AMOXICILLIN/CLAVULANATE IN THE TREATMENT OF INFECTIONS OF RESPIRATORY SYSTEM AND ENT-ORGANS IN CHILDREN: WHAT DOSE TO CHOOSE?


Cite item

Full Text

Abstract

Amoxicillin/clavulanate is widely used in clinical practice for 30 years. This drug has highly stable activity against the major bacterial pathogens of the respiratory system and ENT-organs in children: Streptococcus pneumoniae, Haemophilus influenzae and Moraxella catarrhalis. Due to the high level of resistance of pneumococcus to penicillin, the use of high-dose amoxicillin (80-90 mg/kg/day) is recommended in a number of countries. Currently, amoxicillin/clavulanate at a dose of 40-45 mg/kg/day (per amoxicillin) is possible to use in Russia. Administration of amoxicillin/clavulanate with a high content of amoxicillin is reasonable only in patients with risk of infection by penicillin-resistant pneumococcus.

References

  1. Справочник по антимикробной терапии. Смоленск, 2006. 384 с.
  2. Козлов С.Н., Страчунский Л.С. Пенициллины. Часть I. Природные и полусинтетические пенициллины // Клиническая антимикробная химиотерапия. 2000. Т. 2. № 1. С. 32-8.
  3. Williams JD. beta-Lactamase inhibition and in vitro activity of sulbactam and sulbactam/cefoperazone. Clin Infect Dis 1997;24(3):494-97.
  4. Практическое руководство по антиинфекционной химиотерапии / Под ред. Л.С. Страчунского, Ю.Б. Белоусова, С.Н. Козлова. Смоленск, 2007. 464 с.
  5. Козлов С.Н., Страчунский Л.С. Пенициллины. Часть II. Ингибиторозащищенные и комбинированные пенициллины // Клиническая антимикробная химиотерапия. 2000. Т. 2. № 2. С. 67-70.
  6. Drawz SM, Bonomo RA. Three decades of beta-lactamase inhibitors. Clin Microbiol Rev 2010;23(1):160-201.
  7. Smith GM, Slocombe B, Abbott KH, et al. Activity of amoxicillin-clavulanate against penicillin-resistant Streptococcus pneumoniae in an experimental respiratory infection model in rats. Antimicrob Agents Chemother 1998;42(4):813-17.
  8. White AR, Kaye C, Poupard J, et al. Augmentin (amoxicillin/clavulanate) in the treatment of community-acquired respiratory tract infection: a review of the continuing development of an innovative antimicrobial agent. J Antimicrob Chemother 2004;53(Suppl. 1):3-20.
  9. Проект ЭРА (экспертные рекомендации по антибиотикотерапии). Современные режимы дозирования пероральных аминопенициллинов // Клиническая микробиология и антимикробная химиотерапия. 2004. Т. 6. C. 224-31.
  10. Jacobs MR, Felmingham D, Appelbaum PC, et al. Alexander Project Group. The Alexander Project 1998-2000: susceptibility of pathogens isolated from community-acquired respiratory tract infection to commonly used antimicrobial agents. J Antimicrob Chemother 2003;52(2):229-46.
  11. American Academy of Pediatrics Subcommittee on Management of Acute Otitis Media. Diagnosis and management of acute otitis media. Pediatrics 2004;113(5):1451-65.
  12. Dagan R, Hoberman A, Johnson C, et al. Bacteriologic and clinical efficacy of high dose amoxicillin/clavulanate in children with acute otitis media. Pediatr Infect Dis J 2001;20(9):829-37.
  13. Hoberman A, Dagan R, Leibovitz E, et al. Large dosage amoxicillin/clavulanate, compared with azithromycin, for the treatment of bacterial acute otitis media in children. Pediatr Infect Dis J 2005;24(6):525-32.
  14. American Academy of Pediatrics. Subcommittee on Management of Sinusitis and Committee on Quality Improvement. Clinical practice guideline: management of sinusitis. Pediatrics 2001;108(3):798-808.
  15. Wald ER, Nash D, Eickhoff J. Effectiveness of amoxicillin/clavulanate potassium in the treatment of acute bacterial sinusitis in children. Pediatrics 2009;124(1):9-15.
  16. Grant GB, Campbell H, Dowell SF, et al. Recommendations for treatment of childhood non-severe pneumonia. Lancet Infect Dis 2009;9(3):185-96.
  17. Чучалин А.Г., Синопальников А.И., Козлов Р.С. и др. Внебольничная пневмония у взрослых: практические рекомендации по диагностике, лечению и профилактике. М., 2010. 106 с.
  18. Козлов Р.С. Пути оптимизации мониторинга, профилактики и фармакотерапии пневмококковых инфекций. Автореф. дис. докт. мед. наук. Смоленск, 2004. 46 с.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2011 Bionika Media

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies