Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
1997-4-9
pubmed:abstractText
One hundred and nine patients with infections concurrent with hematopoietic disorders were treated with imipenem/cilastatin sodium (IPM/CS) either alone (IPM/CS monotherapy) or in combination with other antimicrobial drugs (IPM/CS combination therapy). The following results were obtained. 1. One hundred and nine patients were allocated at random to two groups: 53 patients to IPM/CS monotherapy and 56 patients to IPM/CS combination therapy. Fourteen patients (6 and 8 in the 2 groups, respectively) were excluded from the clinical evaluation. There were not significant differences between the two groups with respect to the background. 2. The efficacy rates of the 2 treatments against bacterial infections were as follows: in the IPM/CS monotherapy group, 62.5% in 8 patients with sepsis, 75.0% in 23 patients with fever of undetermined origin (FUO), 50.0% in 10 patients with pneumonia, and 68.3% in the 47 patients, and in the IPM/CS combination group, 85.7% in 7 patients with sepsis, 63.6% in 24 patients with FUO, 50.5% in 8 patients with pneumonia, and 67.4% in the 48 patients. The differences between the two groups were not significant. 3. Among the drugs used in combination with IPM/CS, antibiotics other than penicillins, cephalosporins, and aminoglycosides were used in 12 patients and a high efficacy rate of 91.7% was obtained. 4. Bacteriologically, 19 and 17 strains were isolated from the IPM/CS monotherapy and combination therapy groups respectively, and the eradication rates were 100% and 88.9% respectively. 5. Side effects were noted in 2 patients in the IPM/CS monotherapy group and 7 in the combination therapy group, but all of these resolved after discontinuation or completion of the treatment. The efficacies against severe bacterial infections in the presence of hematopoietic disorders were not different between IPM/CS alone and IPM/CS in combination with other antibiotics. Adverse reactions were uncommon with the monotherapy.
pubmed:language
jpn
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0368-2781
pubmed:author
pubmed:issnType
Print
pubmed:volume
49
pubmed:owner
NLM
pubmed:authorsComplete
N
pubmed:pagination
1049-61
pubmed:dateRevised
2009-11-19
pubmed:meshHeading
pubmed-meshheading:9032592-Adolescent, pubmed-meshheading:9032592-Adult, pubmed-meshheading:9032592-Aged, pubmed-meshheading:9032592-Aged, 80 and over, pubmed-meshheading:9032592-Aminoglycosides, pubmed-meshheading:9032592-Anti-Bacterial Agents, pubmed-meshheading:9032592-Bacterial Infections, pubmed-meshheading:9032592-Cephalosporins, pubmed-meshheading:9032592-Cilastatin, pubmed-meshheading:9032592-Drug Combinations, pubmed-meshheading:9032592-Drug Therapy, Combination, pubmed-meshheading:9032592-Female, pubmed-meshheading:9032592-Hematologic Diseases, pubmed-meshheading:9032592-Humans, pubmed-meshheading:9032592-Imipenem, pubmed-meshheading:9032592-Immunocompromised Host, pubmed-meshheading:9032592-Male, pubmed-meshheading:9032592-Middle Aged, pubmed-meshheading:9032592-Opportunistic Infections, pubmed-meshheading:9032592-Penicillins
pubmed:year
1996
pubmed:articleTitle
[Comparison between monotherapy with imipenem/cilastatin sodium (IPM/CS) and combinations of IPM/CS and other drugs for treating bacterial infections in patients with hematopoietic disorders].
pubmed:affiliation
School of Health Sciences, Kyushu University.
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, English Abstract, Randomized Controlled Trial, Multicenter Study