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Tigecycline is efficacious in the treatment of complicated intra-abdominal infections
dc.creator | Fomin, Peter | es |
dc.creator | Beuran, Mircea | es |
dc.creator | Gradauskas, Audrius | es |
dc.creator | Barauskas, Giedrius | es |
dc.creator | Dartois, Nathalie | es |
dc.creator | Capitan-Morales, Luis-Cristobal | es |
dc.date.accessioned | 2016-06-15T09:51:52Z | |
dc.date.available | 2016-06-15T09:51:52Z | |
dc.date.issued | 2005 | |
dc.identifier.issn | 1743-9191 | es |
dc.identifier.uri | http://hdl.handle.net/11441/42320 | |
dc.description.abstract | Background Empiric treatment of complicated intra-abdominal infections (cIAI) represents a clinical challenge because of the diverse bacteriology and the emergence of bacterial resistance. The efficacy and safety of tigecycline (TGC), a first-in-class, expanded broad-spectrum glycylcycline antibiotic, were compared with imipenem/cilastatin (IMI/CIS) in patients with cIAI. Methods In this prospective, double-blind, phase 3, multinational trial, patients were randomly assigned to intravenous (IV) TGC (100 mg initial dose, then 50 mg every 12 h) or IV IMI/CIS (500/500 mg every 6 h) for 5–14 days. Clinical response was assessed at the test-of-cure (TOC) visit (14–35 days after therapy) for microbiologically evaluable (ME) and microbiologically modified intent-to-treat (m-mITT) populations (co-primary efficacy endpoint populations in which cure/failure response rates were determined). Results Of 817 mITT patients (i.e., received ≥ 1 dose of study drug), 641 (78%) comprised the m-mITT cohort (322 TGC, 319 IMI/CIS) and 523 (64%) were ME (266 TGC, 256 IMI/CIS). Patients were predominantly white (88%) and male (59%) with a mean age of 49 years. The primary diagnoses for the mITT group were complicated appendicitis (41%), cholecystitis (22%), and intra-abdominal abscess (11%). For the ME population, clinical cure rates at TOC were 91.3% (242/265) for TGC versus 89.9% (232/258) for IMI/CIS (95% CI −4.0, 6.8; P < 0.001). Corresponding clinical cure rates within the m-mITT population were 86.6% (279/322) for TGC versus 84.6% (270/319) for IMI/CIS (95% CI −3.7, 7.5; P < 0.001 for noninferiority TGC versus IMI/CIS). The most commonly reported adverse events for TGC and IMI/CIS were nausea (17.6% TGC versus 13.3% IMI/CIS; P = 0.100) and vomiting (12.6% TGC versus 9.2% IMI/CIS; P = 0.144). Conclusions TGC is efficacious in the treatment of patients with cIAIs and TGC met per the protocol-specified statistical criteria for noninferiority to the comparator, IMI/CIS. | es |
dc.format | application/pdf | es |
dc.language.iso | eng | es |
dc.publisher | Elsevier | es |
dc.relation.ispartof | International journal of surgery, 3(1), 35-47 | es |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Complicated intra-abdominal infections | es |
dc.subject | Tigecycline | es |
dc.subject | Glycylcycline | es |
dc.subject | Imipenem/cilastatin | es |
dc.subject | Efficacy | es |
dc.subject | Safety | es |
dc.subject | In vitro activity | es |
dc.title | Tigecycline is efficacious in the treatment of complicated intra-abdominal infections | es |
dc.type | info:eu-repo/semantics/article | es |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Cirugía | es |
dc.relation.publisherversion | http://dx.doi.org/10.1016/j.ijsu.2005.03.011 | |
dc.identifier.doi | 10.1016/j.ijsu.2005.03.011 | es |
idus.format.extent | 8 | es |
dc.identifier.idus | https://idus.us.es/xmlui/handle/11441/42320 |
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