Comparison of ofloxacin and ceftriaxone for short-course treatment of enteric fever.

Abstract:

:An open, randomized comparison of ofloxacin (200 mg, every 12 h) given orally for 5 days and ceftriaxone (3 g, once daily) given intravenously for 3 days in the treatment of uncomplicated enteric fever was conducted in Ho Chi Minh City, Vietnam. Salmonella paratyphi type A was isolated from six patients. Salmonella typhi was isolated from 41 patients; 63% of these isolates were resistant to multiple antibiotics: ampicillin, chloramphenicol, sulfamethoxazole, trimethoprim, and tetracycline. Of the culture-confirmed cases, treatment with ofloxacin resulted in complete cure of all 22 patients, whereas 18 of 25 patients treated with ceftriaxone were completely cured (P < 0.01). In the ceftriaxone group, there were six acute treatment failures and one relapse. Mean +/- standard deviation fever clearance times were 81 +/- 25 h for ofloxacin and 196 +/- 87 h for ceftriaxone (P < 0.0001). Short-course treatment with oral ofloxacin (5 days) is significantly better than that with ceftriaxone (3 days) and will be of particular benefit in areas where multiresistant strains of S. typhi are encountered.

authors

Smith MD,Duong NM,Hoa NT,Wain J,Ha HD,Diep TS,Day NP,Hien TT,White NJ

doi

10.1128/aac.38.8.1716

subject

Has Abstract

pub_date

1994-08-01 00:00:00

pages

1716-20

issue

8

eissn

0066-4804

issn

1098-6596

journal_volume

38

pub_type

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