title: Comparison of ertapenem and ceftriaxone therapy for acute pyelonephritis and other complicated urinary tract infections in Korean adults: a randomized, double-blind, multicenter trial.
abstract: The efficacy and safety of ertapenem, 1 g once daily, were compared with that of ceftriaxone, 2 g once daily, for the treatment of adults with acute pyelonephritis (APN) and complicated urinary tract infections (cUTIs) in a prospective, multicenter, double-blinded, randomized study. After ≥ 3 days of parenteral study therapy, patients could be switched to an oral agent. Of 271 patients who were initially stratified by APN (n = 210) or other cUTIs (n = 61), 66 (48.9%) in the ertapenem group and 71 (52.2%) in the ceftriaxone group were microbiologically evaluable. The mean duration of parenteral and total therapy, respectively, was 5.6 and 13.8 days for ertapenem and 5.8 and 13.8 days for ceftriaxone. The most common pathogen was Escherichia coli. At the primary efficacy endpoint 5-9 days after treatment, 58 (87.9%) patients in the ertapenem group and 63 (88.7%) in the ceftriaxone had a favorable microbiological response. When compared by stratum and severity, the outcomes in the two groups were equivalent. The frequency and severity of drug-related adverse events were generally similar in both treatment groups. The results indicate that ertapenem is highly effective and safe for the treatment of APN and cUTIs.
authors.affiliation: Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
authors.forename: Dae Won
authors.initials: DW
authors.lastname: Park
authors.forename: Kyong Ran
authors.initials: KR
authors.lastname: Peck
authors.forename: Moon Hyun
authors.initials: MH
authors.lastname: Chung
authors.forename: Jin Seo
authors.initials: JS
authors.lastname: Lee
authors.forename: Yoon Soo
authors.initials: YS
authors.lastname: Park
authors.forename: Hyo Youl
authors.initials: HY
authors.lastname: Kim
authors.forename: Mi Suk
authors.initials: MS
authors.lastname: Lee
authors.forename: Jung Yeon
authors.initials: JY
authors.lastname: Kim
authors.forename: Joon Sup
authors.initials: JS
authors.lastname: Yeom
authors.forename: Min Ja
authors.initials: MJ
authors.lastname: Kim
mesh_terms: D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002443:Ceftriaxone / Q000627:therapeutic use*; D004311:Double-Blind Method; D000077727:Ertapenem; D006801:Humans; D016017:Odds Ratio; D011704:Pyelonephritis / Q000150:complications / Q000188:drug therapy*; D056910:Republic of Korea; D012307:Risk Factors; D014552:Urinary Tract Infections / Q000150:complications / Q000188:drug therapy*; D047090:beta-Lactams / Q000627:therapeutic use*
chemical_list: D000900:Anti-Bacterial Agents; D047090:beta-Lactams; D002443:Ceftriaxone; D000077727:Ertapenem