Document Detail


Clinical efficacy of combination of rifampin and streptomycin for treatment of Mycobacterium ulcerans disease.
MedLine Citation:
PMID:  20566765     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We have evaluated the clinical efficacy of the combination of oral rifampin at 10 mg/kg of body weight and intramuscular streptomycin at 15 mg/kg for 8 weeks (RS8), as recommended by the WHO, in 160 PCR-confirmed cases of Mycobacterium ulcerans disease. In 152 patients (95%) with all forms of disease from early nodules to large ulcers, with or without edema, the lesions healed without recourse to surgery. Eight patients whose ulcers were healing poorly had skin grafting after completion of antibiotics. There were no recurrences among 158 patients reviewed at the 1-year follow-up. The times to complete healing ranged from 2 to 48 weeks, according to the type and size of the lesion, but the average rate of healing (rate of reduction in ulcer diameter) varied widely. Thirteen subjects had positive cultures for M. ulcerans during or after treatment, but all the lesions healed without further antibiotic treatment. Adverse events were rare. These results confirm the efficacy of RS8 delivered in a community setting.
Authors:
Fred Stephen Sarfo; Richard Phillips; Kingsley Asiedu; Edwin Ampadu; Nana Bobi; E Adentwe; Awuli Lartey; Ishmael Tetteh; M Wansbrough-Jones
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Publication Detail:
Type:  Clinical Trial; Journal Article     Date:  2010-06-21
Journal Detail:
Title:  Antimicrobial agents and chemotherapy     Volume:  54     ISSN:  1098-6596     ISO Abbreviation:  Antimicrob. Agents Chemother.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-18     Completed Date:  2010-12-01     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  0315061     Medline TA:  Antimicrob Agents Chemother     Country:  United States    
Other Details:
Languages:  eng     Pagination:  3678-85     Citation Subset:  IM    
Affiliation:
Komfo Anokye Teaching Hospital, Kumasi, Ghana.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Buruli Ulcer / drug therapy*,  microbiology*
Child
Child, Preschool
Drug Combinations
Female
Humans
Infant
Male
Middle Aged
Mycobacterium ulcerans / drug effects*
Rifampin / therapeutic use*
Streptomycin / therapeutic use*
Treatment Outcome
Young Adult
Chemical
Reg. No./Substance:
0/Drug Combinations; 13292-46-1/Rifampin; 57-92-1/Streptomycin
Comments/Corrections

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


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