Literature DB >> 1390144

Roxithromycin versus penicillin in the treatment of erysipelas in adults: a comparative study.

P Bernard1, P Plantin, H Roger, B Sassolas, E Villaret, V Legrain, J C Roujeau, Y Rezvani, A Scheimberg.   

Abstract

A prospective, randomized, multicentre trial was conducted to evaluate the efficacy and safety of roxithromycin (150 mg b.i.d. orally) and penicillin (2.5 MU x 8 daily intravenously, then 6 MU daily orally) in the treatment of hospitalized adult patients with erysipelas. Seventy-two patients entered the study. Thirty-one patients in the roxithromycin group and 38 patients in the penicillin group completed the trial. The overall efficacy rates (cure without additional antibiotics) were 84% (26/31) in the roxithromycin group and 76% (29/38) in the penicillin group (P = 0.43). No side-effects were observed in the roxithromycin-treated patients whereas rashes occurred in two cases in the penicillin group, leading to exclusion from the study. Oral roxithromycin can thus be considered an effective and well-tolerated treatment for erysipelas in adult hospitalized patients.

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Year:  1992        PMID: 1390144     DOI: 10.1111/j.1365-2133.1992.tb08048.x

Source DB:  PubMed          Journal:  Br J Dermatol        ISSN: 0007-0963            Impact factor:   9.302


  7 in total

1.  Meta-analysis of randomised trials comparing a penicillin or cephalosporin with a macrolide or lincosamide in the treatment of cellulitis or erysipelas.

Authors:  Athena Ferreira; Mark J Bolland; Mark G Thomas
Journal:  Infection       Date:  2016-04-16       Impact factor: 3.553

2.  Oral pristinamycin versus standard penicillin regimen to treat erysipelas in adults: randomised, non-inferiority, open trial.

Authors:  Philippe Bernard; Olivier Chosidow; Loïc Vaillant
Journal:  BMJ       Date:  2002-10-19

Review 3.  The impact of antibiotics on clinical response over time in uncomplicated cellulitis: a systematic review and meta-analysis.

Authors:  Krishan Yadav; Natalia Krzyzaniak; Charlotte Alexander; Anna Mae Scott; Justin Clark; Paul Glasziou; Gerben Keijzers
Journal:  Infection       Date:  2022-05-20       Impact factor: 7.455

Review 4.  Cellulitis and erysipelas.

Authors:  Andrew D Morris
Journal:  BMJ Clin Evid       Date:  2008-01-02

Review 5.  Roxithromycin. An update of its antimicrobial activity, pharmacokinetic properties and therapeutic use.

Authors:  A Markham; D Faulds
Journal:  Drugs       Date:  1994-08       Impact factor: 9.546

6.  Is coverage of S. aureus necessary in cellulitis/erysipelas? A literature review.

Authors:  Stamatis Karakonstantis
Journal:  Infection       Date:  2019-12-16       Impact factor: 3.553

Review 7.  Interventions for cellulitis and erysipelas.

Authors:  Sally A Kilburn; Peter Featherstone; Bernie Higgins; Richard Brindle
Journal:  Cochrane Database Syst Rev       Date:  2010-06-16
  7 in total

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