원저

경,중등도의 인두염 및 인두편도염에서 Cefprozil의 임상효과와 안전성 검토

박기호1, 정희진1, 박승철1, 김민자1, 김경현2, 박찬2, 최종욱2
Ki Ho Park1, Hee Jin Cheong1, Seung Chul Park1, Min Ja Kim1, Kyung Heon Kim2, Chan Park2, Jong Ook Choi2
Author Information & Copyright
1고려대학교 의과대학 내과학교실
2이비인후과학 교실
1Korea University, College of Medicine, Seoul, Korea
2Division of Infectious Diseases, and Department of Otolaryngology, Korea University, College of Medicine, Seoul, Korea

© Copyright 1998 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Background and Objective: Cefprozil is a new second generation oral cephalosporin, which has a longer half-life and efficacy in vitro against major respiratory pathogens, including moderately penicillin-resistant Streptococcus pneumoniae. The aim of the study is to investigate clinical efficacy and safety of cefprozil when administered once daily to patients with mild to moderate pharyngotonsillitis. Materials and Methods: A randomized, controlled study was conducted in 30 patients who were diagnosed as acute bacterial pharyngitis or pharyngotonsillitis. Cefprozil was given 500mg P.O. once daily for at least 5 consecutive days. Throat swab culture, CBC and blood chemistry were taken before and after the treatment. All patients were evaluated for clinical efficacy on the basis of the clincial, microbiological responses and side effects or toxicities. Results: The rate of satisfactory clinical response was 90%. Cefprozil was well tolerated and was associated with few drug-related clinical events. Conclusion: Because of its efficacy and once-daily dosing, cefprozil may prove to be an alternative to Currently available oral cephalosporins or beta-lactam inhibitors.

Keywords: cefprozil; efficacy; pharyngotonsillitis


37권 2호 Quiz 및 정답, 해설

정답 ③ ㄴ,ㄹ

ㄱ. 갑상선 고주파는 전극 주변에 고주파 전류가 흐르면서 조직내 이온들을 빠르게 진동시키고 
이렇게 발생한 마찰열(friction heat)을 통해 섭씨 60~100도씨의 열을 발생시켜 조직의 응고 괴사를 유도한다.

ㄴ. 생리식염수는 Na+,Cl-를 포함하여 전기전도성이 높아 5% DW 같은 비이온성 용액을 이용하는 것이 좋다.

ㄷ. 관련된 흔한 합병증은 통증, 혈종, 일시적 음성변화로 알려져 있다.

ㄹ. 갑상선 고주파절제술은 정상 갑상선조직을 최대한 보존하면서 양성결절의 부피감소를 유도하고, 
미세유두암의 완전 소실을 유도할 수 있는 치료이다.

 

* 당첨자 (5명)

권**    010-****-**85

고**    010-****-**75

서**    010-****-**72

이**    010-****-**61

장**    010-****-**64

 

응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 8.21(금)까지 개별 발송해 드리겠습니다.

 

임상이비인후과 편집위원회 


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