Document Detail


Telithromycin for the treatment of acute bacterial maxillary sinusitis: a review of a new antibacterial agent.
MedLine Citation:
PMID:  16217977     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Telithromycin, the first approved ketolide antibiotic, was developed to treat community-acquired respiratory tract infections, including acute bacterial maxillary sinusitis (ABMS). A previously published study showed that a 5-day course of 800 mg telithromycin once daily is as effective as a 10-day course in the treatment of ABMS. MATERIALS AND METHODS: Data were pooled from two controlled, multinational, prospective, randomized, double-blinded ABMS trials comparing 5-day telithromycin (800 mg once daily) with 10-day amoxicillin-clavulanate (500/125 mg 3 times daily) and cefuroxime axetil (250 mg twice daily). Clinical cure and bacteriologic eradication rates were compared by means of descriptive statistics. RESULTS: The clinical cure rate for telithromycin was 80.9% versus 77.4% for comparators; bacteriologic eradication rate for telithromycin was 84.9% versus 81.7% for comparators. Most adverse events were mild to moderate in intensity and, most commonly, gastrointestinal in nature. CONCLUSIONS: These results support the conclusion that 5 days of treatment with telithromycin is as safe and effective in patients with ABMS as a 10-day course of treatment with amoxicillin-clavulanate or cefuroxime axetil.
Authors:
Guy Tellier; Stephen A Brunton; Roomi Nusrat
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Publication Detail:
Type:  Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Southern medical journal     Volume:  98     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-10-12     Completed Date:  2005-10-27     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  863-8     Citation Subset:  AIM; IM    
Affiliation:
Zoom International Clinical Research Group, St. Jerome, Quebec, Canada. gtellier@zoominternational.ca
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adolescent
Adult
Aged
Amoxicillin-Potassium Clavulanate Combination / therapeutic use
Anti-Bacterial Agents / therapeutic use*
Cefuroxime / analogs & derivatives,  therapeutic use
Double-Blind Method
Drug Administration Schedule
Female
Haemophilus influenzae / isolation & purification
Humans
Ketolides / therapeutic use*
Male
Maxillary Sinusitis / drug therapy*,  microbiology
Middle Aged
Moraxella (Branhamella) catarrhalis / isolation & purification
Prospective Studies
Randomized Controlled Trials as Topic
Staphylococcus aureus / isolation & purification
Streptococcus pneumoniae / isolation & purification
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Ketolides; 0/telithromycin; 55268-75-2/Cefuroxime; 64544-07-6/cefuroxime axetil; 74469-00-4/Amoxicillin-Potassium Clavulanate Combination

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


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