title: Comparison of parenteral ciprofloxacin with clindamycin-gentamicin in the treatment of pelvic infection.
abstract: A prospective, randomized study of intravenous followed by oral ciprofloxacin compared with the combination of intravenous clindamycin and gentamicin was conducted in 122 women hospitalized with pelvic infections. Clinical diagnoses included endometritis (97 patients) and uncomplicated pelvic inflammatory disease (25 patients). Treatment successes for endometritis included 42 of 50 (84 percent) patients treated with ciprofloxacin compared with 35 of 47 (75 percent) treated with the clindamycin-gentamicin combination. Treatment successes for acute salpingitis included 10 of 10 (100 percent) treated with ciprofloxacin and 13 of 15 (87 percent) treated with clindamycin-gentamicin. Ciprofloxacin successfully eradicated Chlamydia trachomatis in 11 of 12 patients as did clindamycin-gentamicin in six of seven patients. In this study of pelvic infection, ciprofloxacin demonstrated efficacy comparable with the combination of clindamycin and gentamicin, and is effective against C. trachomatis.
authors.affiliation: Department of Obstetrics and Gynecology, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark 07103-2757.
authors.forename: J J
authors.initials: JJ
authors.lastname: Apuzzio
authors.forename: R
authors.initials: R
authors.lastname: Stankiewicz
authors.forename: V
authors.initials: V
authors.lastname: Ganesh
authors.forename: S
authors.initials: S
authors.lastname: Jain
authors.forename: Z
authors.initials: Z
authors.lastname: Kaminski
authors.forename: D
authors.initials: D
authors.lastname: Louria
mesh_terms: D000208:Acute Disease; D000328:Adult; D001424:Bacterial Infections / Q000188:drug therapy*; D002939:Ciprofloxacin / Q000008:administration & dosage* / Q000627:therapeutic use; D002981:Clindamycin / Q000008:administration & dosage* / Q000627:therapeutic use; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004716:Endometritis / Q000188:drug therapy*; D005260:Female; D005839:Gentamicins / Q000008:administration & dosage* / Q000627:therapeutic use; D006801:Humans; D011446:Prospective Studies; D011897:Random Allocation; D012488:Salpingitis / Q000188:drug therapy*
chemical_list: D005839:Gentamicins; D002981:Clindamycin; D002939:Ciprofloxacin