[A study of clinical application of cefmetazole in perinatal period (author's transl)]. 1981

N Cho, and K Fukunaga, and K Kunii

The fundamental study of cefmetazole treatment in a clinical situation during the perinatal period were made, and the following results were obtained. Absorption of CMZ in pregnant women is rapid; and the intravenous injection intravenous drip infusion and intramuscular injection of CMZ all reached their peak serum levels in a short time with a half-life of approximately 1 hour or so. The transference of CMZ to the fetus through placenta is good. It is so good that a single dose of 0.5 approximately equal to 1.0 g by intravenous injection, intravenous drip infusion or intramuscular injection can obtain desired concentration levels covering MIC of main causative pathogenic organisms in the cord blood, amniotic fluid and blood in the fetus. Therefore, the administration of CMZ with this dose and method of administration once or twice daily can prevent or treat intrauterine infection. The transition of CMZ to mother's milk is a small quantity and the transition of CMZ through mother's milk to a neonate is considered to be a very small amount. The absorption of CMZ in neonate is rapid. It reaches a peak serum concentration 15 minutes after the intravenous injection. The half-life varies depending on the number days after birth. With the administration of 20 mg/Kg, the half-life at 0 day after birth is 6.32 approximately 6.78 hours, 3.79 hours at 1st day after birth and 2.27 approximately 2.72 hours at 5th-6th day after birth. Excretion into the urine is slow on 0 day after birth and becomes rapid on the 6th day after birth, coinciding with the maintained level of CMZ in the blood. Positive results were obtained from the overview of CMZ administration in the prophpylaxis or treatment of intrauterine infection during the perinatal period. No abnormalities were noted from the examinations performed on a neonate delivered from a mother who had received CMZ during perinatal period. Judging from the various results mentioned above, 20 mg/kg of CMZ administered to a neonate twice a day at 12 hour intervals would be sufficient to attain therapeutic efficacy.

UI MeSH Term Description Entries
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D007263 Infusions, Parenteral The administration of liquid medication, nutrient, or other fluid through some other route than the alimentary canal, usually over minutes or hours, either by gravity flow or often by infusion pumping. Intra-Abdominal Infusions,Intraperitoneal Infusions,Parenteral Infusions,Peritoneal Infusions,Infusion, Intra-Abdominal,Infusion, Intraperitoneal,Infusion, Parenteral,Infusion, Peritoneal,Infusions, Intra-Abdominal,Infusions, Intraperitoneal,Infusions, Peritoneal,Intra Abdominal Infusions,Intra-Abdominal Infusion,Intraperitoneal Infusion,Parenteral Infusion,Peritoneal Infusion
D007273 Injections, Intramuscular Forceful administration into a muscle of liquid medication, nutrient, or other fluid through a hollow needle piercing the muscle and any tissue covering it. Intramuscular Injections,Injection, Intramuscular,Intramuscular Injection
D008431 Maternal-Fetal Exchange Exchange of substances between the maternal blood and the fetal blood at the PLACENTA via PLACENTAL CIRCULATION. The placental barrier excludes microbial or viral transmission. Transplacental Exposure,Exchange, Maternal-Fetal,Exposure, Transplacental,Maternal Fetal Exchange
D008895 Milk, Human Milk that is produced by HUMAN MAMMARY GLANDS. Breast Milk,Human Milk,Milk, Breast
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D011263 Pregnancy Trimester, Third The last third of a human PREGNANCY, from the beginning of the 29th through the 42nd completed week (197 to 294 days) of gestation. Pregnancy, Third Trimester,Trimester, Third,Last Trimester,Last Trimesters,Pregnancies, Third Trimester,Pregnancy Trimesters, Third,Third Pregnancy Trimester,Third Pregnancy Trimesters,Third Trimester,Third Trimester Pregnancies,Third Trimester Pregnancy,Third Trimesters,Trimester, Last,Trimesters, Last,Trimesters, Third
D002511 Cephalosporins A group of broad-spectrum antibiotics first isolated from the Mediterranean fungus ACREMONIUM. They contain the beta-lactam moiety thia-azabicyclo-octenecarboxylic acid also called 7-aminocephalosporanic acid. Antibiotics, Cephalosporin,Cephalosporanic Acid,Cephalosporin,Cephalosporin Antibiotic,Cephalosporanic Acids,Acid, Cephalosporanic,Acids, Cephalosporanic,Antibiotic, Cephalosporin,Cephalosporin Antibiotics
D002513 Cephamycins Naturally occurring family of beta-lactam cephalosporin-type antibiotics having a 7-methoxy group and possessing marked resistance to the action of beta-lactamases from gram-positive and gram-negative organisms. Antibiotics, Cephamycin,Cephamycin,Cephamycin Antibiotics
D005260 Female Females

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