Abstract

Cefzon® (cefdinir, CFDN, Fujisawa Pharmaceutical Co., Ltd.) is an oral cephem antibiotic which was marketed in 1991. It has been confirmed that the clinical efficacy of cefdinir in the treatment of respiratory tract infections was 85.0% or more and the safety of cefdinir was high in the field of pediatrics. In this study the clinical efficacy of cefdinir in cases of acute otitis media was investigated in 47 pediatric patients aged 3 months to 11 years and 9 months. The clinical efficacy rate was 83.0% and the bacteriological eradication rate was 79.2% in all of these patients. The main pathogens isolated from these patients were Haemophilus influenzae (41.1%), Streptococcus pneumoniae (30.4%) and coagulase negative staphylococci (CNS) (12.5%). The eradication rates of thesepathogens were 82.6% (19/23 patients) for H. influenzae and 78.6% (11/14 patients) for S. pneumoniae. The efficacy rate of cefdinir in monomicrobial infections was 89.7% (26/29 patients) but the efficacy rate in polymicrobial infections was 64.3% (9/14 patients).As adverse reactions, diarrhea was observed in 3 patients (6%) but disappeared in 1 patient 3 days after discontinuation of the drug and administration was continued in the remaining 2 patients.The superior efficacy of cefdinir in treatment of acute otitis media was attributed to the high concentrations of cefdinir which exceeded MICs against H. influenzae or S. pneumoniae in tympanic mucosa.

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