Literature DB >> 16507381

A pooled analysis of seven randomized crossover studies of the palatability of cefdinir oral suspension versus amoxicillin/clavulanate potassium, cefprozil, azithromycin, and amoxicillin in children aged 4 to 8 years.

Cynthia Holas1, Yi-Lin Chiu, Gerard Notario, Dolores Kapral.   

Abstract

OBJECTIVE: This analysis of the results of 7 trials compared the taste and smell acceptability scores of cefdinir oral suspension and 4 other pediatric antibiotic oral suspensions--amoxicillin/clavulanate potassium, cefprozil, azithromycin, or generic amoxicillin--using a visual smile-face scale.
METHODS: Data from 7 randomized, single-blind, cross-over trials were pooled and analyzed. In each study, children aged 4 to 8 years were asked to taste and smell 2 different antibiotic suspensions and assign preference using a visual smile-face scale. Ratings were converted to a numeric score ranging from 5 (really good) to 1 (really bad).
RESULTS: A total of 1011 healthy subjects were randomly assigned to 1 of 2 treatment-order groups; 965 were evaluable for the taste and smell analyses. Baseline demographics of evaluable subjects were similar among test groups. Approximately even proportions of participants were female or male (50.1 % vs 49.9%), most (84.1%) were white, and slightly more participants were aged 7 or 8 years rather than younger (age 4 years, 16.0%; age 5 years, 17.4%; age 6 years, 18.7%; age 7 years, 23.2%; age 8 years, 24.8%). Of the 965 children who tasted both antibiotic suspensions and determined their preference, 798 (82.7%) rated the taste of cefdinir as really good or good (the highest possible ratings); 712 (73.8%) assigned the same ratings to amoxicillin/clavulanate potassium, cefprozil, azithromycin, or generic amoxicillin (P < or = 0.001). With regard to smell, 671 (69.5%) rated the smell of cefdinir as really good or good; 636 (65.9%) assigned these same ratings to the comparator agents (P = NS).
CONCLUSION: In this pooled analysis of data from 7 randomized, single-blind, crossover trials, children between the ages of 4 and 8 years preferred the taste of cefdinir oral suspension to that of other pediatric antibiotic suspensions. Based on smile-face scores, subjects found the smell of cefdinir oral suspension to be at least as good as that of the comparators.

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Year:  2005        PMID: 16507381     DOI: 10.1016/j.clinthera.2005.11.017

Source DB:  PubMed          Journal:  Clin Ther        ISSN: 0149-2918            Impact factor:   3.393


  3 in total

Review 1.  The bad taste of medicines: overview of basic research on bitter taste.

Authors:  Julie A Mennella; Alan C Spector; Danielle R Reed; Susan E Coldwell
Journal:  Clin Ther       Date:  2013-07-22       Impact factor: 3.393

2.  Palatability of angiotensin II antagonists among nephropathic children.

Authors:  Chiara M Meier; Giacomo D Simonetti; Silvia Ghiglia; Emilio Fossali; Patrizia Salice; Costanzo Limoni; Mario G Bianchetti
Journal:  Br J Clin Pharmacol       Date:  2007-02-14       Impact factor: 4.335

3.  Acceptability of Prednisolone in an Open-Label Randomised Cross-Over Study-Focus on Formulation in Children.

Authors:  Sissel Sundell Haslund-Krog; Inger Merete Jørgensen; Kim Dalhoff; Helle Holst
Journal:  Children (Basel)       Date:  2022-08-16
  3 in total

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