Josamycin propionate (
ca. 50mg/kg per day for 7 days) was given orally to 25 childrensuffering from lacunar tonsillitis (19 cases), scarlet fever (2 cases) and cervicalis lymphadenitis (4 cases), and the following results were obtained.
1) Out of 19 cases of lacunar tonsillitis, theresult was excellent in eight, good in five, and poor in six, the efficacy rate being 68.4%. Among two cases of scarlet fever, the one showed excellent response, but remaining one case did not respond. Two cases each of four cervicalis lymphadenitis gave good and poor responses respectively. The efficacy rate was to 64.0% in total.
2) Mild gastrointestinal disturbances were observed in four of 25 cases, but in none of them, withdrawal of medication was necessary. No side effects were detected in urine and blood findings, S-GOT, S-GPT, alkalline phosphatase and BUN values examined in all the patients before and after the medication.(In four cases of infants, the urine examination was not performed.)
3) Some discussionw as made on the situation of macrolidea ntibioticsi n the treatment of pediatric respiratory infections, and it was concluded that josamycin propionate is a useful antibiotic in pediatric field.
4) Individual fluctuation in the absorption of oral josamycin propionate was suggested from ex cellent responses observed ineffective cases which were not to be expected from its overallefficacy rate. Thus, in poorly responding cases, increase of dosage will be recommended regardless of the usual dosage of 50mg/kg per day.
5) The taste and flavour of this preparation were considered acceptable to children.
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