Basic and clinical studies on tazobactam/piperacillin in the surgical field

  • Jiro Yura
  • , Nagao Shinagawa
  • , Shu Ishikawa
  • , Akira Mizuno
  • , Keiji Mashita
  • , Hiroshi Ishihara
  • , Masazumi Hisada
  • , Tomokatsu Fukuhara
  • , Yoshimasa Tachi
  • , Nobuatsu Tsuruga
  • , Akitoshi Ito
  • , Keiichi Hori
  • , Hideya Okada
  • , Takashi Miyake
  • , Tatsuya Suzuki
  • , Akihiko Iwai
  • , Hiroshi Mizuno
  • , Tetsushi Hayakawa
  • , Yuji Okada
  • , Shouji Kimura
  • Ichiya Suzuki, Akishige Nakamura, Katsuhiko Tanabe, Yota Yamagishi

Research output: Contribution to journalArticlepeer-review

Abstract

We performed basic and clinical studies on tazobactam/piperacillin (TAZ/PIPC), an injectable antibiotic which is a combination of piperacillin (PIPC) and tazobactam (TAZ), a newly developed β-lactamase inhibitor, in the field of surgery. The following results were obtained. 1) Delivery into bile: Concentrations of PIPC, TAZ and desethyl-piperacillin (DEt-PIPC) in bile were measured in a postoperative patient with gall stone disease after intravenous drip infusion of TAZ/PIPC at 2.5 g. The peak levels in bile were 256 μg/ml, 9.98 μg/ml and 1340 μg/ml, respectively. 2) Clinical evaluation: 24 patients with surgical infections were treated with TAZ/PIPC. Clinical efficacy was excellent in 10 cases, good in 10, fair in 2 and poor in 2, the overall efficacy rate being 83.3%. Bacteriological response was observed as eradicated in 12 cases, partially eradicated in 1, replaced in 1 and unchanged in 4, resulting in a 72.2% eradication rate. No adverse reactions were observed, and abnormal changes in laboratory findings appeared in three patients.

Original languageEnglish
Pages (from-to)581-589
Number of pages9
JournalCHEMOTHERAPY
Volume42
DOIs
Publication statusPublished - 1994
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Pharmacology (medical)
  • Infectious Diseases
  • Pharmacology
  • Drug Discovery
  • Oncology

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