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[Comparison between monotherapy with imipenem/cilastatin sodium (IPM/CS) and combinations of IPM/CS and other drugs for treating bacterial infections in patients with hematopoietic disorders].
- Source :
-
The Japanese journal of antibiotics [Jpn J Antibiot] 1996 Dec; Vol. 49 (12), pp. 1049-61. - Publication Year :
- 1996
-
Abstract
- One hundred and nine patients with infections concurrent with hematopoietic disorders were treated with imipenem/cilastatin sodium (IPM/CS) either alone (IPM/CS monotherapy) or in combination with other antimicrobial drugs (IPM/CS combination therapy). The following results were obtained. 1. One hundred and nine patients were allocated at random to two groups: 53 patients to IPM/CS monotherapy and 56 patients to IPM/CS combination therapy. Fourteen patients (6 and 8 in the 2 groups, respectively) were excluded from the clinical evaluation. There were not significant differences between the two groups with respect to the background. 2. The efficacy rates of the 2 treatments against bacterial infections were as follows: in the IPM/CS monotherapy group, 62.5% in 8 patients with sepsis, 75.0% in 23 patients with fever of undetermined origin (FUO), 50.0% in 10 patients with pneumonia, and 68.3% in the 47 patients, and in the IPM/CS combination group, 85.7% in 7 patients with sepsis, 63.6% in 24 patients with FUO, 50.5% in 8 patients with pneumonia, and 67.4% in the 48 patients. The differences between the two groups were not significant. 3. Among the drugs used in combination with IPM/CS, antibiotics other than penicillins, cephalosporins, and aminoglycosides were used in 12 patients and a high efficacy rate of 91.7% was obtained. 4. Bacteriologically, 19 and 17 strains were isolated from the IPM/CS monotherapy and combination therapy groups respectively, and the eradication rates were 100% and 88.9% respectively. 5. Side effects were noted in 2 patients in the IPM/CS monotherapy group and 7 in the combination therapy group, but all of these resolved after discontinuation or completion of the treatment. The efficacies against severe bacterial infections in the presence of hematopoietic disorders were not different between IPM/CS alone and IPM/CS in combination with other antibiotics. Adverse reactions were uncommon with the monotherapy.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Aminoglycosides
Anti-Bacterial Agents administration & dosage
Bacterial Infections complications
Cephalosporins administration & dosage
Cilastatin administration & dosage
Cilastatin, Imipenem Drug Combination
Drug Combinations
Female
Humans
Imipenem administration & dosage
Immunocompromised Host
Male
Middle Aged
Opportunistic Infections complications
Penicillins administration & dosage
Bacterial Infections drug therapy
Drug Therapy, Combination administration & dosage
Hematologic Diseases complications
Opportunistic Infections drug therapy
Subjects
Details
- Language :
- Japanese
- ISSN :
- 0368-2781
- Volume :
- 49
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- The Japanese journal of antibiotics
- Publication Type :
- Academic Journal
- Accession number :
- 9032592