Short courses of antibiotic in acute otitis media and sinusitis infections.
Poor compliance with standard antibiotic regimens of 7 - 10 days' duration used in the treatment of acute upper respiratory tract infections contributes significantly to treatment failure. Patients fail to complete the recommended course of treatment, stopping once symptoms have resolved, which is typically within 2 - 5 days. Accumulating evidence from a large number of prospective clinical studies suggests that shortened courses of treatment may be as, or more, effective than conventional regimens of longer duration. As an example, a study comparing 5 days of cefuroxime axetil therapy with either 10 days of cefuroxime axetil or amoxycillin/clavulanate showed no differences in rates of clinical cure, bacteriological eradication and recurrence in paediatric patients with either acute otitis media or sinusitis. Shortened-course therapy with agents such as cefuroxime axetil has the potential to improve patient compliance and so reduce the rate of clinical failure and the emergence of resistant strains. Other potential benefits include fewer side-effects, improved patient satisfaction and lower treatment costs.
Pichicero
M
M
Elmwood Pediatric Group, University of Rochester Medical Center, Rochester, New York 14642, USA.
D000208:Acute Disease; D000658:Amoxicillin / Q000008:administration & dosage* / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D002444:Cefuroxime / Q000008:administration & dosage* / Q000031:analogs & derivatives* / Q000627:therapeutic use; D019818:Clavulanic Acid / Q000008:administration & dosage* / Q000627:therapeutic use; D004334:Drug Administration Schedule; D011307:Drug Prescriptions; D004352:Drug Resistance, Microbial; D006801:Humans; D010033:Otitis Media / Q000188:drug therapy*; D012852:Sinusitis / Q000188:drug therapy*; D013997:Time Factors
D000900:Anti-Bacterial Agents; D019818:Clavulanic Acid; D000658:Amoxicillin; D002444:Cefuroxime; C040738:cefuroxime axetil