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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
|
pubmed:dateCreated |
1997-2-24
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pubmed:abstractText |
515 patients with intra-abdominal infection participated in an open randomized comparative multicenter trial in order to compare the efficacy, safety, and tolerance of imipenem/cilastatin with cefuroxime/metronidazole. 258 patients (mean age 56 years) received imipenem/cilastatin 1.5-2.0 g/day, and 257 patients (mean age 54 years) received cefuroxime 3.0-4.5 g/day plus metronidazole 1.0-1.5 g/day for at least 3 days. 130/161 evaluable patients (80.8%) receiving imipenem/cilastatin and 124/145 evaluable patients (85.5%) receiving cefuroxime/metronidazole were clinically cured. The microbiological response was favorable in 86.9% in the imipenem/cilastatin group and in 90.8% in the cefuroxime/metronidazole group. The two treatment groups were similar with respect to median time to defervescence which was 4 days. The median duration of treatment was 6 days and the median time to discharge from hospital was 9 days in both groups. Drug-related adverse reactions were observed in 14 patients receiving iminpenem/cilastatin and in 8 patients receiving cefuroxime/metronidazole. 19 patients in the imipenen/cilastatin group and 12 patients in the cefuroxime/metronidazole group died. No correlation was found between the deaths and the study drugs. The present study shows that intra-abdominal infections can be treated successfully with imipenem/cilastatin as well as with cefuroxime/metronidazole.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0036-5548
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
28
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
513-8
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8953684-Abdomen,
pubmed-meshheading:8953684-Abdominal Abscess,
pubmed-meshheading:8953684-Adolescent,
pubmed-meshheading:8953684-Adult,
pubmed-meshheading:8953684-Aged,
pubmed-meshheading:8953684-Aged, 80 and over,
pubmed-meshheading:8953684-Bacterial Infections,
pubmed-meshheading:8953684-Cefuroxime,
pubmed-meshheading:8953684-Cilastatin,
pubmed-meshheading:8953684-Drug Therapy, Combination,
pubmed-meshheading:8953684-Humans,
pubmed-meshheading:8953684-Imipenem,
pubmed-meshheading:8953684-Metronidazole,
pubmed-meshheading:8953684-Microbial Sensitivity Tests,
pubmed-meshheading:8953684-Middle Aged,
pubmed-meshheading:8953684-Treatment Outcome
|
pubmed:year |
1996
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pubmed:articleTitle |
A comparison of imipenem/cilastatin with the combination of cefuroxime and metronidazole in the treatment of intra-abdominal infections.
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pubmed:affiliation |
Department of Surgery, Ostra Hospital, University of Göteborg, Sweden.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't,
Multicenter Study
|