Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2004-1-6
pubmed:abstractText
A pooled analysis of data from 13 phase III studies of telithromycin in the treatment of community-acquired pneumonia, acute exacerbations of chronic bronchitis, acute sinusitis or group A beta-haemolytic streptococcal pharyngitis and tonsillitis was undertaken. Causative key respiratory tract pathogens (Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, Staphylococcus aureus and Streptococcus pyogenes) were isolated at entry to the studies from cultures of relevant respiratory samples and tested for their susceptibility to telithromycin, penicillin and macrolides (erythromycin A). The combined clinical and bacteriological efficacy of telithromycin at the post-therapy, test-of-cure visit (days 17-24) was assessed in patients from whom a microbiologically evaluable pathogen was isolated at entry. More than 98% of key respiratory pathogens isolated, including penicillin G- and macrolide (erythromycin A)-resistant strains of S. pneumoniae, demonstrated full or intermediate susceptibility to telithromycin in vitro at the breakpoints of < or = 1.0 mg/L (susceptible) and 2.0 mg/L (intermediate) used for the purpose of evaluating the susceptibility of isolates recovered during the clinical trials. Treatment with telithromycin 800 mg once-daily for 5, 7 or 7-10 days resulted in high rates of clinical cure (88.5%) and a satisfactory bacteriological outcome (88.9%), similar to the figures seen with comparator antibacterial agents. Clinical cure and eradication rates were good for all key respiratory pathogens, including penicillin G- and macrolide (erythromycin A)-resistant S. pneumoniae. The results suggest that telithromycin will provide effective empirical therapy for community-acquired upper and lower respiratory tract infections.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
1198-743X
pubmed:author
pubmed:issnType
Print
pubmed:volume
10
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
27-36
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:14706083-Adolescent, pubmed-meshheading:14706083-Adult, pubmed-meshheading:14706083-Aged, pubmed-meshheading:14706083-Bacteria, pubmed-meshheading:14706083-Clinical Trials, Phase III as Topic, pubmed-meshheading:14706083-Community-Acquired Infections, pubmed-meshheading:14706083-Haemophilus influenzae, pubmed-meshheading:14706083-Humans, pubmed-meshheading:14706083-Ketolides, pubmed-meshheading:14706083-Macrolides, pubmed-meshheading:14706083-Microbial Sensitivity Tests, pubmed-meshheading:14706083-Middle Aged, pubmed-meshheading:14706083-Moraxella (Branhamella) catarrhalis, pubmed-meshheading:14706083-Randomized Controlled Trials as Topic, pubmed-meshheading:14706083-Respiratory Tract Infections, pubmed-meshheading:14706083-Staphylococcus aureus, pubmed-meshheading:14706083-Streptococcus pneumoniae, pubmed-meshheading:14706083-Streptococcus pyogenes, pubmed-meshheading:14706083-Treatment Outcome
pubmed:year
2004
pubmed:articleTitle
Clinical and bacteriological efficacy of the ketolide telithromycin against isolates of key respiratory pathogens: a pooled analysis of phase III studies.
pubmed:affiliation
Mount Sinai Hospital, Department of Microbiology, University of Toronto, 600 University Avenue, Room 1487, Toronto, Ontario, Canada M5G 1X5. dlow@mtsinai.on.ca
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't