Document Detail


Sulfisoxazole chemoprophylaxis for frequent otitis media.
MedLine Citation:
PMID:  6601256     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Sulfisoxazole, 75 mg/kg/d in two divided doses for 3 months, was administered in a double-blind placebo crossover study to 35 children aged 6 months to 5 years who had frequent recurring episodes of otitis media. There was a 40% reduction in the rate of otitis media among patients receiving sulfisoxazole compared with those receiving placebo (0.25 v 0.42 episode per patient-month) which did not depend on age, sex, season, or several other factors. Using a randomized order, among patients who received placebo first, there was a 64% reduction on sulfisoxazole therapy compared with placebo (0.20 v 0.56 episode per patient-month). In this subgroup, there was significant improvement in eustachian tube function according to serial tympanograms. In the patients who received sulfisoxazole first, the rate of acute otitis remained low on placebo (0.28 v 0.30 episode per patient-month), and tympanogram patterns continued to improve after discontinuation of the active drug. These differences suggest a carry-over effect from the benefits of chemoprophylaxis. There was no significant difference in the species or sensitivity patterns of bacteria isolated from patients receiving sulisoxazole or placebo. Sulfisoxazole chemoprophylaxis appears to be safe and effective in significantly reducing episodes of otitis media and improving tympanogram patterns.
Authors:
T E Liston; W S Foshee; W D Pierson
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Pediatrics     Volume:  71     ISSN:  0031-4005     ISO Abbreviation:  Pediatrics     Publication Date:  1983 Apr 
Date Detail:
Created Date:  1983-05-05     Completed Date:  1983-05-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  524-30     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Acoustic Impedance Tests
Child, Preschool
Double-Blind Method
Eustachian Tube / drug effects
Female
Haemophilus influenzae / isolation & purification
Humans
Infant
Male
Otitis Media / microbiology,  prevention & control*
Random Allocation
Recurrence
Streptococcus pneumoniae / isolation & purification
Sulfisoxazole / administration & dosage,  therapeutic use*
Chemical
Reg. No./Substance:
127-69-5/Sulfisoxazole

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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