[Fundamental and clinical studies of T-1982 (cefbuperazone) in the field of obstetrics and gynecology]

Jpn J Antibiot. 1983 May;36(5):1018-24.
[Article in Japanese]

Abstract

T-1982 (cefbuperazone), a new cephamycin antibiotic, was fundamentally and clinically studied. The following results were obtained. Serum and internal genital tissue levels of T-1982 were measured following intravenous injection or intravenous drip infusion of 1 g. High serum levels of more than 10 micrograms/ml and tissue levels of more than 5 micrograms/g were maintained for 3 hours after intravenous administration. Favourable transfer of T-1982 into the pelvic dead space exudate was observed. The exudate level attained its peak at 2 hours and was 14.6 micrograms/ml on average even at 8 hours after intravenous infusion. With its MIC values, T-1982 was considered to be bactericidal against many Gram-negative bacteria except Pseudomonas sp. A total of 4 cases comprising 2 with pyometra, 1 with pelveoperitonitis and 1 with endometritis complicated with pelveoperitonitis was treated with T-1982 at a dose of 1-2 g twice daily by intravenous drip infusion. The clinical response was excellent in 1 case and good in 2 cases. A case with pyometra due to S. faecalis did not respond to the therapy. Side effects and abnormal laboratory findings due to the drug were not noted.

MeSH terms

  • Adult
  • Aged
  • Cephamycins / metabolism*
  • Cephamycins / pharmacology
  • Endometritis / drug therapy
  • Enterococcus faecalis / drug effects
  • Female
  • Humans
  • Klebsiella pneumoniae / drug effects
  • Middle Aged
  • Peritonitis / drug therapy
  • Uterus / analysis

Substances

  • Cephamycins
  • cefbuperazone