FrancophonIA/ELRC3.0 huggingface dataset:
English: The verbal statement of the frequencies should be in accordance to the updated QRD-Templates and the frequencies should be listed in a table.
Slovenian: Izjava o pogostnosti mora biti skladna s posodobljenimi predlogami pregleda kakovosti dokumentov, pogostnosti pa morajo biti navedene v preglednici.
English: Furthermore, a post--lactamase inhibitor effect (PLIE) provides further support for the conclusion that the inhibitory effects of clavulanic acid against -lactamases persists significantly once the clavulanic acid itself has effectively disappeared from the serum.
Slovenian: Poleg tega pozni učinek zaviralca -laktamaz (PLIE) dodatno podpira zaključek, da zaviralni učinki klavulanske kisline na beta laktamaze v veliki meri trajajo tudi potem, ko klavulanska kislina izgine iz seruma.
English: The CHMP agrees that amoxicillin/clavulanic acid is widely used as first-line therapy for the treatment of animal bites and therefore adopted the following wording: “Skin and soft tissue infections in particular cellulitis, animal bites and severe dental abscess with spreading cellulitis”
Slovenian: CHMP se strinja, da je kombinacija amoksicilin/klavulanska kislina v široki rabi kot zdravljenje prve izbire za živalske ugrize, zato je sprejel naslednje besedilo: „Okužbe kože in mehkih tkiv, zlasti celulitis, ugrizi živali in hudi zobni abscesi s celulitisom, ki se širi“.
English: The MAH acknowledged that Augmentin is not the first drug of choice for the treatment of acute streptococcal tonsillitis, however it is recommended as a possible alternative for the treatment of patients who have multiple recurrent episodes of streptococcal tonsillitis because Augmentin has been shown to yield high rates of eradication of streptococci from the nasopharynx.
Slovenian: Imetniki dovoljenj za promet z zdravilom priznavajo, da zdravilo Augmentin ni zdravilo prve izbire za zdravljenje akutnega streptokoknega tonzilitisa, vendar je priporočeno kot možno alternativno zdravilo za zdravljenje bolnikov z več ponovitvami streptokoknega tonzilitisa, saj je zdravilo Augmentin pokazalo visoke izkoristke pri eradikaciji streptokokov iz nazofarinksa.
English: Similarly the 4:1 ratio is a well-established regimen, providing a valuable option for treatment of mild-to-moderate as well as more severe infections, in areas where bacterial resistance is not a significant concern.
Slovenian: Podobno je tudi razmerje 4:1 dobro uveljavljen režim, ki zagotavlja dobro možnost za zdravljenje blagih do zmernih ter hujših okužb na področjih, kjer bakterijska odpornost ni pomemben zadržek.
English: For acute bronchitis in children, guidelines state that in the average patient with an uncomplicated LRTI in primary care, not suspected of pneumonia, antibiotic treatment has shown no benefit over placebo.
Slovenian: Smernice za akutni bronhitis pri otrocih navajajo, da pri povprečnem bolniku na primarni ravni zdravstva z nezapleteno okužbo spodnjih dihal brez suma pljučnice antibiotično zdravljenje ne kaže večje koristi od placeba.
English: For all Augmentin ratios, the CHMP considered that undesirable effects may occur and included recommendations in the harmonised SPC.
Slovenian: CHMP je za vsa razmerja zdravila Augmentin menil, da se neželeni učinki lahko pojavijo, zato je v usklajene povzetke glavnih značilnosti zdravila vključil priporočila.
English: Instead, prescribers are directed to use 4:1 ratio, where therapeutic levels of clavulanic acid in such cases have been detailed in the literature.
Slovenian: Zato imajo zdravniki, ki predpisujejo zdravilo, napotke, da uporabijo razmerje 4:1, za katerega so v literaturi podrobno opisane terapevtske ravni klavulanske kisline v omenjeni skupini bolnikov.
English: The MAH discussed the arguments presented for the 2:1 ratio, considering the 4:1 ratio oral formulations to be active for many pathogens, and that its use is justified.
Slovenian: Imetniki dovoljenj za promet z zdravilom so razpravljali o argumentih, predstavljenih za razmerje 2:1, ob upoštevanju, da so peroralna razmerja 4:1 aktivna proti številnim patogenom ter da je njegova uporaba upravičena.
English: Convulsions may occur in patients with impaired renal function or in those receiving high doses.
Slovenian: Pri bolnikih z okvarjenim delovanjem ledvic ali pri bolnikih, ki prejemajo velike odmerke, se lahko pojavijo konvulzije.
English: The 4:1 ratio was further discussed by CHMP, noting that the maximum daily dose of amoxicillin delivered is 1500 mg.
Slovenian: O razmerju 4:1 je dodatno razpravljal CHMP in izpostavil, da je 1500 mg največji dnevni odmerek amoksicilina, ki se lahko vnese.
English: Two intravenous ratios have been developed: a 5:1 and a 10:1 formulation.
Slovenian: Razviti sta bili dve intravenski formulaciji z razmerjema 5:1 in 10:1.
English: The MAH did not submit any data supporting this indication but proposed to re-classify this indication as osteomyelitis, providing an extensive justification, along with a discussion on PK/PD.
Slovenian: Imetniki dovoljenj za promet z zdravilom niso predložili nobenih podatkov v podporo tej indikaciji, vendar so predložili reklasifikacijo indikacije v osteomielitis s predložitvijo obsežne utemeljitve skupaj z razpravo o farmakokinetiki/farmokodinamiki.
English: The MAH also confirmed that the posology for the 4:1 ratio in patients with renal impairment is widely recommended across the EU.
Slovenian: Imetniki dovoljenja za promet z zdravilom so tudi potrdili, da so priporočila o odmerjanju razmerja 4:1 pri bolnikih z okvarjenim delovanjem ledvic v EU zelo razširjena.
English: The lower dose of amoxicillin contained in the 4:1 ratio was considered insufficient to achieve the required MIC levels of amoxicillin to eradicate S. pneumoniae strains with reduced susceptibility to penicillin.
Slovenian: Manjši odmerek amoksicilina v razmerju 4:1 so šteli za nezadostnega za doseganje želenih ravni MIC amoksicilina za eradikacijo sevov S. pneumoniae z zmanjšano občutljivostjo za penicilin.
English: For all formulations of Augmentin, the same warnings and precautions are applicable, apart from a number of formulation-specific statements, such as IV specific statements referring to the sodium and potassium content of Augmentin.
Slovenian: Za vse formulacije zdravila Augmentin veljajo enaka opozorila in previdnostni ukrepi, razen nekaterih za formulacije specifičnih izjav, kot so za i.v.
English: Augmentin SR (Sustained-Release) was therefore developed to meet this new medical need.
Slovenian: Za pokrivanje te nove medicinske potrebe so razvili zdravilo Augmentin SR (podaljšano sproščanje).
English: The MAH discussed the pharmacokinetic data for all the existing Augmentin formulations, grouped according to their respective ratios.
Slovenian: Imetniki dovoljenj za promet z zdravilom so razpravljali o farmakokinetičnih podatkih za vse obstoječe formulacije zdravila Augmentin, ki so bili razvrščene v skupine po razmerjih.
English: Thus, efficient eradication of -lactamaseproducing organisms by amoxicillin/clavulanic acid relies on effective initial inhibition of the lactamase by clavulanic acid.
Slovenian: Zato učinkovita eradikacija organizmov, ki tvorijo beta laktamaze, s kombinacijo amoksicilin/klavulanska kislina temelji na učinkoviti začetni inhibiciji beta laktamaz s klavulansko kislino.
English: For renal impairment, the published literature on the PK of amoxicillin and clavulanic acid, when administered to patients with renal impairment, indicates a decrease in the renal clearance of both drugs and that declining renal function has a greater influence on the clearance of amoxicillin than on that of clavulanic acid.
Slovenian: Objavljena literatura o farmakokinetiki uporabi amoksicilina in klavulanske kisline pri bolnikih z okvarjenim delovanjem ledvic kaže zmanjšanje ledvičnega očistka obeh zdravil ter da ima upadanje ledvične funkcije večji vpliv na očistek amoksicilina kot klavulanske kisline.
English: Overall, the CHMP agreed to dosing recommendations according to weight ranges in the paediatric population, as well as the proposal for the different dosing regimens taking into account the argument that “the choice of dosage regimen is determined by the prevailing background level of resistance, and also (in some Member States) by factors such as the severity of infection”.
Slovenian: Na splošno se je CHMP strinjal s priporočili o odmerjanju, ki temeljijo na razponih telesne mase pri otrocih, in tudi glede predloga različnih režimov odmerjanja, kjer se upošteva argument, da „se režim odmerjanja izbere na osnovi prevladujoče izhodiščne ravni odpornosti ter (v nekaterih državah članicah) tudi dejavnikov, kot je resnost okužbe“.
English: The 7:1 ratio was developed for BID dosing to improve convenience and therefore compliance with the original lower-ratio TID regimens, because of the inconvenience associated with the mid-day dose and also because BID had become more of a standard regimen than TID.
Slovenian: Razmerje 7:1 je bilo razvito za odmerjanje dvakrat dnevno za izboljšanje prikladnosti in s tem upoštevanja navodil v primerjavi s prvotnimi režimi jemanja trikrat dnevno za oblike z manjšim razmerjem, saj je bil odmerek sredi dneva neprimeren, poleg tega pa je odmerjanje dvakrat dnevno postalo bolj standardno kot odmerjanje trikrat dnevno.
English: The Augmentin 16:1 ratio was developed for, and studied in, specific indications in adults and adolescents aged 16 years and above, where higher concentrations of amoxicillin to clavulanic acid are required.
Slovenian: Zdravilo Augmentin z razmerjem 16:1 je bilo razvito in preučeno za specifične indikacije pri odraslih in mladostnikih, starih vsaj 16 let, kadar so potrebne višje koncentracije amoksicilina v primerjavi s klavulansko kislino.
English: The CHMP noted that amoxicillin/clavulanic acid has been evaluated in uncomplicated skin and soft tissue infections, including conditions such as wound infection, abscess, cellulitis, furunculosis and impetigo.
Slovenian: CHMP je izpostavil, da je bila kombinacija amoksicilin/klavulanska kislina ovrednotena za nezapletene okužbe kože in mehkih tkiv, vključno s stanji, kot so okužba ran, absces, celulitis, furunkuloza in impetigo.
English: The proposed changes mentioned for the SPCs were reflected adequately in the PLs, if relevant for the patients.
Slovenian: Predlagane spremembe povzetkov glavnih značilnosti zdravila so bile ustrezno vključene v navodilo za uporabo, kadar so spremembe pomembne za bolnika.
English: Regarding cellulitis, the CHMP considered that therapy for the typical case of erysipelas or cellulitis should include an antibiotic active against streptococci and therefore considered that amoxicillin/clavulanic acid can be an alternative for the treatment of uncomplicated SSTI.
Slovenian: Glede celulitisa je CHMP menil, da mora zdravljenje tipičnega primera erizipela ali celulitisa vključevati antibiotik, učinkovit proti streptokokom, zato je štel kombinacijo amoksicilin/klavulanska kislina za alternativo pri zdravljenju nezapletenih okužb kože in mehkih tkiv.
English: In particular, to discuss the prevalence of penicillin-insusceptible pneumococci across the CMS and the adequacy of the amoxicillin dose delivered by candidate presentations to treat these organisms.
Slovenian: Še posebej je potrebna razprava o pogostnosti za penicilin neobčutljivih pnevmokokov v zadevnih državah članicah ter primernosti odmerka amoksicilina, ki ga zagotavlja kandidatna oblika, za zdravljenje teh organizmov.
English: • Animal bites
Slovenian: • ugrizi živali
English: The MAH proposed that a frequency of administration superior to three times a day (every 8 hours) is appropriate in some Member States depending on the type of infection or surgical procedure.
Slovenian: Imetniki dovoljenj za promet z zdravilom so predlagali, da je v določenih državah članicah, odvisno od vrste okužbe ali kirurškega posega, primerno pogostejše dajanje kot trikrat dnevno (vsakih 8 ur).
English: The MAH considered that the Phase III results confirm the predicted efficacy of Augmentin SR in the clinical setting and cited a number of guidelines establishing Augmentin SR in clinical practice.
Slovenian: Imetniki dovoljenj za promet z zdravilom so menili, da rezultati III. faze potrjujejo napovedano učinkovitost zdravila Augmentin SR v kliničnih okoliščinah, in navedli številne smernice, ki uveljavljajo zdravilo Augmentin SR v klinično prakso.
English: In particular, the contraindications referring to mononucleosis, severe hepatic impairment or hepatic insufficiency, to the presence of aspartame in the oral suspension and hypersensitivity to amoxicillin, clavulanic acid or to any excipients were discussed.
Slovenian: Obravnavane so bile še posebej kontraindikacije, ki se nanašajo na mononukleozo, hudo okvarjeno delovanje jeter ali jetrno insuficienco, prisotnost aspartama v peroralni suspenziji in preobčutljivost na amoksicilin, klavulansko kislino ali katerokoli pomožno snov.
English: Augmentin SR is a pharmacokinetically-enhanced formulation, developed to maximise PK/PD and to provide more effective therapy against pathogens with reduced susceptibility to amoxicillin and penicillin, particularly S. pneumoniae.
Slovenian: Augmentin SR je farmakokinetično izboljšana formulacija, ki je bila razvita za čim boljšo farmakokinetiko/farmakodinamiko ter zagotovitev učinkovitejše terapije proti patogenom z zmanjšano občutljivostjo za amoksicilin in penicilin, zlasti S. pneumoniae.
English: Upper Respiratory Tract Infections
Slovenian: Okužbe zgornjih dihal
English: The data forms the basis of the corresponding sections in the proposed harmonised SPCs.
Slovenian: Podatki so osnova za posamezna poglavja v predlaganih usklajenih povzetkih glavnih značilnosti zdravil.
English: • Cellulitis
Slovenian: • celulitis
English: Regarding CAP, the 14:1 ratio is considered to appropriately cover PRSP.
Slovenian: Glede izvenbolnišnično pridobljene pljučnice se razmerje 14:1 šteje za primerno za kritje PRSP.
English: For sections 4.1 and 4.2 of the SPC, the proposed text for formulations with the same amoxicillin/clavulanic acid ratio is discussed in sequence, starting with the lowest ratio 2:1, via the highest oral ratio 16:1 to the intravenous (IV) ratio 10:1.
Slovenian: Predlagana besedila v zvezi s poglavjema 4.1 in 4.2 v povzetku glavnih značilnosti zdravila za formulacije z enakim razmerjem amoksicilina/klavulanske kisline so obravnavana v zaporedju, začenši z najnižjim razmerjem 2:1 preko največjega peroralnega razmerja 16:1 do intravenskega (i.v.)
English: The option of breaking Augmentin SR tablets for ease of swallowing was assessed and agreed upon.
Slovenian: Preučena je bila možnost lomljenja tablet Augmentin SR zaradi lažjega zaužitja in glede tega je bilo doseženo soglasje.
English: The CHMP acknowledged the scientific rationale and the theoretical PK/PD consideration behind the development of this formulation and that it is exclusively intended to treat infections caused by PRSP.
Slovenian: CHMP priznava znanstveno osnovo in teoretična razmišljanja o farmakokinetiki/farmakodinamiki, na katerih je bil zasnovan razvoj te formulacije, ter da je izključno namenjena zdravljenju okužb, ki jih povzročajo proti penicilinu odporni S. pneumoniae.
English: Gastrointestinal symptoms may be treated symptomatically, with attention to the water/electrolyte balance.
Slovenian: Gastrintestinalne simptome lahko zdravimo simptomatsko, pri čemer je treba paziti na ravnovesje tekočin in elektrolitov.
English: The CHMP noted that Augmentin ES was studied for paediatric use in persistent or recurrent acute otitis media where there are risk factors for the involvement of beta-lactamase-producing strains or S. pneumoniae with reduced penicillin susceptibility.
Slovenian: CHMP je izpostavil, da je bilo zdravilo Augmentin ES preučeno za pediatrično rabo pri trdovratnem ali ponovljenem akutnem vnetju srednjega ušesa, kjer obstajajo dejavniki tveganja za vpletenost sevov, ki tvorijo beta laktamazo, ali S. pneumoniae z zmanjšano občutljivostjo za penicilin.
English: The MAH concluded that the PK/PD data supports the continued use of 2:1 oral formulation and that it continues to be active for many pathogens.
Slovenian: Imetniki dovoljenj za promet z zdravilom so zaključili, da podatki o farmakokinetiki in farmakodinamiki podpirajo nadaljevanje rabe peroralne formulacije 2:1 in da je ta še naprej aktivna proti številnim patogenom.
English: “This presentation of amoxicillin/clavulanic acid is suitable for treatment of Streptococcus pneumoniae that are resistant to penicillin in the approved indications only (see section 4.1).”
Slovenian: „Ta oblika kombinacije amoksicilin/klavulanska kislina je primerna za zdravljenje okužb s Streptococcus pneumoniae, odpornim proti penicilinu, samo za odobrene indikacije (glejte poglavje
English: The drug has been shown to be extremely useful in areas with high incidence of amoxicillin- or multidrug resistant S. pneumoniae and in selected patients (i.e. with S. pneumoniae isolates having amoxicillin+/- clavulanic acid MICs up to and including 4μg/mL).
Slovenian: Za zdravilo je bila dokazana izjemna uporabnost na področjih z visoko pojavnostjo proti amoksicilinu odpornega ali večkratno odpornega S. pneumoniae ter pri izbranih bolnikih (tj. z izolati S. pneumoniae, ki so imeli vrednosti MIC amoksicilina+/klavulanske kisline do vključno 4 μg/mL).
English: A wide range of different presentations of Augmentin with an increasing ratio of amoxicillin to clavulanic acid are approved for oral (2:1, 4:1, 7:1, 8:1, 14:1 and 16:1) and parenteral (5:1 and 10:1) use in adults and children.
Slovenian: Pri odraslih bolnikih in otrocih je odobren širok razpon oblik zdravila Augmentin s povečujočim se razmerjem amoksicilina proti klavulanski kislini za peroralno (2:1, 4:1, 7:1, 8:1, 14:1 in 16:1) in parenteralno (5:1 in 10:1) uporabo.
English: “Treatment with Augmentin may be initiated by the use of an intravenous preparation and completed with an appropriate oral formulation as considered appropriate for the individual patient.”
Slovenian: „Če je za posameznega bolnika primerno, se lahko zdravljenje z zdravilom Augmentin začne z intravenskim pripravkom in zaključi s primerno peroralno formulacijo.“
English: Lower Respiratory Tract Infections and Acute Bronchitis According to guidelines, antibiotic treatment should be considered in patients with LRTI in the following situations: suspected or definite pneumonia, selected exacerbations of chronic obstructive pulmonary disease, patients aged > 75 years and fever, cardiac failure, diabetes mellitus and serious neurological disorder.
Slovenian: V skladu s smernicami je treba možnost antibiotičnega zdravljenja upoštevati pri bolnikih z okužbo spodnjih dihal v naslednjih situacijah: sum na pljučnico ali dokazana pljučnica, določena poslabšanja kronične obstruktivne pljučne bolezni, bolniki, stari >75 let z zvišano telesno temperaturo, srčnim popuščanjem, sladkorno boleznijo in resno nevrološko motnjo.
English: The MAH provided a common discussion on the rationale for use of Augmentin 2:1 and 4:1.
Slovenian: Imetniki dovoljenj za promet z zdravilom so predložili skupno razpravo o temeljih uporabe zdravil Augmentin 2:1 in 4:1.
English: The section on daily dose was revised and the readability was improved.
Slovenian: Razdelek o dnevnem odmerku je bil popravljen in njegova berljivost je bila izboljšana.
English: The Augmentin 14:1 ratio was specifically developed for use in children (weighing less than 40kg) where higher concentrations of amoxicillin are required, but with the same unit dose of clavulanic acid.
Slovenian: Zdravilo Augmentin z razmerjem 14:1 je bilo posebej razvito za uporabo pri otrocih (s telesno maso do 40 kg), kadar so potrebne višje koncentracije amoksicilina z enako odmerno enoto klavulanske kisline.
English: The MAH provided extensive justifications to retain the indication acute bacterial sinusitis (ABS).
Slovenian: Imetniki dovoljenj za promet z zdravilom so predložili obsežno utemeljitev za ohranitev indikacije akutni bakterijski sinusitis.
English: Augmentin is a well-established and widely-used antibacterial combination product consisting of the semi-synthetic antibiotic amoxicillin (as amoxicillin trihydrate) and the -lactamase inhibitor clavulanic acid (as the potassium salt).
Slovenian: Augmentin je dobro uveljavljeno in pogosto uporabljeno kombinacijsko antibakterijsko zdravilo, sestavljeno iz polsintetičnega antibiotika amoksicilina (v obliki amoksicilin trihidrata) in zaviralca laktamaze  - klavulanske kisline (v obliki kalijeve soli).
English: According to the data presented by the MAH, this daily dose is only suitable for pathogens with a MIC90 of < 2 µg/mL, i.e. only in these pathogens the required time over MIC is > 40%.
Slovenian: Glede na podatke, ki so jih predstavili imetniki dovoljenj za promet z zdravilom, je ta dnevni odmerek primeren le za patogene z MIC90 <2 µg/mL, tj. le povzročitelje, kjer je zahtevano trajanje nad MIC >40 %.
English: The MAH discussed the dosing regimen and stated that the mechanism of inhibition of bacterial -lactamases by clavulanic acid is different from that of amoxicillin: whereas amoxicillin is a highly bactericidal agent that acts by binding to one or more of the penicillin-binding proteins (PBPs) involved in cell-wall synthesis, clavulanic acid is a competitive irreversible inhibitor of certain intracellular bacterial -lactamases, and prevents these enzymes from inactivating amoxicillin.
Slovenian: Imetniki dovoljenj za promet z zdravilom so razpravljali o režimu odmerjanja in navedli, da je mehanizem zaviranja beta laktamaz pri klavulanski kislini drugačen kot pri amoksicilinu: amoksicilin je zelo baktericidno zdravilo, ki deluje z vezavo na enega ali več vezavnih proteinov za peniciline (PBP), ki sodelujejo pri sintezi celične stene, klavulanska kislina pa je kompetitivni ireverzibilni zaviralec določenih bakterijskih beta laktamaz, ki tem encimom preprečuje inaktivacijo amoksicilina.
English: “Augmentin is indicated for the treatment of community-acquired pneumonia in adults and adolescents aged at least 16 years, caused or thought likely to be caused by penicillin-resistant Streptococcus pneumoniae (see section 5.1).
Slovenian: „Zdravilo Augmentin je indicirano za zdravljenje izvenbolnišnično pridobljene pljučnice pri odraslih bolnikih in mladostnikih, ki so stari vsaj 16 let, za katero je dokazano ali obstaja sum, da jo je povzročil proti penicilinu odporni Streptococcus pneumoniae (glejte poglavje 5.1).
English: The text on daily dose was revised and the redability was improved.
Slovenian: Besedilo o dnevnem odmerku je bilo popravljeno in njegova berljivost je bila izboljšana.
English: Because amoxicillin is readily hydrolysed by -lactamase, Augmentin also contains the lactamase inhibitor, clavulanic acid, which protects amoxicillin from degradation and extends its antibacterial spectrum to many bacteria normally resistant to penicillins and cephalosporins.
Slovenian: Ker amoksicilin hitro hidrolizira laktamaza β, zdravilo Augmentin vsebuje tudi zaviralec laktamaze β, klavulansko kislino, ki ščiti amoksicilin pred razgradnjo ter poveča protibakterijski spekter na veliko bakterij, ki so običajno odporne proti penicilinom in cefalosporinom.
English: It was noted that the recommended posology for the 16:1 ratio is a daily dose of 4g amoxicillin and 250 mg clavulanic acid, resulting in serum concentrations effective even against PRSP.
Slovenian: Izpostavljeno je bilo, da je priporočeno odmerjanje razmerja 16:1 dnevni odmerek 4 g amoksicilina in 250 mg klavulanske kisline, kar povzroči koncentracije v serumu, ki so učinkovite celo proti penicilinu odpornemu S. pneumoniae.