An open, multicentre, comparative study of the efficacy and safety of azithromycin and co-amoxiclav in the treatment of upper and lower respiratory tract infections in children

被引:7
作者
Lauvau, DVA [1 ]
Verbist, L [1 ]
Abrassart, C [1 ]
Adriaens, F [1 ]
Andre, F [1 ]
Bockaert, K [1 ]
Bodart, E [1 ]
Bricteux, G [1 ]
Casneuf, J [1 ]
Cassiers, M [1 ]
Chefneux, A [1 ]
DeNayer, J [1 ]
Dechamps, L [1 ]
Deurinck, M [1 ]
Devriendt, E [1 ]
Dockx, M [1 ]
Ehrentreich, U [1 ]
Fafchamps, Y [1 ]
Geuens, M [1 ]
Hecquet, T [1 ]
Hendrickx, G [1 ]
Israel, E [1 ]
Jadoul, R [1 ]
Krygier, A [1 ]
Lagasse, E [1 ]
Lamotte, PJ [1 ]
Legrand, B [1 ]
Lemahieu, R [1 ]
Malchair, R [1 ]
Maquet, JC [1 ]
Mertens, G [1 ]
Neufcoeur, JP [1 ]
Pieraert, C [1 ]
Pierquin, G [1 ]
Prudhomme, J [1 ]
Reginster, L [1 ]
Ureel, D [1 ]
VanBiervliet, JP [1 ]
VanDenNoortgaete, M [1 ]
VanMelkebeke, E [1 ]
Vandenbossche, L [1 ]
Verboven, M [1 ]
Vertruyen, A [1 ]
Zasinska, E [1 ]
Zeligzon, A [1 ]
机构
[1] ALGEMEEN ZIEKENHUIS ST VINCENTIUS, GHENT, BELGIUM
关键词
azithromycin; co-aimoxiclav; antibacterial; streptococcal pharyngitis; tonsillitis; bronchitis; pneumonia; children;
D O I
10.1177/030006059702500506
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
An open prospective, multicentre, comparative, randomized (2:1) study was conducted in 481 children diagnosed as having mild-to-moderate lower respiratory tract infections. The efficacy and safety of azithromycin suspension (10 mg/kg), dosed orally once daily for 3 days, was compared with that of co-amoxiclav (10 mg/kg in a 4:1 ratio), dosed orally three times daily for 5 - 10 days. The proportion of evaluable patients (n = 472) showing a cure or improvement was significantly higher in the azithromycin group (96.8%) than in the co-amoxiclav group (91%, P = 0.0199). There were six relapses in both groups, giving an overall response rate of 95% for azithromycin versus 87.1% for co-amoxiclav (P = 0.0025). Adverse events were reported in 10% of the patients treated with azithromycin, and 11.3% of co-amoxiclav patients. Reported and counted compliance was significantly better in the azithromycin group. A 3-day regimen of azithromycin was as effective and as safe as a 5 - 10 day regimen of co-amoxiclav in the treatment of respiratory tract infections in children, and compliance was improved.
引用
收藏
页码:285 / 295
页数:11
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