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[Effects of levofloxacin once-a-day therapy on uterine cervicitis].

Abstract
An investigation was carried out to determine the therapeutic effect of levofloxacin (LVFX) once-a-day oral therapy at the dose of 200 mg/day for 7 days on uterine cervicitis, in comparison with LVFX twice-a-day oral therapy at the dose of 200 mg/day for 7 days. Of the 102 patients enrolled in the study, 90 were subjected to the analysis. The efficacy rate on uterine cervicitis of the once-a-day therapy and twice-a-day therapy groups according to the evaluation of the Drug Efficacy Evaluation Committee were 72.0% (36/50) and 82.5% (33/40), respectively. The efficacy rate on uterine chlamydial cervicitis of the once-a-day therapy and twice-a-day therapy groups according to the evaluation of the Drug Efficacy Evaluation Committee were 88.0% (22/25) and 85.7% (18/21), respectively. Safety was evaluated as "safe" in 88 of the 90 assessable patients (97.8%). Side effects were seen in two cases, which belong to the once-a-day therapy group; mild candidiasis and mild breast distension sense. As the antimicrobial treatment started, the levels of the inflammatory cytokines, interleukin-6 (IL-6) and interleukin-8 (IL-8) in the cervical mucus, decreased. It is suggested that IL-6 and IL-8 can be useful indicators of the antimicrobial treatment in the uterine cervicitis. These results suggested that the LVFX once-a-day therapy can be useful on uterine cervicitis.
AuthorsH Mikamo, Y Sato, Y Hayasaki, T Tamaya, Y Yamada, K Ito, K Izumi, K Kawazoe
JournalThe Japanese journal of antibiotics (Jpn J Antibiot) Vol. 52 Issue 7 Pg. 511-6 (Jul 1999) ISSN: 0368-2781 [Print] Japan
PMID10516931 (Publication Type: Clinical Trial, Comparative Study, Controlled Clinical Trial, English Abstract, Journal Article, Multicenter Study)
Chemical References
  • Anti-Infective Agents
  • Interleukin-6
  • Interleukin-8
  • Levofloxacin
  • Ofloxacin
Topics
  • Adolescent
  • Adult
  • Aged
  • Anti-Infective Agents (administration & dosage, adverse effects)
  • Chlamydia Infections (drug therapy)
  • Drug Administration Schedule
  • Female
  • Humans
  • Interleukin-6 (analysis)
  • Interleukin-8 (analysis)
  • Levofloxacin
  • Middle Aged
  • Mucus (chemistry)
  • Ofloxacin (administration & dosage, adverse effects)
  • Uterine Cervicitis (drug therapy)

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