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Dosing of amoxicillin/clavulanate given every 12 hours is as effective as dosing every 8 hours for treatment of lower respiratory tract infection. Lower Respiratory Tract Infection Collaborative Study Group.

AbstractIn this double-blind study, 557 patients with lower respiratory tract infection were randomly assigned to receive amoxicillin/clavulanate orally either every 12 hours (875/125 mg) or every 8 hours (500/125 mg) for 7-15 days. For the 455 patients evaluable for clinical efficacy at the end of therapy, clinical success was similar in the two groups: 93% and 94% in the 12-hour and 8-hour groups, respectively (P = .42). Bacteriologic success at the end of therapy was also comparable: 97% and 91% in the 12-hour and 8-hour groups, respectively (P = .86). The occurrence of adverse events related to treatment was similar for the two groups, but fewer patients in the 12-hour group reported moderate or severe diarrhea. Amoxicillin/clavulanate (875/125 mg) given every 12 hours is as effective and safe as every-8-hours administration of the combination (500/125 mg) for the treatment of lower respiratory tract infection.
AuthorsA D Calver, N S Walsh, P F Quinn, C Baran, V Lonergan, K P Singh, W S Orzolek (Affiliation: West Vaal Hospital, Orkney, South Africa.)
JournalClinical infectious diseases : an official publication of the Infectious Diseases Society of America (Clin Infect Dis) Vol. 24 Issue 4 Pg. 570-4 (Apr 1997) ISSN: 1058-4838 UNITED STATES
PMID9145729 (Publication Type: Clinical Trial, Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
Chemical References
  • Anti-Bacterial Agents
  • Clavulanic Acids
  • Penicillins
  • Amoxicillin
  • Clavulanic Acid
Topics
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Amoxicillin (adverse effects, therapeutic use)
  • Anti-Bacterial Agents (adverse effects, therapeutic use)
  • Bronchitis (drug therapy, microbiology)
  • Clavulanic Acid
  • Clavulanic Acids (adverse effects, therapeutic use)
  • Dose-Response Relationship, Drug
  • Double-Blind Method
  • Drug Therapy, Combination
  • Female
  • Humans
  • International Cooperation
  • Male
  • Middle Aged
  • Penicillins (adverse effects, therapeutic use)
  • Pneumonia, Bacterial (drug therapy, microbiology)
  • Respiratory Tract Infections (drug therapy, microbiology)
  • Time Factors
  • Treatment Outcome