Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
7
pubmed:dateCreated
1987-9-15
pubmed:abstractText
A prospective double blind trial compared the fixed combination of erythromycin-sulfisoxazole (E/S) with cefaclor in the treatment of acute otitis media. One hundred nineteen children in six centers across Canada were studied. Diagnostic tympanocentesis of 134 ears yielded 135 bacterial isolates: Streptococcus pneumoniae (42%); Haemophilus influenzae (21%); Branhamella catarrhalis (10%); Streptococcus pyogenes (5%); and other bacteria (22%). Seventy-seven percent of strains of B. catarrhalis and 14% of strains of H. influenzae were beta-lactamase producers. E/S exhibited greater in vitro activity against H. influenzae and B. catarrhalis. Twenty-three patients had bacteriologically sterile middle ear fluid. The overall clinical outcome at Days 10 and 31 was identical in both treatment groups. Otoscopic findings improved more rapidly in the E/S group than in the cefaclor group at 10 and 31 days (P less than or equal to 0.04). In cases where pre-treatment middle ear fluid was negative on routine bacterial culture, complete cure at 10 days was observed in 75% of patients treated with E/S but only in 14% of those treated with cefaclor (P = 0.02). Side effects were infrequent and comparable between the test drugs. E/S is at least as effective as cefaclor in the management of acute otitis media and may be superior, particularly for cases not yielding bacteria on routine culture.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0891-3668
pubmed:author
pubmed:issnType
Print
pubmed:volume
6
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
654-60
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:3302918-Acute Disease, pubmed-meshheading:3302918-Adolescent, pubmed-meshheading:3302918-Ampicillin, pubmed-meshheading:3302918-Anti-Bacterial Agents, pubmed-meshheading:3302918-Cefaclor, pubmed-meshheading:3302918-Cephalexin, pubmed-meshheading:3302918-Child, pubmed-meshheading:3302918-Child, Preschool, pubmed-meshheading:3302918-Clinical Trials as Topic, pubmed-meshheading:3302918-Double-Blind Method, pubmed-meshheading:3302918-Drug Combinations, pubmed-meshheading:3302918-Erythromycin, pubmed-meshheading:3302918-Female, pubmed-meshheading:3302918-Haemophilus influenzae, pubmed-meshheading:3302918-Humans, pubmed-meshheading:3302918-Infant, pubmed-meshheading:3302918-Male, pubmed-meshheading:3302918-Moraxella, pubmed-meshheading:3302918-Otitis Media with Effusion, pubmed-meshheading:3302918-Prospective Studies, pubmed-meshheading:3302918-Random Allocation, pubmed-meshheading:3302918-Recurrence, pubmed-meshheading:3302918-Streptococcus pneumoniae, pubmed-meshheading:3302918-Sulfisoxazole
pubmed:year
1987
pubmed:articleTitle
Comparative efficacies of erythromycin-sulfisoxazole and cefaclor in acute otitis media: a double blind randomized trial.
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't