Skip to main content
Log in

Prospective randomized comparative trial of pefloxacin versus cotrimoxazole in the treatment of typhoid fever in adults

  • Article
  • Published:
European Journal of Clinical Microbiology and Infectious Diseases Aims and scope Submit manuscript

Abstract

Pefloxacin, which has been shown to have a high in vitro activity againstSalmonella spp., was compared to cotrimoxazole in the treatment of typhoid fever in adults. In a prospective, randomized trial, 42 patients with bacteriologically documented typhoid fever received either 400 mg pefloxacin b.i.d. or 160/800 mg cotrimoxazole b.i.d. Duration of treatment was 14 days in both groups. All patients were cured without experiencing a relapse or becoming a salmonella carrier. Apyrexia and resolution of digestive and neurological symptoms were obtained in a significantly shorter time with pefloxacin than with cotrimoxazole. Pefloxacin was well tolerated and more effective than cotrimoxazole in the treatment of typhoid fever.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Piddock, L. J. V., Wise, R. The antibacterial action of the 4-quinolones. Antimicrobic Newsletter 1985, 2: 1–4.

    Article  Google Scholar 

  2. Montay, G., Goueffon, Y., Roquet, F. Absorption, distribution, metabolic fate and elimination of pefloxacin mesylate in mice, rats, dogs, monkeys and humans. Antimicrobial Agents and Chemotherapy 1984, 25: 463–472.

    PubMed  Google Scholar 

  3. Isenberg, H. D., Washington, J. A., Balows, A., Sonnenwirth, A. C. Collection, handling and processing of specimens. In: Lennette, E., Balows, A., Hausler, W. J., Truant, J. P. (ed.): Manual of clinical microbiology. American Society for Microbiology, Washington DC, 1985, p. 73–98.

    Google Scholar 

  4. Washington, J. A., Sutter, V. L. Dilution susceptibility test: agar and macro-broth dilution procedures. In: Lennette, E., Balows, A., Hausler, W. J., Truant, J. P. (ed.): Manual of clinical microbiology. American Society for Microbiology, Washington DC, 1980, p. 453–458.

    Google Scholar 

  5. Barry, A. L., Thornsberry, C. Susceptibility testing: diffusion tests procedures. In: Lennette, E., Balows, A., Hausler, W. J., Truant, J. P. (ed.): Manual of clinical microbiology. American Society for Microbiology, Washington DC, 1985, p. 978–987.

    Google Scholar 

  6. Farid, Z., Hassan, A., Wahab, M. F. A., Sanborn, W. R., Kent, D. C., Yassa, A., Hathout, S. E. Trimethoprim-sulfamethoxazole in enteric fevers. British Medical Journal 1970, 3: 323–324.

    PubMed  Google Scholar 

  7. Kucers, A., Bennett, N. The use of antibiotics. Heineman, London, 1979, p. 1014.

    Google Scholar 

  8. Frydman, A. M., Le Roux, Y., Lefebvre, M. A., Djebbar, F., Fourtillan, J. B., Gaillot, J. Pharmacokinetics of pefloxacin after repeated intravenous and oral administration (400 mg bid) in young healthy volunteers. Journal of Antimicrobial Chemotherapy 1986, 17, Supplement B: 65–79.

    Google Scholar 

  9. Dellamonica, P., Bernard, E., Etesse, H., Garatto, R. The diffusion of pefloxacin into bone and the treatment of osteomyelitis. Journal of Antimicrobial Chemotherapy 1986, 17, Supplement B: 93–102.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hajji, M., Mdaghri, N., Benbachir, M. et al. Prospective randomized comparative trial of pefloxacin versus cotrimoxazole in the treatment of typhoid fever in adults. Eur. J. Clin. Microbiol. Infect. Dis. 7, 361–363 (1988). https://doi.org/10.1007/BF01962337

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01962337

Keywords

Navigation