Comparison of two oral antibiotics, roxithromycin and amoxicillin plus clavulanic acid, in lower respiratory tract infections.

Abstract:

:In a randomized, multicenter, open-label study, 490 ambulatory adult patients with lower respiratory tract infection (LRTI) were randomized to roxithromycin (ROX) 150 mg b.i.d. orally (n = 244) or amoxicillin plus clavulanic acid (AMX + CA) as 500 mg AMX + 125 mg CA t.i.d orally (n = 24). Clinical results were analyzed in 477 patients with acute bronchitis (79%), chronic bronchitis (CB) (14%), and pneumonia (7%). There were significantly more patients with underlying disease (cardiovascular diseases, p = 0.045; and alcoholism, (p less than 0.001), and more patients over the age of 65 years (p = 0.045) in the ROX group. Overall clinical efficacy was similar in both groups: 88% (206:235) in the ROX group and 85% (205:242) in the AMX + CA group. Side effects were reported in 67 cases (28%) in the AMX + CA group and in 21 cases (9%) in the ROX group (p less than 0.0001), causing withdrawal in 21 and three cases, respectively (p less than 0.001). Thus, despite being administered to a significantly older and more ill group of patients with LRTI, roxithromycin was as effective as amoxicillin plus clavulanic acid and better tolerated.

authors

Dautzenberg B,Scheimberg A,Brambilla C,Camus P,Godard P,Guerin JC,Lemarie E,Rezvani Y,Rosembaum M,Tuchais E

doi

10.1016/0732-8893(92)90133-e

subject

Has Abstract,Author List Incomplete

pub_date

1992-05-01 00:00:00

pages

85S-89S

issue

4 Suppl

eissn

0732-8893

issn

1879-0070

pii

0732-8893(92)90133-E

journal_volume

15

pub_type

临床试验,杂志文章,多中心研究,随机对照试验
  • Comparison of LED and conventional fluorescence microscopy for detection of acid-fast bacilli in an area with high tuberculosis incidence.

    abstract::The objective of the study is to compare the performance of conventional fluorescence microscopy (CFM) and light-emitting diode (LED) fluorescence microscopy (FM) for detection of acid-fast bacilli (AFB) in clinical samples. We included AFB smears, stained using the auramine O method and blindly examined with both CFM...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/j.diagmicrobio.2013.03.023

    authors: Marzouk M,Ferjani A,Dhaou M,Ali MH,Hannachi N,Boukadida J

    更新日期:2013-07-01 00:00:00

  • Comparative in vitro pharmacodynamics of imipenem and meropenem against ATCC strains of Escherichia coli, Staphylococcus aureus and Bacteroides fragilis.

    abstract::We evaluated the pharmacodynamics of imipenem and meropenem, utilizing time-kill studies over a concentration/MIC (C/MIC) range of 0.0625-1024 for E. coli ATCC 35218 (EC) and S. aureus ATCC 29213 (SA) and from 0.125-512 for B. fragilis ATCC 25285 (BF). Area under the time-kill curves were converted to percent response...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/s0732-8893(00)00219-4

    authors: White RL,Friedrich LV,Manduru M,Mihm LB,Bosso JA

    更新日期:2001-01-01 00:00:00

  • In vitro activity of beta-lactamase inhibitors against clinical isolates of Acinetobacter species.

    abstract::Acinetobacter is an important cause of nosocomial infections, and it is often resistant to many antibiotics. In a search for alternative agents, three beta-lactamase inhibitors (sulbactam, clavulanate, and tazobactam) and five beta-lactam antibiotics (imipenem, ceftazidime, ceftriaxone, cefotaxime, and piperacillin) w...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/0732-8893(95)00020-b

    authors: Suh B,Shapiro T,Jones R,Satishchandran V,Truant AL

    更新日期:1995-02-01 00:00:00

  • The effect of fecal turbidity on norovirus detection by reverse transcriptase polymerase chain reaction.

    abstract::A 10-min fecal preparation results in greater specimen turbidity than a 45-min protocol, but reverse transcriptase polymerase chain reaction (RT-PCR) norovirus test sensitivity is essentially the same. Feces processed so that particle size does not exceed approximately 560 nm do not display greater norovirus RT-PCR in...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/j.diagmicrobio.2008.08.006

    authors: Witlox KJ,Karapanagiotidis T,Bruggink LD,Marshall JA

    更新日期:2010-02-01 00:00:00

  • Pathogen of occurrence and susceptibility patterns associated with pneumonia in hospitalized patients in North America: results of the SENTRY Antimicrobial Surveillance Study (2000).

    abstract::Antimicrobial selection for patients diagnosed with pneumonia is a major therapeutic challenge and dilemma to the clinical practitioner. In the community setting, patients usually receive empiric oral therapy based upon multiple patient risk factors and locally prevalent pathogen susceptibilities. For patients admitte...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/s0732-8893(02)00540-0

    authors: Hoban DJ,Biedenbach DJ,Mutnick AH,Jones RN

    更新日期:2003-04-01 00:00:00

  • Evaluation of alternative disk diffusion methods for detecting mecA-mediated oxacillin resistance in an international collection of staphylococci: validation report from the SENTRY Antimicrobial Surveillance Program.

    abstract::To validate the current National Committee for Clinical Laboratory Standards recommendations of the cefoxitin disk as a preferred surrogate marker to detect oxacillin resistance in staphylococcal isolates, 304 staphylococcal isolates originating from 49 sites in 16 countries in the SENTRY Antimicrobial Surveillance Pr...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/j.diagmicrobio.2004.08.002

    authors: Pottumarthy S,Fritsche TR,Jones RN

    更新日期:2005-01-01 00:00:00

  • Direct detection of Streptococcus pneumoniae in positive blood cultures by real-time polymerase chain reaction.

    abstract::We developed a real-time polymerase chain reaction specific for Streptococcus pneumoniae to be applied directly from blood culture bottles without previous DNA extraction step. For the 128 blood culture bottles tested, the assay had 94% and 98.4% sensitivity and specificity, respectively. This assay provides rapid and...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/j.diagmicrobio.2009.05.023

    authors: Selva L,Esteva C,Gené A,de Sevilla MF,Hernandez-Bou S,Muñoz-Almagro C

    更新日期:2010-02-01 00:00:00

  • Mycobacterium wolinskyi: a case series and review of the literature.

    abstract::Mycobacterium wolinskyi is an uncommonly encountered rapidly growing mycobacterium. To date, only 12 clinical cases have been reported in the literature. In this report, we describe 5 additional cases of M. wolinskyi infection seen at the Mayo Clinic in Rochester, MN, since 2009. The clinical manifestations were stern...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章,评审

    doi:10.1016/j.diagmicrobio.2011.08.005

    authors: Ariza-Heredia EJ,Dababneh AS,Wilhelm MP,Wengenack NL,Razonable RR,Wilson JW

    更新日期:2011-12-01 00:00:00

  • Development and evaluation of genotypic assays for the detection and characterization of enterotoxigenic Escherichia coli.

    abstract::We developed and evaluated a method to genotypically identify enterotoxigenic Escherichia coli (ETEC) and to characterize these organisms with respect to 18 of 21 known colonization factors (CFs). The method, which is based on polynucleotide DNA-DNA colony hybridization, includes a pooled toxin probe assay to identify...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/s0732-8893(02)00504-7

    authors: Steinsland H,Valentiner-Branth P,Grewal HM,Gaastra W,Mølbak K K,Sommerfelt H

    更新日期:2003-02-01 00:00:00

  • Evaluation of Brucella dipstick assay for the diagnosis of acute brucellosis.

    abstract::The diagnostic value of the dipstick assay was evaluated by comparison with Rose Bengal (RB), serum aglutination tests (SAT) and 2 mercaptoethanol test (2-ME) on consecutive serum samples submitted because of suspicion of brucellosis. Serum samples of 232 patients with suspected brucellosis that were submitted for lab...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/s0732-8893(02)00456-x

    authors: Altuglu I,Zeytinoğlu A,Bilgic A,Kamcioglu S,Karakartal G,Smits H

    更新日期:2002-11-01 00:00:00

  • In vitro activities of tigecycline against clinical isolates from Shanghai, China.

    abstract::To evaluate the in vitro activity of tigecycline, the minimum inhibitory concentrations (MICs) of tigecycline against 1,201 strains of recent clinical isolates from 10 hospitals in Shanghai, China were determined and compared with selected comparators. Results showed that tigecycline had broad-spectrum antimicrobial a...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/j.diagmicrobio.2004.08.007

    authors: Zhang YY,Zhou L,Zhu DM,Wu PC,Hu FP,Wu WH,Wang F

    更新日期:2004-12-01 00:00:00

  • Comparison of real-time polymerase chain reaction and conventional biochemical methods for identification of Mycobacterium chelonae-Mycobacterium abscessus group to the species level.

    abstract::The Mycobacterium chelonae-Mycobacterium abscessus group (MCAG) is the most common cause of infections because of rapidly growing mycobacteria. Rapid identification of MCAG to the species level is essential for choosing empiric antibiotic treatment and for public health measures. In this study, we compared the perform...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/j.diagmicrobio.2010.03.011

    authors: Guarin N,Budvytiene I,Ghafghaichi L,Banaei N

    更新日期:2010-08-01 00:00:00

  • Four year prospective evaluation of nosocomial bacteremia: epidemiology, microbiology, and patient outcome.

    abstract::A prospective study of all patients with clinically significant nosocomial bacteremia at one institution from 1994 to 1997 was performed to: (1) describe the epidemiology and microbiology of nosocomial bacteremias; (2) determine the crude mortality associated with such infections; and (3) identify independent predicto...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/s0732-8893(00)00192-9

    authors: Lark RL,Chenoweth C,Saint S,Zemencuk JK,Lipsky BA,Plorde JJ

    更新日期:2000-11-01 00:00:00

  • Clinical significance of Candida colonization of intravascular catheters in the absence of documented candidemia.

    abstract::In order to assess the significance of Candida colonization of intravascular catheters (IVC) in patients without documented candidemia, we retrospectively reviewed all Candida-positive IVC tip cultures over a 4-year period. Cases were defined as those with a culture yielding ≥15 colony-forming units of Candida spp. th...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/j.diagmicrobio.2012.03.002

    authors: López-Medrano F,Fernández-Ruiz M,Origüen J,Belarte-Tornero LC,Carazo-Medina R,Panizo-Mota F,Chaves F,Sanz-Sanz F,San Juan R,Aguado JM

    更新日期:2012-06-01 00:00:00

  • Rapid qualitative antibiotic resistance characterization using VITEK MS.

    abstract::Development and standardization of simple, timely, and cost-effective antibiotic susceptibility assays are much needed to address the emergence of global resistance. The use of matrix-assisted laser desorption/ionization time of flight mass spectrometry is routine for bacterial identification. This study evaluated 2 a...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/j.diagmicrobio.2020.115093

    authors: Horseman TS,Lustik MB,Fong KSK

    更新日期:2020-08-01 00:00:00

  • Rapid identification of Gram-negative organisms from blood culture bottles using a modified extraction method and MALDI-TOF mass spectrometry.

    abstract::The application of matrix-assisted laser desorption/ionisation time-of-flight (MALDI-TOF) mass spectrometry (MS) directly to blood culture broth has potential to identify bloodstream infection earlier and facilitate timely management. We prospectively tested a novel, rapid, and inexpensive in-house spin-lysis protocol...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/j.diagmicrobio.2013.06.016

    authors: Gray TJ,Thomas L,Olma T,Iredell JR,Chen SC

    更新日期:2013-10-01 00:00:00

  • Evaluation of a SARS-CoV-2 lateral flow assay using the plaque reduction neutralization test.

    abstract::As new tests and technologies advance our understanding and diagnostic capabilities of the severe acute respiratory syndrome coronavirus 2 and the coronavirus disease 2019, they must be appropriately validated to make sure test performance is following manufacturer claims. In this study, we evaluated the Vazyme 2019-n...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/j.diagmicrobio.2020.115248

    authors: Xie X,Nielsen MC,Muruato AE,Fontes-Garfias CR,Ren P

    更新日期:2021-02-01 00:00:00

  • Evaluation of variables in immunofluorescence procedures for the detection of antibodies against human herpesvirus 6 (HHV-6).

    abstract::Ten human sera were used to study different parameters, namely, methods of smear preparation and fixation, and age of infected HSB-2 cells in order to optimize indirect immunofluorescence assay (IFA) and anticomplement immunofluorescence (ACIF) procedures to measure antibody levels against HHV-6. Results showed a grea...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/0732-8893(92)90017-n

    authors: Couillard M,Joly JR,Deschênes L,Richer G

    更新日期:1992-05-01 00:00:00

  • Anti-Mycobacterium avium complex activity of clarithromycin, rifampin, rifabutin, and ethambutol in combination with adenosine 5'-triphosphate.

    abstract::We previously reported that adenosine 5'-triphosphate (ATP) inhibited the growth of various bacteria, including mycobacteria, Staphylococcus, and Pseudomonas, without damaging bacterial surface structures. Notably, ATP's antibacterial activity was found to be attributable to its iron-chelating ability. ATP exhibited c...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/j.diagmicrobio.2017.04.012

    authors: Tatano Y,Yamabe S,Sano C,Tomioka H

    更新日期:2017-07-01 00:00:00

  • Isolation of cholesterol-dependent Candida glabrata from clinical specimens.

    abstract::In the past few years, we have detected in the United Kingdom and in the United States several isolates of Candida glabrata that grew poorly unless bile was available. Cholesterol, a component of bile, stimulated equivalent growth of the bile-dependent isolates. The bile-dependent C. glabrata isolates appeared resista...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/j.diagmicrobio.2004.12.006

    authors: Hazen KC,Stei J,Darracott C,Breathnach A,May J,Howell SA

    更新日期:2005-05-01 00:00:00

  • Identification of genetic recombination between Acinetobacter species based on multilocus sequence analysis.

    abstract::During multilocus sequence analysis of Acinetobacter calcoaceticus-Acinetobacter baumannii complex, we identified the evidence of recent genetic recombination between 2 Acinetobacter species. While 3 isolates belonged to A. nosocomialis based on 16S rRNA, gyrB, fusA, gdhB, and rplB gene sequences, they showed close re...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/j.diagmicrobio.2012.03.027

    authors: Kim DH,Park YK,Choi JY,Ko KS

    更新日期:2012-07-01 00:00:00

  • Molecular characterization showed limited genetic diversity among Salmonella Enteritidis isolated from humans and animals in Malaysia.

    abstract::Salmonella enterica serovar Enteritidis (S. Enteritidis) is the most common causative agent of non-typhoidal salmonellosis in Malaysia. We aimed to characterize S. Enteritidis isolated from humans and animals by analyzing their antimicrobial resistance profiles and genotypes. A total of 111 strains were characterized ...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/j.diagmicrobio.2013.09.004

    authors: Ngoi ST,Thong KL

    更新日期:2013-12-01 00:00:00

  • A diagnosis of Burkholderia pseudomallei directly in a bronchoalveolar lavage by polymerase chain reaction.

    abstract::Melioidosis is an infectious disease caused by the Gram-negative bacterium Burkholderia pseudomallei. Interest in the molecular identification of B. pseudomallei has increased after its classification as a category B agent by the US Centers for Disease Control and Prevention. The present article reports a diagnosis of...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/j.diagmicrobio.2009.05.010

    authors: Couto MS,Cordeiro Rde A,Rocha MF,Grangeiro TB,Leitão Junior NP,Bandeira Tde J,Sidrim JJ,Brilhante RS

    更新日期:2009-09-01 00:00:00

  • Methicillin-resistant Staphylococcus aureus. Optimization of the agar screen plate method.

    abstract::Swab inoculation of oxacillin agar screen plates was compared with drop inoculation for detection of methicillin-resistant Staphylococcus aureus. The poor sensitivity of the swab method (59%) was related to heteroresistance of the S. aureus isolates. We recommend the drop method (100% sensitivity) because interpretati...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/0732-8893(94)90077-9

    authors: Alfa MJ,Ongsansoy E,Hoban S,Mathew T,Greenaway C

    更新日期:1994-02-01 00:00:00

  • Assessing next-generation sequencing and 4 bioinformatics tools for detection of Enterovirus D68 and other respiratory viruses in clinical samples.

    abstract::We used 4 different bioinformatics algorithms to evaluate the application of a metagenomic shot-gun sequencing method in detection of Enterovirus D68 and other respiratory viruses in clinical specimens. Our data supported that next-generation sequencing, combined with improved bioinformatics tools, is practically feas...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/j.diagmicrobio.2016.01.013

    authors: Huang W,Wang G,Lin H,Zhuge J,Nolan SM,Vail E,Dimitrova N,Fallon JT

    更新日期:2016-05-01 00:00:00

  • Differentiation of mycobacteria in sputa by duplex polymerase chain reaction for mycobacterial hsp65 gene.

    abstract::Early differentiation of mycobacteria in sputa is crucial. This study was set to evaluate the usefulness of a newly developed duplex polymerase chain reaction (PCR) for hsp65 gene-based method in differentiating mycobacteria in sputum with a positive acid-fast bacilli (AFB) smear before culturing. One hundred forty-se...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/j.diagmicrobio.2008.05.013

    authors: Kim BJ,Park JH,Lee SA,Kim H,Cha CY,Kook YH,Kim EC,Joo SI,Lee JS,Yim JJ

    更新日期:2008-10-01 00:00:00

  • Trends in antimicrobial susceptibilities among bacterial pathogens isolated from patients hospitalized in European medical centers: 6-year report of the MYSTIC Surveillance Study (1997-2002).

    abstract::The Meropenem Yearly Susceptibility Test Information Collection (MYSTIC) Program provides antimicrobial susceptibility data. The activity of meropenem and 7 broad-spectrum antimicrobials have been examined against 12645 bacterial isolates from 14 European centers between 1997 and 2002. Cumulative susceptibility rates ...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/j.diagmicrobio.2004.11.013

    authors: Turner PJ

    更新日期:2005-04-01 00:00:00

  • Susceptibility of 100 blood isolates of Pseudomonas aeruginosa to 19 antipseudomonal antibiotics: old and new.

    abstract::The in vitro susceptibility of 19 antipseudomonal antibiotics, old and new, were tested against 100 blood isolates of Pseudomonas aeruginosa. The isolates were taken from consecutive bacteremic patients hospitalized in nine Pittsburgh hospitals from 1983 to 1984. Twelve percent of isolates tested were tobramycin-resis...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/0732-8893(87)90027-7

    authors: Korvick J,Yu VL,Hilf M

    更新日期:1987-06-01 00:00:00

  • Bronchoalveolar lavage for the diagnosis of disseminated toxoplasmosis in AIDS patients.

    abstract::The usefulness of cell culture of bronchoalveolar lavage fluid for the diagnosis of toxoplasmosis in immunocompromised hosts has not been stressed previously. We report an acquired immunodeficiency syndrome patient with disseminated toxoplasmosis who was diagnosed by isolation of Toxoplasma gondii in cell cultures fro...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/0732-8893(95)00142-8

    authors: Gadea I,Cuenca M,Benito N,Pereda JM,Soriano F

    更新日期:1995-08-01 00:00:00

  • Haemophilus influenzae serotype f purulent pericarditis: a cause of death in a child with Down syndrome.

    abstract::Purulent pericarditis is a cardiac emergency that can be difficult to diagnose and can be rapidly fatal. We report the case of a child with Down syndrome and recent atrial and ventricular septal defect repair who died from Haemophilus influenzae serotype f pericarditis. ...

    journal_title:Diagnostic microbiology and infectious disease

    pub_type: 杂志文章

    doi:10.1016/j.diagmicrobio.2006.01.032

    authors: Taube JM,Hutchins GM,Carroll KC,Vricella LA,Scheel J,Halushka MK

    更新日期:2006-09-01 00:00:00