Azithromycin conjunctivitis

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  1. JekaZzzz Well-Known Member

    Azithromycin conjunctivitis


    Patients and methods This was a multicentre, international, randomised, investigator-masked study in 286 children with purulent discharge and bulbar conjunctival injection. Patients received either azithromycin 1.5% eye drops (twice daily for 3 days) or tobramycin 0.3% eye drops (every 2 h for 2 days, then four times daily for 5 days). Clinical signs were evaluated on day (D) 0, 3 and 7, and cultures on D0 and D7. The primary variable was the clinical cure (absence of bulbar conjunctival injection and discharge) on D3 in the worse eye for patients with positive cultures on D0. Results 286 patients (mean age 3.2 years; range 1 day–17 years) were included; 203 had positive cultures on D0. Azithromycin was superior to tobramycin in clinical cure rate on D3 (47.1% vs 28.7%, p=0.013) and was non-inferior to tobramycin on D7 (89.2% vs 78.2%, respectively). Azithromycin treatment eradicated causative pathogens, including resistant species, with a similar resolution rate to tobramycin (89.8% vs 87.2%, respectively). JAMAJAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Facial Plastic Surgery JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Wildfeuer ALaufen HLeitold MZimmermann T Comparison of the pharmacokinetics of three-day and five-day regimens of azithromycin in plasma and urine. 1993;31(suppl E)51- 56Google Scholar Crossref Dawson CRSchachter JSallam SSheta ARubinstein RAWashton H A comparison of oral azithromycin with topical oxytetracycline/polymyxin for the treatment of trachoma in children. 1997;24363- 368Google Scholar Crossref Shepard RMDuthu GSFerraina RAMullins MA High-performance liquid chromatographic assay with electrochemical detection for azithromycin in serum and tissues. 1991;565321- 337Google Scholar Crossref Riedel KDWildfeuer ALaufen HZimmermann T Equivalence of a high-performance liquid chromatographic assay and a bioassay of azithromycin in human serum samples. 1992;576358- 362Google Scholar Crossref Shepard RMWeidler DJGarg DC et al. Human pharmacokinetics of azithromycin (CP-62,993/XZ-450): a new macrolide with an extended half-life and high tissue penetration [abstract]. Programs and abstracts of the 27th Interscience Conference on Antimicrobial Agents and Chemotherapy October 1987 New York, NY. Slaney LChubb HRonald ABrunham R In-vitro activity of azithromycin, erythromycin, ciprofloxacin and norfloxacin against Neisseria gonorrhoeae, Haemophilus ducrey'i and Chlamydia trachomatis. 1990;25(suppl A)1- 5Google Scholar Crossref Li ZHancock REW Mechanism of uptake of the dibasic macrolide antibiotic azithromycin across the outer membrane of Escherichia coli [abstract]. Proceedings of the 6th International Congress of Infectious Diseases July 19-21, 1990 Montreal, Quebec.

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    Nov 1, 2011. Pediatric acute bacterial conjunctivitis is a microbial infection involving the. Topical macrolides eg, azithromycin, erythromycin are generally. Two weekly doses of oral azithromycin were effective and well tolerated in the treatment of chlamydial conjunctivitis. However, more than one. ObjectiveTo assess azithromycin levels in human serum, aqueous humor, tear fluid, and conjunctival tissue specimens after administration of a single 1-g oral.

    Broad-spectrum antibiotics are generally used empirically as first-line therapy for bacterial conjunctivitis. Topical as opposed to oral antibiotics are recommended to deliver high levels of the drug directly to the site of infection, exceeding what is normally achieved in body tissues by oral or parenteral routes. Therefore, the antibiotic action of the individual drug is enhanced. For severe conjunctivitis marked by copious purulent discharge and eye inflammation, cultures are needed to guide the choice of antibiotic. Fortified antibiotics such as combination aminoglycosides and cephalosporins have a similar efficacy profile to fluoroquinolones. However, resistance to early-generation fluoroquinolones, moxifloxacin, and levofloxacin has been increasing, while some resistance profiles, particularly in multidrug-resistant staphylococci, appear to be more favorable for besifloxacin. Most cases of routine bacterial conjunctivitis respond to the commercially available combination of antibiotics, artificial tears, lid scrubs, oral analgesics, and, often, a topical antihistamine to relieve itching and discomfort. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. The efficacy of single dose azithromycin has already been demonstrated as effective in the treatment of both trachoma and adult inclusion conjunctivitis. Listing a study does not mean it has been evaluated by the U. However, in our clinical experience, some patients of chlamydial conjunctivitis may require augmented single dose azithromycin treatments before C. In this way, we would like to known the efficacy of single dose and augmented single dose azithromycin in the treatment of chlamydial conjunctivitis. Chlamydia trachomatis is one of the major causes of sexually transmitted disease and also the leading infectious cause of blindness in the world. trachomatis eye infection has involved for a long time. Medical records of patients with clinically suspected chlamydial conjunctivitis between January 1, 2006 and December 31, 2006 at one cornea specialist's (Y. H) out-patient clinic were retrospectively reviewed. At this clinic, patients of both sexes with acute, chronic or recurrent follicular conjunctivitis with the symptoms and signs of chlamydial conjunctivitis suspected were tested for Chlamydia direct fluorescent antibody (DFA) tests and arranged for next time out-patient clinic follow up 1-2 weeks later. The patients who attended the follow up visit with positive DFA results were treated with oral azithromycin. These patients received a single dose oral azithromycin (400mg~1000mg, according to their age and body weight) once a week for consecutive two weeks. Repeated DFA examinations were performed 4 to 6 weeks later.

    Azithromycin conjunctivitis

    Understanding Pink Eye Treatment - WebMD, Effect of oral azithromycin in the treatment of chlamydial conjunctivitis

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  4. Bacterial conjunctivitis is one of the most commonly encountered eye problems in medicine. Erythromycin 0.5% ointment; Azithromycin 1% solution. Other.

    • Bacterial Conjunctivitis - EyeWiki.
    • Ocular Levels of Azithromycin. Infectious Diseases JAMA..
    • Mimicking Picture of Infectious Conjunctivitis - American Journal of..

    Nov 6, 2009. Two weekly doses of oral azithromycin were effective and well tolerated in the treatment of chlamydial conjunctivitis. However, more than one. Purpose. The aim of the study was to compare the efficacy and safety of azithromycin and doxycycline in the treatment of chlamydial conjunctivitis in adults. Patients received either azithromycin 1.5% eye drops twice daily for 3 days or. Conjunctivitis is one of the most common eye infections in childhood and a.

     
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