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Infection

, Volume 23, Supplement 1, pp S15–S20 | Cite as

Roxithromycin 150 mg b.i.d. versus amoxycillin 500 mg/clavulanic acid 125 mg t.i.d. for the treatment of lower respiratory tract infections in general practice

  • N. C. Karalus
  • J. E. Garrett
  • S. D. R. Lang
  • R. A. Leng
  • G. N. Kostalas
  • R. T. M. Cursons
  • B. C. Cooper
  • C. J. Ryan
Article

Summary

Two hundred and forty-two patients over 16 years of age with community-acquired lower respiratory tract infection (LRTI), matched for age and sex, were randomised to receive either roxithromycin 150 mg b.i.d. or amoxycillin 500 mg/clavulanic acid 125 mg t.i.d. for 7 days, with a further 7 days if insufficient response was seen. Clinical efficacy at 7 days was 69% for roxithromycin and 56% for amoxycillin/clavulanic acid (p=0.05) and at study end it was 91% for both antibiotics. There were fewer second treatment courses in the roxithromycin group (26% vs. 38%, p=0.04) and a shorter treatment duration (8.29 days vs. 9.34 days, p>0.05). Twelve patients (9.8%) treated with roxithromycin and 19 (17.1%) treated with amoxycillin/clavulanic acid had adverse effects possibly, or probably, related to the antibiotic. Roxithromycin appears to be a more appropriate choice than amoxycillin/clavulanic acid for the treatment of LRTI in the community given its more appropriatein vitro spectrum, efficacy against most common and atypical pathogens, greater cost-effectiveness, more convenient dosage regimen (b.i.d.), and superior tolerability profile.

Keywords

Chronic Obstructive Pulmonary Disease Lower Respiratory Tract Infection Clavulanic Acid Roxithromycin Cefaclor 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Zusammenfassung

242 Patienten über 16 Jahre mit einer im ambulanten Bereich erworbenen Infektion der unteren Luftwege, die nach Alter und Geschlecht entsprechend erfaßt wurden, erhielten randomisiert 7 Tage lang zwei mal täglich 150 mg Roxithromycin oder drei mal täglich Amoxycillin 500 mg/Clavulansäure 125 mg. Bei unzureichendem Erfolg noch weitere 7 Tage. Klinisch wirksam erwiesen sich bei Roxithromycin 69% und 56% bei Amoxycillin/Clavulansäure (p=0.05), bei Abschluß der Studie waren es 91% bei beiden Präparaten. Weniger Zweitbehandlungen waren bei der Roxithromycin-Gruppe erforderlich, sowie eine kürzere Behandlungsdauer (8,29 Tage vs. 9,34 Tage, p>0,05). 12 Patienten, die mit Roxithromycin behandelt wurden und 19 Patienten mit Amoxycillin/Clavulansäure hatten Nebenerscheinungen, die möglicherweise oder wahrscheinlich auf die Antibiotika bezogen werden könnten. Roxithromycin erscheint für LRTI im ambulanten Bereich eine geeignetere Behandlung zu sein als Amoxycillin/Clavulansäure. Es erreicht ein breiteresin vitro-Spektrum, eine größere Wirksamkeit gegenüber den vorkommenden Erregern, eine bessere Kosten-Nutzen Relation, eine einfachere Behandlungsform (b.i.d.) sowie eine bessere Verträglichkeit.

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Copyright information

© MMV Medizin Verlag GmbH München 1995

Authors and Affiliations

  • N. C. Karalus
    • 1
  • J. E. Garrett
    • 2
  • S. D. R. Lang
    • 3
  • R. A. Leng
    • 1
  • G. N. Kostalas
    • 4
  • R. T. M. Cursons
    • 1
  • B. C. Cooper
    • 5
  • C. J. Ryan
    • 6
  1. 1.HamiltonNew Zealand
  2. 2.Greenlane HospitalAucklandNew Zealand
  3. 3.Middlemore HospitalAucklandNew Zealand
  4. 4.Castle HillAustralia
  5. 5.Delpharm Ltd.AucklandNew Zealand
  6. 6.Roussel New ZealandAucklandNew Zealand

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