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Published on: December 10, 2016
[Use of ceftriaxone in urinary and respiratory tract infections]
A Papierkowski1, J Pietraszek-Mamcarz, T Kozłowska
1Kliniki Chorób Dzieci Młodszych Instytutu Pediatrii AM w Lublinie.
Insights
Ceftriaxone effectively treated severe pediatric and adult urinary and respiratory infections caused by common bacteria like E. coli. This antibiotic demonstrated safety and efficacy with no adverse effects observed in patients.
Area of Science:
- Infectious Diseases
- Pharmacology
- Pediatrics
Background:
- Severe urinary and respiratory tract infections pose significant health risks.
- Bacterial pathogens such as E. coli, S. pneumoniae, P. aeruginosa, P. mirabilis, and enterococci are common causes.
- Effective antibiotic treatment is crucial for managing these severe infections.
Purpose of the Study:
- To evaluate the efficacy and safety of ceftriaxone in treating severe urinary and respiratory tract infections.
- To assess the clinical outcomes and microbiological response to ceftriaxone therapy.
- To determine the tolerability and potential adverse effects of ceftriaxone in pediatric and adult patients.
Main Methods:
- A study involving 16 children (3-14 years) and 4 adults (17-70 years) with severe infections.
- Ceftriaxone administered as a single daily dose (50 mg/kg for children, 2.0 g for adults) for 7-10 days.
- Infections included pyelonephritis, pneumonia, and peritonitis caused by specified bacteria.
Main Results:
- All patients achieved clinical improvement with ceftriaxone treatment.
- Microbiological cultures became negative in 17 out of 20 patients.
- No adverse reactions or toxic effects on liver, renal, pancreatic, or bone marrow function were observed.
Conclusions:
- Ceftriaxone is a safe and effective treatment option for severe urinary and respiratory tract infections.
- The antibiotic demonstrated high efficacy in eradicating bacterial pathogens and achieving clinical resolution.
- Ceftriaxone can be safely administered without significant adverse events in both pediatric and adult populations.
Abstract:
Efficiency of ceftriaxone (Rocephin Hoffman Laroche) was assessed in 16 children aged between 3 and 14 years and in 4 adults aged between 17 and 70 years with severe infections of the urinary and respiratory tracts caused by E. coli. S. pneumoniae, P. aeruginosa, P. mirabilis or enterococci. Pyelonephritis as a sole pathology was diagnosed in 10 patients whereas in further 8 patients it complicated other diseases (nephrotic syndrome, hepatitis, cholangitis, leukemia). Pneumonia complicated nephritis leukemia or lymphoma in 8 children. Peritonitis was diagnosed in 1 adult patient. Ceftriaxone was given in a single daily dose of 50 mg/kg to all children and 2.0 g to adult patients for 7-10 days. No adverse reactions were noted. Clinical improvement was achieved in all treated patients. Cultures became negative in 17 cases after the treatment. Significant bacteremia caused by P. aeruginosa persisted in 2 patients and by E. coli in 1 patient. No toxic effects on liver, renal, pancreatic and bone marrow functioning were seen. Ceftriaxone may be safely and efficiently used for the treatment of the urinary and respiratory infections.
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