ニューキノロン系抗菌薬NM441の基礎的研究および呼吸器感染症に対する臨床的検討

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  • Laboratory and clinical studies of NM441 in respiratory tract infections

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We examined NM441, a new developed new-quinolone antimicrobial, for its pharmacokinetics in theserum and sputum, and for its clinical efficacy in respiratory tract infections. The results were as follows.<BR>1) Antimicrobial activity<BR>The minimal inhibitory concentrations (MICs) of NM394, the active form of NM441, were measured for741 clinically isolated strains of 18 species of bacteria (including gram-positive cocci, Moraxella catarrhalis, gram-negative bacilli and Bacteroides fragilis), and compared with those of ofloxacin (OFLX), lomeflo-xacin (LFLX) and tosufloxacin (TFLX). NM394 showed lower activity than TFLX, but higher than LFLX.And it was equal to or more powerful than OFLX.<BR>2) Serum and sputum levels<BR>Serum and sputum concentrations of NM394 were studied in a patient with seconday bronchitis aftermultiple oral administration of 200mg of NM441 twice daily for 7 days. The maximum serum level was1.12μg/ml, and the maximum sputum level was 0.35μg/ml.<BR>3) Clinical results<BR>200mg of NM441 twice daily was given 3 patients with respiratory tract infections for 7 or 11 days. Clinical efficacy was as good in 2 cases and fair in 1 case. No subjective or objective side effects and noabnormalities in laboratory values were observed.

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