Efficacy and tolerability of cefditoren pivoxil in uncomplicated skin and skin structure infections in Indian patients
Year: 2009
Type: article
Study designs: Randomized Controlled Trial, Clinical Trial
Abstract: BACKGROUND: Uncomplicated skin and skin structure infections (uSSSI) are commonly encountered community-acquired infections and are typically confined to the superficial layers of the skin. Hence, they seldom lead to the destruction of skin structures. AIMS: To evaluate the efficacy and tolerability of cefditoren pivoxil in uSSSI in Indian patients. METHODS: One hundred and seventy-eight patients diagnosed with uncomplicated SSSI were enrolled in this randomized, comparative, multicentric study. Patients received either cefditoren pivoxil or cefdinir for ten days. Efficacy was assessed both clinically and microbiologically. Safety evaluation consisted of reporting of type, frequency, severity, and causal relationship of adverse events. RESULTS: One hundred and fifty-one patients completed the study. Clinical and bacteriological efficacy of cefditoren pivoxil was comparable to that of cefdinir in the treatment of uSSSI. One hundred and five patients were eligible for per protocol (PP) analysis of bacteriological outcome and clinical efficacy. Clinical cure or improvement was achieved in 98.00% patients treated with cefditoren pivoxil and 98.18% patients treated with cefdinir. In the modified Intent to Treat (mITT) patient population, clinical cure or improvement was recorded in 97.33% patients treated with cefditoren pivoxil and 96.20% patients treated with cefdinir. Microbiological eradication (or presumed eradication) was recorded in 88.00% patients treated with cefditoren pivoxil and 94.55% patients treated with cefdinir. The above differences in the outcome rates between the two drugs were not statistically significant. Six adverse events (AEs) (two in cefditoren group and four in cefdinir group) were reported in this study. CONCLUSION: Cefditoren pivoxil 200 mg b.i.d. was effective and well tolerated in the treatment of uSSSI.
Source: Indian Journal of Dermatology
Authors: Charu Manaktala, AmitKumar Singh, Manish Verma, Asheesh Sachdeva, Himanshu Sharma, Arjun Roy, RK Jalali, R Gowrishankar, A Kumar, ASainath Kumar, AM Jayaraman, B Swarnkar, CR Srinivas, Chitra Nayak, D Duttaroy, D Umrigar, Madhuri Jesudanam, N Maheshwari, P Shetty, RP Singh, S Ghate, S Sacchidanand, S Tolat, Salman Bhoira, Y Marfatia
Institutions: PSG Institute of Medical Sciences & Research, Topiwala National Medical College & BYL Nair Charitable Hospital, Sir Sayajirao General Hospital Medical College, Government Medical College, Foundation for Medical Research, Victoria Hospital, Bangalore Medical College and Research Institute
Language: English
Subfield: Infectious Diseases
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W2013341029