Abstract | BACKGROUND: METHODOLOGY AND PRINCIPAL FINDINGS: Adults and children clinically diagnosed with uncomplicated enteric fever were enrolled in the study to receive gatifloxacin (10 mg/kg/day) in a single dose or ofloxacin (20 mg/kg/day) in two divided doses for 7 days. Patients were followed for six months. The primary outcome was treatment failure in patients infected with nalidixic acid resistant isolates. 627 patients with a median age of 17 (IQR 9-23) years were randomised. Of the 218 patients with culture confirmed enteric fever, 170 patients were infected with nalidixic acid-resistant isolates. In the ofloxacin group, 6 out of 83 patients had treatment failure compared to 5 out of 87 in the gatifloxacin group (hazard ratio [HR] of time to failure 0.81, 95% CI 0.25 to 2.65, p = 0.73). The median time to fever clearance was 4.70 days (IQR 2.98-5.90) in the ofloxacin group versus 3.31 days (IQR 2.29-4.75) in the gatifloxacin group (HR = 1.59, 95% CI 1.16 to 2.18, p = 0.004). The results in all blood culture-confirmed patients and all randomized patients were comparable. CONCLUSION: TRIAL REGISTRATION: ISRCTN 63006567 (www.controlled-trials.com).
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Authors | Samir Koirala, Buddha Basnyat, Amit Arjyal, Olita Shilpakar, Kabina Shrestha, Rishav Shrestha, Upendra Man Shrestha, Krishna Agrawal, Kanika Deshpande Koirala, Sudeep Dhoj Thapa, Abhilasha Karkey, Sabina Dongol, Abhishek Giri, Mila Shakya, Kamal Raj Pathak, James Campbell, Stephen Baker, Jeremy Farrar, Marcel Wolbers, Christiane Dolecek |
Journal | PLoS neglected tropical diseases
(PLoS Negl Trop Dis)
Vol. 7
Issue 10
Pg. e2523
( 2013)
ISSN: 1935-2735 [Electronic] United States |
PMID | 24282626
(Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Chemical References |
- Anti-Bacterial Agents
- Fluoroquinolones
- Ofloxacin
- Gatifloxacin
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Topics |
- Adolescent
- Anti-Bacterial Agents
(administration & dosage)
- Child
- Drug Resistance, Bacterial
- Female
- Fluoroquinolones
(administration & dosage)
- Gatifloxacin
- Humans
- Male
- Nepal
- Ofloxacin
(administration & dosage)
- Salmonella paratyphi A
(drug effects, isolation & purification)
- Salmonella typhi
(drug effects, isolation & purification)
- Treatment Failure
- Typhoid Fever
(drug therapy)
- Young Adult
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