bacteriological response; The eradication rate for all organisms isolated before treatment was 75.8% in the CPM group and 80.2% in the CMZ group. There was no significant difference between the two groups. The incidence rate of side effects and abnormal laboratory findings were 2 cases (eruption 2) and 3 cases (elevation of transaminase), respectively in the CPM group and 1 case (itching and pericheiloparalysis) and 4 cases (elevation of transaminase or BUN), respectively in the CMZ group, with no significant differences between the two groups. These results indicate that CPM is a useful drug for the treatment of complicated urinary tract infections.</description><subject>A new cephem antibiotics</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Cefmetazole</subject><subject>Cefpiramide (CPM, SM-1652)</subject><subject>Cephalosporins - therapeutic use</subject><subject>Cephamycins - therapeutic use</subject><subject>Clinical Trials as Topic</subject><subject>Double-blind comparative study</subject><subject>Double-Blind Method</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Urinary tract infection</subject><subject>Urinary Tract Infections - drug 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Diseases</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198308</creationdate><title>Double-Blind Comparative Clinical Study of Cefpiramide (SM-1652) and Cefmetazole in Complicated Urinary Tract Infections</title><author>ISHIGAMI, Joji ; KAMIDONO, Sadao ; ARAKAWA, Sohichi ; KATAOKA, Nobumasa ; NAKANO, Koji ; HARADA, Masuyoshi ; HIROOKA, Kyubei ; SHIMATANI, Nobori ; ITANI, Atsushi ; MATSUSHITA, Masami ; HIKOSAKA, Koji ; MATSUMOTO, Osamu ; OHYA, Kakuyoshi ; ITO, Noboru ; HARADA, Kenji ; KIYOTA, Toshikazu ; SAITO, Hiroshi ; KITANO, Yoshihiko ; TAKAHASHI, Yasumasa ; HARA, Shinji ; OHMAE, Hiroshi ; OHBE, Toru ; YASUNO, Hirohiko ; KATAOKA, Nobuo ; OKUDAIRA, Hiroshi ; KAWABATA, Gaku ; OHSHIMA, Hideo ; DEN, Shusoo ; TOMIOKA, Osamu ; TADERA, Shigenori ; UEHARAGUCHI, Hiroshi ; ODA, Yoshinori ; YAMAZAKI, Hiroshi ; TAKADA, Kenichi ; OKADA, Yasunaga ; HINENO, Suguru ; KURODA, Yasuji ; MOMOSE, Shunro ; TAKEI, Mineo ; KUMAZAWA, Joichi ; NAKAMUTA, Seiichi ; SAKAMOTO, Kimitaka ; OSHIMA, Kazuhiro ; ISHIZAWA, Nobuyuki ; OSADA, Yukio ; HARA, Sanshin ; EMOTO, Kanichi ; HIRATA, Kozo ; MORITA, Ichikiro ; MINODA, Kunihiro ; HIRANO, Haruka ; NAGAYOSHI, Hiroyuki ; SATO, Shinichi ; OMOTO, Tetsuo ; YAGI, Hiroaki ; HIRATA, Hiroshi ; ANDO, Sadamu ; IWATSUBO, Eiji ; KOMINE, Shinichiro ; OGAWA, Nobuya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3105-8468070b55999cf528712f75f185ca4b1d701a6e458678a0f711a189902d64583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; jpn</language><creationdate>1983</creationdate><topic>A new cephem antibiotics</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Cefmetazole</topic><topic>Cefpiramide (CPM, SM-1652)</topic><topic>Cephalosporins - therapeutic use</topic><topic>Cephamycins - therapeutic use</topic><topic>Clinical Trials as Topic</topic><topic>Double-blind comparative study</topic><topic>Double-Blind Method</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Urinary tract infection</topic><topic>Urinary Tract Infections - drug therapy</topic><toplevel>online_resources</toplevel><creatorcontrib>ISHIGAMI, Joji</creatorcontrib><creatorcontrib>KAMIDONO, Sadao</creatorcontrib><creatorcontrib>ARAKAWA, Sohichi</creatorcontrib><creatorcontrib>KATAOKA, Nobumasa</creatorcontrib><creatorcontrib>NAKANO, Koji</creatorcontrib><creatorcontrib>HARADA, Masuyoshi</creatorcontrib><creatorcontrib>HIROOKA, Kyubei</creatorcontrib><creatorcontrib>SHIMATANI, Nobori</creatorcontrib><creatorcontrib>ITANI, Atsushi</creatorcontrib><creatorcontrib>MATSUSHITA, Masami</creatorcontrib><creatorcontrib>HIKOSAKA, Koji</creatorcontrib><creatorcontrib>MATSUMOTO, Osamu</creatorcontrib><creatorcontrib>OHYA, Kakuyoshi</creatorcontrib><creatorcontrib>ITO, Noboru</creatorcontrib><creatorcontrib>HARADA, Kenji</creatorcontrib><creatorcontrib>KIYOTA, Toshikazu</creatorcontrib><creatorcontrib>SAITO, Hiroshi</creatorcontrib><creatorcontrib>KITANO, Yoshihiko</creatorcontrib><creatorcontrib>TAKAHASHI, Yasumasa</creatorcontrib><creatorcontrib>HARA, Shinji</creatorcontrib><creatorcontrib>OHMAE, Hiroshi</creatorcontrib><creatorcontrib>OHBE, Toru</creatorcontrib><creatorcontrib>YASUNO, Hirohiko</creatorcontrib><creatorcontrib>KATAOKA, Nobuo</creatorcontrib><creatorcontrib>OKUDAIRA, Hiroshi</creatorcontrib><creatorcontrib>KAWABATA, Gaku</creatorcontrib><creatorcontrib>OHSHIMA, Hideo</creatorcontrib><creatorcontrib>DEN, Shusoo</creatorcontrib><creatorcontrib>TOMIOKA, Osamu</creatorcontrib><creatorcontrib>TADERA, Shigenori</creatorcontrib><creatorcontrib>UEHARAGUCHI, Hiroshi</creatorcontrib><creatorcontrib>ODA, Yoshinori</creatorcontrib><creatorcontrib>YAMAZAKI, Hiroshi</creatorcontrib><creatorcontrib>TAKADA, Kenichi</creatorcontrib><creatorcontrib>OKADA, Yasunaga</creatorcontrib><creatorcontrib>HINENO, Suguru</creatorcontrib><creatorcontrib>KURODA, Yasuji</creatorcontrib><creatorcontrib>MOMOSE, Shunro</creatorcontrib><creatorcontrib>TAKEI, Mineo</creatorcontrib><creatorcontrib>KUMAZAWA, Joichi</creatorcontrib><creatorcontrib>NAKAMUTA, Seiichi</creatorcontrib><creatorcontrib>SAKAMOTO, Kimitaka</creatorcontrib><creatorcontrib>OSHIMA, Kazuhiro</creatorcontrib><creatorcontrib>ISHIZAWA, Nobuyuki</creatorcontrib><creatorcontrib>OSADA, Yukio</creatorcontrib><creatorcontrib>HARA, Sanshin</creatorcontrib><creatorcontrib>EMOTO, Kanichi</creatorcontrib><creatorcontrib>HIRATA, Kozo</creatorcontrib><creatorcontrib>MORITA, Ichikiro</creatorcontrib><creatorcontrib>MINODA, Kunihiro</creatorcontrib><creatorcontrib>HIRANO, Haruka</creatorcontrib><creatorcontrib>NAGAYOSHI, Hiroyuki</creatorcontrib><creatorcontrib>SATO, Shinichi</creatorcontrib><creatorcontrib>OMOTO, Tetsuo</creatorcontrib><creatorcontrib>YAGI, Hiroaki</creatorcontrib><creatorcontrib>HIRATA, Hiroshi</creatorcontrib><creatorcontrib>ANDO, Sadamu</creatorcontrib><creatorcontrib>IWATSUBO, Eiji</creatorcontrib><creatorcontrib>KOMINE, Shinichiro</creatorcontrib><creatorcontrib>OGAWA, Nobuya</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Kansenshogaku Zasshi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ISHIGAMI, Joji</au><au>KAMIDONO, Sadao</au><au>ARAKAWA, Sohichi</au><au>KATAOKA, Nobumasa</au><au>NAKANO, Koji</au><au>HARADA, Masuyoshi</au><au>HIROOKA, Kyubei</au><au>SHIMATANI, Nobori</au><au>ITANI, Atsushi</au><au>MATSUSHITA, Masami</au><au>HIKOSAKA, Koji</au><au>MATSUMOTO, Osamu</au><au>OHYA, Kakuyoshi</au><au>ITO, Noboru</au><au>HARADA, Kenji</au><au>KIYOTA, Toshikazu</au><au>SAITO, Hiroshi</au><au>KITANO, Yoshihiko</au><au>TAKAHASHI, Yasumasa</au><au>HARA, Shinji</au><au>OHMAE, Hiroshi</au><au>OHBE, Toru</au><au>YASUNO, Hirohiko</au><au>KATAOKA, Nobuo</au><au>OKUDAIRA, Hiroshi</au><au>KAWABATA, Gaku</au><au>OHSHIMA, Hideo</au><au>DEN, Shusoo</au><au>TOMIOKA, Osamu</au><au>TADERA, Shigenori</au><au>UEHARAGUCHI, Hiroshi</au><au>ODA, Yoshinori</au><au>YAMAZAKI, Hiroshi</au><au>TAKADA, Kenichi</au><au>OKADA, Yasunaga</au><au>HINENO, Suguru</au><au>KURODA, Yasuji</au><au>MOMOSE, Shunro</au><au>TAKEI, Mineo</au><au>KUMAZAWA, Joichi</au><au>NAKAMUTA, Seiichi</au><au>SAKAMOTO, Kimitaka</au><au>OSHIMA, Kazuhiro</au><au>ISHIZAWA, Nobuyuki</au><au>OSADA, Yukio</au><au>HARA, Sanshin</au><au>EMOTO, Kanichi</au><au>HIRATA, Kozo</au><au>MORITA, Ichikiro</au><au>MINODA, Kunihiro</au><au>HIRANO, Haruka</au><au>NAGAYOSHI, Hiroyuki</au><au>SATO, Shinichi</au><au>OMOTO, Tetsuo</au><au>YAGI, Hiroaki</au><au>HIRATA, Hiroshi</au><au>ANDO, Sadamu</au><au>IWATSUBO, Eiji</au><au>KOMINE, Shinichiro</au><au>OGAWA, Nobuya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Double-Blind Comparative Clinical Study of Cefpiramide (SM-1652) and Cefmetazole in Complicated Urinary Tract Infections</atitle><jtitle>Kansenshogaku Zasshi</jtitle><addtitle>J. J. A. Inf. D</addtitle><date>1983-08</date><risdate>1983</risdate><volume>57</volume><issue>8</issue><spage>695</spage><epage>723</epage><pages>695-723</pages><issn>0387-5911</issn><eissn>1884-569X</eissn><abstract>The clinical efficacy and safety of cefpiramide (SM-1652, CPM) were compared with those of cefmetazole (CMZ) in patients with complicated urinary tract infections by double-blind method. Either of CPM or CMZ was assigned to each patient at random. Administration was performed by intravenous drip infusion for a fixed period of 5 days and daily dosage was fixed at each 2 g for CPM or CMZ. Out of 249 patients, 211 patients (CPM; 110 cases, CMZ: 101 cases) were evaluated for clinical efficacy by the criteria proposed by UTI committee in Japan. It was indicated that there was no significant difference between the two groups (CPM group and CMZ group) regarding the all of background factors. Overall clinical effectiveness; Response was excellent in 27.7%, moderate in 39.8% and poor in 32.5% of the CPM group, excellent in 17.3%, moderate in 33.3% and poor in 49.3% of the CMZ group. Response rate inclusive of excellent and moderate was significantly higher in the CPM group than in the CMZ (p&lt;0.05). Effect on pyuria; Rate of improvement (Cleared and Decreased) on pyuria was 44.6% in the CPM group and 36.0% in the CMZ group. There was no significant difference between the two groups. Effect on bacteriuria; Rate of improvement (Eliminated and Decreased) on bacteriuria was 60.2% in the CPM group and 46.7% in the CMZ group. There was no significant difference between the two groups. Bacteriological response; The eradication rate for all organisms isolated before treatment was 75.8% in the CPM group and 80.2% in the CMZ group. There was no significant difference between the two groups. The incidence rate of side effects and abnormal laboratory findings were 2 cases (eruption 2) and 3 cases (elevation of transaminase), respectively in the CPM group and 1 case (itching and pericheiloparalysis) and 4 cases (elevation of transaminase or BUN), respectively in the CMZ group, with no significant differences between the two groups. These results indicate that CPM is a useful drug for the treatment of complicated urinary tract infections.</abstract><cop>Japan</cop><pub>The Japanese Association for Infectious Diseases</pub><pmid>6420483</pmid><doi>10.11150/kansenshogakuzasshi1970.57.695</doi><tpages>29</tpages><oa>free_for_read</oa></addata></record>
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1884-569X
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subjects A new cephem antibiotics
Adolescent
Adult
Aged
Cefmetazole
Cefpiramide (CPM, SM-1652)
Cephalosporins - therapeutic use
Cephamycins - therapeutic use
Clinical Trials as Topic
Double-blind comparative study
Double-Blind Method
Female
Humans
Male
Middle Aged
Urinary tract infection
Urinary Tract Infections - drug therapy
title Double-Blind Comparative Clinical Study of Cefpiramide (SM-1652) and Cefmetazole in Complicated Urinary Tract Infections
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