Twenty children, while hospitalized with pneu monia, were treated by randomization with graded dosages of oral ampicillin; five each received 50, 100, 150, or 200 mg/kg daily in four equally divided doses for at least five days. The peak serum levels rose from a mean of 1 mcg/ml with 50 mg/kg per day to 4 to 7 mcg/ml with 200 mg/kg per day. Mild to moderate diarrhea, encountered in two of the five patients of each study group, was apparently unrelated to dose, and did not hinder absorption of the drug to a clinically significant degree.
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References
1.
Bass, J.W., Crowley, D.M., Steele, R.W., Young, F.S.H. and Harden, L.B.: Adverse effects of orally administered ampicillin. J. Pediatr.83: 106, 1973.
2.
Elliott, R.B. , Stokes, E.J. and Maxwell, G.M.: Ampicillin in pediatrics. Arch. Dis. Child.39: 101, 1964.
3.
Whelton, A., Daniel, G., Sapir, G., et al.: Intra-renal distribution of ampicillin in the normal and diseased kidney. J. Infect. Dis.125: 466, 1972.
4.
Bass, J.W., Cohen, S.H., Corless, J.D., et al.: Ampicillin compared to other antimicrobials in acute otitis media. JAMA202: 697, 1967.
5.
Coffey, J.D. : Concentration of ampicillin in exudate from acute otitis media. J. Pediatr.72: 693, 1968.
6.
Mathies, A.W. , Leedom, J.M., Thrupp, L.D., et al.: Experience with ampicillin in bacterial meningitis. Antimicrob. Agents Chemother.— 1965 (American Society for Microbialogy, c1966 ), p. 610.
7.
Barrett, F.F. , Eardley, W.A., Yow, M.D., et al.: Ampicillin in the treatment of acute suppurative meningitis. J. Pediatr.69: 343, 1966.
8.
Yow, M.D.: Ampicillin in the treatment of meningitis due to Hemophilus influenzae: an appraisal after 6 years experience. J. Pediatr.74: 848, 1969.
9.
Thrupp, L.D. , Leedom, J.M., Ivler, D., et al.: Ampicillin levels in the cerebrospinal fluid during treatment of bacterial meningitis. Antimicrob. Agents Chemother.—1965 (American Society for Microbiology, c1966), p. 206.
10.
Taber, L.H. , Yow, M.D. and Neiberg, F.G.: The penetration of broad-spectrum antibiotics into the cerebrospinal fluid. Ann. N.Y. Acad. Sci.145: 473, 1967.
11.
Nelson, J.D. : Antibiotic concentrations in septic joint effusions . N. Engl. J. Med.284: 349, 1971.