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Cefuroxime axetil versus placebo for children with acute respiratory infection and imaging evidence of sinusitis: a randomized, controlled trial.

AbstractAIM:
To evaluate the efficacy of antibiotic treatment in children who presented in medical care with respiratory infection and had imaging evidence of sinusitis.
METHODS:
Eighty-two children (4-10 y) with acute respiratory symptoms and ultrasonography findings suggestive of acute rhinosinusitis were enrolled in a randomized, double-blind trial. The sinus findings were confirmed with plain radiographs. The children received either cefuroxime axetil in 125-mg capsules twice a day for 10 d or placebo. Main outcome measures were complete cure in 2 wk and absence of prolonged symptoms or complications.
RESULTS:
A total of 72 children (88%) completed follow-up. The sinusitis findings in the ultrasound could be confirmed with plain radiographs in 65 of the 72 patients (90%). The proportion of children completely cured by day 14 was similar in both groups (difference 6%, 95% confidence interval -16% to 29%). Similarly, there was no significant difference in the proportions of children who escaped prolonged disease and complications between the groups (difference 7%, -9% to 24%).
CONCLUSION:
A 10-d course of cefuroxime axetil offered no clinical benefit to children with an acute respiratory illness and imaging evidence of acute sinusitis.
AuthorsAila Kristo, Matti Uhari, Jukka Luotonen, Eero Ilkko, Petri Koivunen, Olli-Pekka Alho
JournalActa paediatrica (Oslo, Norway : 1992) (Acta Paediatr) Vol. 94 Issue 9 Pg. 1208-13 (Sep 2005) ISSN: 0803-5253 [Print] Norway
PMID16278986 (Publication Type: Journal Article, Randomized Controlled Trial)
Chemical References
  • Anti-Bacterial Agents
  • Placebos
  • cefuroxime axetil
  • Cefuroxime
Topics
  • Acute Disease
  • Anti-Bacterial Agents (therapeutic use)
  • Cefuroxime (analogs & derivatives, therapeutic use)
  • Child
  • Child, Preschool
  • Double-Blind Method
  • Female
  • Humans
  • Male
  • Placebos
  • Respiratory Tract Infections (complications, drug therapy)
  • Sinusitis (complications, drug therapy)
  • Time Factors
  • Treatment Outcome

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