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Clindamycin-primaquine versus pentamidine for the second-line treatment of pneumocystis pneumonia

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Journal of Infection and Chemotherapy

Abstract

There are limited data on the efficacy of alternative regimens for treating patients with pneumocystis pneumonia (PCP). We compared the efficacy of clindamycin-primaquine (C-P) with that of pentamidine as a secondline treatment for PCP. Among 91 patients receiving trimethoprim-sulfamethoxazole (TMP-SMX) as a first-line treatment for PCP, 31 (34%) did not respond and 7 (8%) had adverse reactions. Fourteen patients received C-P and 9 received pentamidine as a second-line regimen because of treatment failure or an adverse reaction to TMP-SMX. The response rate of patients to C-P was higher than the response rate to pentamidine (9/14; 64% vs 1/9; 11%; P = 0.03).

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Correspondence to Sang-Oh Lee.

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Kim, T., Kim, SH., Park, KH. et al. Clindamycin-primaquine versus pentamidine for the second-line treatment of pneumocystis pneumonia. J Infect Chemother 15, 343–346 (2009). https://doi.org/10.1007/s10156-009-0710-z

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  • DOI: https://doi.org/10.1007/s10156-009-0710-z

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