A randomized, controlled clinical trial on meropenem versus imipenem/cilastatin for the treatment of bacterial infections

To evaluate the efficacy and safety of meropenem in Chinese patients, we conducted a study for the treatment of patients with lower respiratory tract infections, urinary tract infections and other infections. A total of 182 hospitalized patients were enrolled in the study. 90 patients received 500 m...

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Veröffentlicht in:Chinese medical journal 2002-12, Vol.115 (12), p.1849
Hauptverfasser: Hou, Fang, Li, Jiatai, Wu, Guoping, Zheng, Bo, Chen, Yifang, Gu, Junming, Wang, Huiling, Huo, Li, Xue, Xin, Jia, Changxu, Yin, Yonghong, Tian, Xiaofeng, Ren, Shuangyi
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container_issue 12
container_start_page 1849
container_title Chinese medical journal
container_volume 115
creator Hou, Fang
Li, Jiatai
Wu, Guoping
Zheng, Bo
Chen, Yifang
Gu, Junming
Wang, Huiling
Huo, Li
Xue, Xin
Jia, Changxu
Yin, Yonghong
Tian, Xiaofeng
Ren, Shuangyi
description To evaluate the efficacy and safety of meropenem in Chinese patients, we conducted a study for the treatment of patients with lower respiratory tract infections, urinary tract infections and other infections. A total of 182 hospitalized patients were enrolled in the study. 90 patients received 500 mg meropenem every 12 hours (or 1 g every 12 hours if necessary) and 92 patients received imipenem/cilastatin 500 mg/500 mg every 12 hours (or 1 g every 12 hours if necessary) by intravenous infusion. The duration of treatment was 7 - 14 days for both groups. Seventy of 90 cases receiving meropenem and 70 of 92 cases receiving imipenem/cilastatin were assessable for clinical efficacy. The overall efficacy rates were 90% for the meropenem group and 87% for the imipenem/cilastatin group, and the bacterial eradication rates were 86% in both groups. 93 (76%) of 123 strains isolated from patients produced beta-lactamases. Adverse drug reactions were evaluated in 72 cases in the meropenem group and 70 cases in the imipenem/cilastatin group. The adverse drug reaction rates were 9.7% and 8.6%, respectively. The results showed that there were no statistical differences between these two groups (P > 0.05). Meropenem is effective and safe for the treatment of bacterial infections caused mainly by beta-lactamase-producing strains.
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The results showed that there were no statistical differences between these two groups (P &gt; 0.05). 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A total of 182 hospitalized patients were enrolled in the study. 90 patients received 500 mg meropenem every 12 hours (or 1 g every 12 hours if necessary) and 92 patients received imipenem/cilastatin 500 mg/500 mg every 12 hours (or 1 g every 12 hours if necessary) by intravenous infusion. The duration of treatment was 7 - 14 days for both groups. Seventy of 90 cases receiving meropenem and 70 of 92 cases receiving imipenem/cilastatin were assessable for clinical efficacy. The overall efficacy rates were 90% for the meropenem group and 87% for the imipenem/cilastatin group, and the bacterial eradication rates were 86% in both groups. 93 (76%) of 123 strains isolated from patients produced beta-lactamases. Adverse drug reactions were evaluated in 72 cases in the meropenem group and 70 cases in the imipenem/cilastatin group. The adverse drug reaction rates were 9.7% and 8.6%, respectively. The results showed that there were no statistical differences between these two groups (P &gt; 0.05). Meropenem is effective and safe for the treatment of bacterial infections caused mainly by beta-lactamase-producing strains.</description><subject>Adult</subject><subject>Aged</subject><subject>Alanine Transaminase - blood</subject><subject>Aspartate Aminotransferases - blood</subject><subject>Cilastatin - administration &amp; dosage</subject><subject>Cilastatin - adverse effects</subject><subject>Cilastatin - therapeutic use</subject><subject>Female</subject><subject>Humans</subject><subject>Imipenem - administration &amp; dosage</subject><subject>Imipenem - adverse effects</subject><subject>Imipenem - therapeutic use</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Respiratory Tract Infections - drug therapy</subject><subject>Thienamycins - adverse effects</subject><subject>Thienamycins - therapeutic use</subject><subject>Urinary Tract Infections - drug therapy</subject><issn>0366-6999</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kMtOwzAURL0A0VL4BeQPICKxEydeVhUvqRIbWFfXzr3CKLYj20UqX09V6GZGszhnMRdsWUulKqW1XrDrnL_qWnRdr67YohFKCC37JTuseYIwRu9-cLznNoaS4jThyO3kgrMw8ZLcMWPgHlOcMaDn35jyPnPn3Wk_WDdBLlBc4BQTL594pBCKx1B4JG7AFjxpXCC0xcWQb9glwZTx9r9X7OPp8X3zUm3fnl836201i7ov1YCiRW0lCU2NhZZolGhIIXSm7zoQfTOANdTAgKMlgdSptiGsrbG9IS1X7O7PO--Nx3E3J-chHXbnD-QvPGZcfQ</recordid><startdate>200212</startdate><enddate>200212</enddate><creator>Hou, Fang</creator><creator>Li, Jiatai</creator><creator>Wu, Guoping</creator><creator>Zheng, Bo</creator><creator>Chen, Yifang</creator><creator>Gu, Junming</creator><creator>Wang, Huiling</creator><creator>Huo, Li</creator><creator>Xue, Xin</creator><creator>Jia, Changxu</creator><creator>Yin, Yonghong</creator><creator>Tian, Xiaofeng</creator><creator>Ren, Shuangyi</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>200212</creationdate><title>A randomized, controlled clinical trial on meropenem versus imipenem/cilastatin for the treatment of bacterial infections</title><author>Hou, Fang ; 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A total of 182 hospitalized patients were enrolled in the study. 90 patients received 500 mg meropenem every 12 hours (or 1 g every 12 hours if necessary) and 92 patients received imipenem/cilastatin 500 mg/500 mg every 12 hours (or 1 g every 12 hours if necessary) by intravenous infusion. The duration of treatment was 7 - 14 days for both groups. Seventy of 90 cases receiving meropenem and 70 of 92 cases receiving imipenem/cilastatin were assessable for clinical efficacy. The overall efficacy rates were 90% for the meropenem group and 87% for the imipenem/cilastatin group, and the bacterial eradication rates were 86% in both groups. 93 (76%) of 123 strains isolated from patients produced beta-lactamases. Adverse drug reactions were evaluated in 72 cases in the meropenem group and 70 cases in the imipenem/cilastatin group. The adverse drug reaction rates were 9.7% and 8.6%, respectively. The results showed that there were no statistical differences between these two groups (P &gt; 0.05). Meropenem is effective and safe for the treatment of bacterial infections caused mainly by beta-lactamase-producing strains.</abstract><cop>China</cop><pmid>12622937</pmid></addata></record>
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subjects Adult
Aged
Alanine Transaminase - blood
Aspartate Aminotransferases - blood
Cilastatin - administration & dosage
Cilastatin - adverse effects
Cilastatin - therapeutic use
Female
Humans
Imipenem - administration & dosage
Imipenem - adverse effects
Imipenem - therapeutic use
Male
Middle Aged
Respiratory Tract Infections - drug therapy
Thienamycins - adverse effects
Thienamycins - therapeutic use
Urinary Tract Infections - drug therapy
title A randomized, controlled clinical trial on meropenem versus imipenem/cilastatin for the treatment of bacterial infections
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