Summary
Side-effects of aminopenicillin therapy are reviewed on the basis of nine comparative studies of ampicillin and bacampicillin, and available literature data from investigations with talampicillin, pivampicillin, bacampicillin and amoxycillin. Diarrhoea is more common with ampicillin than with newer aminopenicillins. Exanthema do not appear more frequently with newer aminopenicillins. The frequency of upper gastrointestinal complaints in association with some of the newer aminopenicillins (amoxycillin, bacampicillin) is not more frequent than with ampicillin. All current evidence speaks in favour of a change from ampicillin to modern aminopenicillins for oral therapy.
Zusammenfassung
Nebenwirkungen der Aminopenicillin-Therapie werden auf der Basis von neuen Vergleichsstudien von Ampicillin und Bacampicillin sowie von verfügbaren Daten aus der Literatur über Untersuchungen mit Talampicillin, Pivampicillin, Bacampicillin und Amoxycillin besprochen. Diarrhöe tritt bei Ampicillin häufiger auf als bei den neueren Aminopenicillinen. Exantheme scheinen bei den neueren Aminopenicillinen nicht häufiger vorzukommen. Die Häufigkeit von Beschwerden von seiten des oberen Gastrointestinaltraktes in Verbindung mit einigen der neueren Aminopenicilline (Amoxycillin, Bacampicillin) ist nicht größer als in Verbindung mit Ampicillin. Alle geläufigen Fakten sprechen für einen Wechsel von Ampicillin auf die modernen Aminopenicilline für die orale Therapie.
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Nordbring, F. Review of side-effects of aminopenicillins. Infection 7 (Suppl 5), S503–S506 (1979). https://doi.org/10.1007/BF01659784
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DOI: https://doi.org/10.1007/BF01659784