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Sulbactam/ampicillin in the treatment of pediatric infections
1Department of Infectious Diseases, Medical School of Hacettepe University, Ankara, Turkey.
Insights
Sulbactam/ampicillin demonstrated high efficacy and safety in treating pediatric infections, achieving a 98.7% cure rate across various conditions. This antibiotic combination proved effective for skeletal, thoracic, and soft tissue infections in children.
Area of Science:
- Pediatric Infectious Diseases
- Pharmacology
- Antimicrobial Therapy
Background:
- Pediatric infections require effective and safe antimicrobial agents.
- Sulbactam/ampicillin is a combination antibiotic with a broad spectrum of activity.
- Evaluating its use in diverse pediatric patient populations is crucial.
Purpose of the Study:
- To assess the safety and efficacy of sulbactam/ampicillin in treating various infections in pediatric patients.
- To determine the overall cure rate and identify any adverse events associated with the treatment.
Main Methods:
- A cohort of 78 pediatric patients (34 days to 17 years) received intravenous or intramuscular sulbactam/ampicillin.
- Treatment was administered 3-4 times daily for skeletal, systemic salmonellosis, intrathoracic, and soft tissue infections.
- Dosage was typically 200 mg ampicillin/100 mg sulbactam per kg/day for 8-23 days.
Main Results:
- An overall cure rate of 98.7% was achieved in 78 study patients.
- A single case of Escherichia coli resistant to sulbactam/ampicillin was noted in an abscess.
- Only one patient experienced a mild rash, not requiring treatment cessation.
Conclusions:
- Sulbactam/ampicillin is a safe and highly effective therapeutic option for a range of pediatric infections.
- The combination antibiotic is well-tolerated, with minimal adverse effects observed.
- Further research may explore its utility against resistant strains.
Abstract:
Seventy eight pediatric patients (43 males, 35 females) aged 34 days to 17 years were treated with intravenous or intramuscular sulbactam/ampicillin 3 or 4 times daily for skeletal system infection (10 cases), systemic salmonellosis (2 cases), intrathoracic infection (12 cases), and soft tissue or miscellaneous infections (54 cases). The dose used to treat the majority of patients was 200 mg of ampicillin plus 100 mg of sulbactam per kg/day. The duration of treatment ranged from 8 to 23 days. Sulbactam/ampicillin alone was used in 68 patients. Ten patients were treated with an additional antibacterial agent. The overall cure rate was 98.7% for all 78 study patients. One patient with an abscess in the neck was shown to be infected with a strain of Escherichia coli resistant to sulbactam/ampicillin. Only one patient experienced a rash, but it did not necessitate discontinuation of therapy. This study shows that sulbactam/ampicillin is a safe and effective agent in the treatment of various pediatric infections.
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