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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
1988-9-7
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pubmed:abstractText |
In this open, prospective, comparative study, 75 patients who sustained penetrating abdominal trauma were randomised to receive 1 of 3 antibiotic regimens preoperatively and for 3 to 5 days postoperatively. Group I received cefotaxime 2g 8-hourly, group II received cefoxitin 2g 6-hourly and group III received clindamycin (900 mg 8-hourly) and gentamicin 3 to 5 mg/kg/day in divided doses 8-hourly. The 3 groups were not statistically different in terms of age, sex, severity of injury, number of organs injured, colon injuries, shock, blood transfusions or positive intra-operative cultures. Septic complications occurred in 8% of patients in group I, in 4% of group II patients and in 8% of group III patients. Cefotaxime was the least costly regimen, followed by cefoxitin, then clindamycin and gentamicin. It may be concluded that single agent therapy with a broad spectrum cephalosporin is preferable to combination therapy on the basis of equivalent effectiveness, less toxicity and lower costs.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Cefotaxime,
http://linkedlifedata.com/resource/pubmed/chemical/Cefoxitin,
http://linkedlifedata.com/resource/pubmed/chemical/Cephalosporins,
http://linkedlifedata.com/resource/pubmed/chemical/Clindamycin,
http://linkedlifedata.com/resource/pubmed/chemical/Gentamicins
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pubmed:status |
MEDLINE
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pubmed:issn |
0012-6667
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
35 Suppl 2
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
100-5
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:3396471-Abdominal Injuries,
pubmed-meshheading:3396471-Bacterial Infections,
pubmed-meshheading:3396471-Cefotaxime,
pubmed-meshheading:3396471-Cefoxitin,
pubmed-meshheading:3396471-Cephalosporins,
pubmed-meshheading:3396471-Clindamycin,
pubmed-meshheading:3396471-Costs and Cost Analysis,
pubmed-meshheading:3396471-Drug Therapy, Combination,
pubmed-meshheading:3396471-Gentamicins,
pubmed-meshheading:3396471-Humans,
pubmed-meshheading:3396471-Prospective Studies,
pubmed-meshheading:3396471-Random Allocation,
pubmed-meshheading:3396471-Wounds, Penetrating
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pubmed:year |
1988
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pubmed:articleTitle |
Preventative antibiotics for penetrating abdominal trauma--single agent or combination therapy?
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pubmed:affiliation |
Division of Trauma Surgery, Henry Ford Hospital, Detroit, Michigan.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
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