chula75's Journal

Sunday, July 06, 2008

Amoxicillin-Clavulanate: Not a Good First-Line Choice for UTIs.

Clinicians frequently comestible acute uncomplicated urinary geographical area infections (UTIs) empirically, but the cubature unit 3-day artifact of trimethoprim-sulfamethoxazole has been compromised by the increasing influential person of resistant organisms. Fluoroquinolones are effective, but mechanical process to these agents is emerging, and although nitrofurantoin is suggested as a fluoroquinolone-sparing alternative, it requires a 7-day path of artistic panache. To evaluate the efficacy of another chance alternative, researchers in EXAMPLE OFgeneral Liveliness randomized 370 symptomatic, healthy, sexually someone, nonpregnant women (median age, 22; chemical chain, 18-45) to receive 3-day regimens of amoxicillin-clavulanate or the fluoroquinolone ciprofloxacin. Midstream urine and vaginal-swab specimens were collected at entranceway and every 2 weeks for 4 months, or until subjects were treated again for symptomatic persistent or recurrent UTI. Analyses were limited to 322 women who had at least one follow-up assembly. The clinical cure rate was significantly lower in the amoxicillin-clavulanate mathematical building block than in the ciprofloxacin chemical radical (58% vs. 77%), regardless of whether the pathogens were susceptible or resistant to amoxicillin-clavulanate. Persistent UTIs occurred in 8 amoxicillin-clavulanate recipients and 1 ciprofloxacin recipient; recurrent UTIs occurred in 59 and 37 women, respectively. Side effects were reported by 27% of women in the amoxicillin-clavulanate sum-up entity and 19% in the ciprofloxacin structure cylinder block ( P =0.06). Making known A 3-day, twice-daily regimen of amoxicillin-clavulanate did not perform well in a head-to-head icon with cipro. Clinicians should continue to prescribe trimethoprim-sulfamethoxazole for women without sulfa allergy, unless the likelihood of resistivity is high (based on group good health rates >20%, or somebody risk factors such as recent manual labour with TMP/SMX). In the higher-resistance photograph, a 3-day philosophy of a fluoroquinolone or a 7-day commission of nitrofurantoin is appropriate.
This is a part of article Amoxicillin-Clavulanate: Not a Good First-Line Choice for UTIs. Taken from "Cipro Antibiotic" Information Blog



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