Summary
60 hospitalised patients with pelvic inflammatory disease entered a randomised study to compare the therapeutic efficacy and tolerability of parenteral sulbactam/ampicillin with that of clindamycin/gentamicin. All 49 pathogens isolated at entry from 21 evaluable patients in the sulbactam/ampicillin group were eradicated. 34 out of 35 pathogens isolated from 18 evaluable patients in the clindamycin/gentamicin group were eradicated. All pathogens resistant to ampicillin in vitro were eradicated. The bacteriological, clinical and overall responses for the sulbactam/ampicillin group were 100%, 85.7% and 85.7%, respectively, compared with 97.1%, 94.4% and 94.4%, respectively, for the clindamycin/gentamicin group. The sulbactam/ampicillin combination was well tolerated.
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English AR, Retsema JA, Girard AE, Lynch JE, Barth WE. CP-45,899, a beta-lactamase inhibitor that extends the antibacterial spectrum of beta-lactams: initial bacteriological characterization. Antimicrobial Agents and Chemotherapy 14: 414–419, 1978
Eschenbach DA, Buchanan TM, Pollock HM, Forsyth P, Alexander ER. Polymicrobial etiology of acute pelvic inflammatory disease. New England Journal of Medicine 293: 166–171, 1975
Ledger WJ. Selection of antimicrobial agents for the treatment of infections of the female genital tract. Reviews of Infectious Diseases 5 (Suppl.): 98–104, 1983
Sweet RL. Treatment of mixed aerobic-anaerobic infections of the female genital tract. Journal of Antimicrobial Chemotherapy 8(Suppl. D): 105–114, 1981
Sweet RL, Draper DL, Schachter J, James J, Hadley WK, et al.: Microbiology and pathogenesis of acute salpingitis as determined by laparoscopy: what is the appropriate site to sample? American J Obstet Gynecol 138: 985–989, 1980
Sweet RL, Schacter J, Robbie MO. Failure of beta-lactam antibiotics to eradicate Chlamydia trachomatis in the endometrium despite apparent clinical cure of acute salpingitis. Journal of the American Medical Association 250: 2641–2645, 1983
Wise R, Andrews JM, Bedford KA. Clavulanic acid and CP-45,899: a comparison of their in vitro activity in combination with penicillins. J Antimicrob Chemother 6: 197–206, 1980
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Gunning, J. A Comparison of Parenteral Sulbactam/Ampicillin versus Clindamycin/Gentamicin in the Treatment of Pelvic Inflammatory Disease. Drugs 31 (Suppl 2), 14–17 (1986). https://doi.org/10.2165/00003495-198600312-00004
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DOI: https://doi.org/10.2165/00003495-198600312-00004