title: Clinical evaluation of moxalactam in the treatment of respiratory tract infections, hepatobiliary infections, and septicemia.
abstract: A total of 489 patients with a variety of infections was treated with moxalactam in Japan. The drug usually was administered by drip infusion in doses of 2-4 g per day for seven to 14 days. The clinical response was satisfactory in 277 (77.4%) of 358 patients with respiratory tract infections, 95 (84.8%) of 112 with hepatobiliary infections, and 15 (78.9%) of 19 with septicemia (including 2 with meningitis). Overall, moxalactam was effective in 387 (79.1%) of all patients treated. Of the pathogenic organisms isolated, 87.9% of the gram-positive cocci and 82.1% of the gram-negative bacilli were eradicated. Ninety-two of 156 patients who failed to respond to previous antibiotic therapy showed a satisfactory response to moxalactam. Adverse effects--mainly rash and fever--occurred in only 3.3%, and abnormal results of laboratory tests--mainly elevation of hepatic enzyme levels and eosinophilia--occurred in 5.7% of all patients treated.
mesh_terms: D000328:Adult; D000368:Aged; D001424:Bacterial Infections / Q000188:drug therapy / Q000382:microbiology; D001660:Biliary Tract Diseases / Q000188:drug therapy*; D002511:Cephalosporins / Q000627:therapeutic use*; D002513:Cephamycins / Q000009:adverse effects / Q000627:therapeutic use*; D005260:Female; D006505:Hepatitis / Q000188:drug therapy*; D006801:Humans; D008297:Male; D008581:Meningitis / Q000188:drug therapy; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D009070:Moxalactam; D012141:Respiratory Tract Infections / Q000188:drug therapy*; D018805:Sepsis / Q000188:drug therapy*
chemical_list: D002511:Cephalosporins; D002513:Cephamycins; D009070:Moxalactam