Comparison of aztreonam plus clindamycin with tobramycin plus clindamycin in the treatment of intra-abdominal infections.

Abstract:

:The activity of aztreonam (a beta-lactam antibiotic with specific activity against gram-negative bacteria) was evaluated and compared with that of tobramycin in hospitalized patients with severe intra-abdominal infections due to gram-negative pathogens, either alone or in association with other bacteria. Of a total study population of 156 patients, 76 were assigned to treatment with aztreonam + clindamycin, and the remaining 80 were treated with tobramycin + clindamycin. Patients underwent a variety of surgical procedures involving the peritoneal cavity. The final clinical evaluation revealed similar percentages of satisfactory results: 86.8% for the patients in the aztreonam-treated group and 86.2% for the tobramycin-treated patients. Among the patients who had a poor therapeutic result, gram-negative bacteria, either alone or associated with gram-positive pathogens, were considered responsible for 50% of the infections in the aztreonam group; the percentage increased to 82% among those treated with tobramycin. The incidence of side effects and laboratory alterations was not significant and was similar in both groups. The results of this study suggest that aztreonam may be an effective and safe drug for the treatment of bacterial infections due to gram-negative pathogens.

journal_name

Chemotherapy

journal_title

Chemotherapy

authors

Birolini D,Moraes MF,de Souza OS

doi

10.1159/000238721

subject

Has Abstract

pub_date

1989-01-01 00:00:00

pages

49-57

eissn

0009-3157

issn

1421-9794

journal_volume

35 Suppl 1

pub_type

临床试验,杂志文章,随机对照试验
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    pub_type: 临床试验,杂志文章,随机对照试验

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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    更新日期:2008-01-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:2007-01-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:1987-01-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:1996-03-01 00:00:00

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    更新日期:1988-01-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:1976-01-01 00:00:00

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    pub_type: 杂志文章,评审

    doi:10.1159/000048489

    authors: Bartlett J

    更新日期:2000-01-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:1983-01-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:1991-01-01 00:00:00

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    journal_title:Chemotherapy

    pub_type: 杂志文章,随机对照试验

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    pub_type: 杂志文章

    doi:10.1159/000239139

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    更新日期:1993-09-01 00:00:00