Long-term oral ciprofloxacin: Experience in the treatment of incurable infective endocarditis

Acute septic infective endocarditis caused by Pseudomonas aeruginosa, in two patients with conditions that made it incurable, was treated with long-term orally administered ciprofloxacin. Bacteremia and symptoms cleared, resulting in subjective well-being without cure for three and one half and 22 m...

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Veröffentlicht in:The American journal of medicine 1988-04, Vol.84 (4), p.786-790
Hauptverfasser: Daikos, George L., Kathpalia, Shashi B., Lolans, Valentina T., Jackson, George Gee, Fosslien, Egil
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container_issue 4
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container_title The American journal of medicine
container_volume 84
creator Daikos, George L.
Kathpalia, Shashi B.
Lolans, Valentina T.
Jackson, George Gee
Fosslien, Egil
description Acute septic infective endocarditis caused by Pseudomonas aeruginosa, in two patients with conditions that made it incurable, was treated with long-term orally administered ciprofloxacin. Bacteremia and symptoms cleared, resulting in subjective well-being without cure for three and one half and 22 months, respectively. Large amounts of ciprofloxacin, 150 and 1,440 g, respectively, were given continuously without apparent adverse reactions. Blood isolates of P. aeruginosa after treatment had limited progression of resistance to ciprofloxacin. Use of orally administered ciprofloxacin provides new opportunities for the long-term treatment of serious infections with restricted risk of bacterial drug resistance and no appreciable side effects.
doi_str_mv 10.1016/0002-9343(88)90122-2
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subjects Administration, Oral
Adult
Aged
Aged, 80 and over
Antibacterial agents
Antibiotics. Antiinfectious agents. Antiparasitic agents
Biological and medical sciences
Ciprofloxacin - administration & dosage
Ciprofloxacin - therapeutic use
Drug Administration Schedule
Endocarditis, Bacterial - drug therapy
Heart Diseases - etiology
Heart Valve Diseases - complications
Heart Valve Diseases - drug therapy
Humans
Male
Medical sciences
Microbial Sensitivity Tests
Pharmacology. Drug treatments
Pseudomonas aeruginosa
Pseudomonas aeruginosa - drug effects
Pseudomonas Infections - drug therapy
Sepsis - drug therapy
Thrombosis - etiology
title Long-term oral ciprofloxacin: Experience in the treatment of incurable infective endocarditis
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