ANTIBIOTIC-THERAPY IN ACUTE GASTROENTERIT IS

Citation
Fs. Porta et al., ANTIBIOTIC-THERAPY IN ACUTE GASTROENTERIT IS, Revista Clinica Espanola, 197(4), 1997, pp. 241-244
Citations number
35
Categorie Soggetti
Medicine, General & Internal
Journal title
ISSN journal
00142565
Volume
197
Issue
4
Year of publication
1997
Pages
241 - 244
Database
ISI
SICI code
0014-2565(1997)197:4<241:AIAGI>2.0.ZU;2-7
Abstract
The empiric antibiotic therapy for acute gastroenteritis (AGE) is indi cated only in patients with underlying diseases or risk for bacteremia . The clinical characteristics, clinical efficiency of antibiotic ther apy with pivmecillinam (52 patients) or ciprofloxacin (75 patients) an d its effects on the fecal carrier state of Salmonella spp. were studi ed in 127 adult patients with AGE and antibiotic therapy indication. T he initial stool culture was positive in 90 patients (71%). The microo rganism recovered most frequently was Salmonella spp., with a bacterem ia rate in these patients of 5%. The susceptibility of Salmonella spp. to ciprofloxacin and mecillinam was 100% and 90%, respectively. Thera py with ciprofloxacin or pivmecillinam showed a similar efficiency. Fe cal excretion lasted no longer than five weeks and no chronic carriers were observed.