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Title

Meropenem (1.5 g/day) is as effective as imipenem/cilastatin (2 g/day) for the treatment of moderately severe intra-abdominal infections

Authors
Zanetti, G
Trampuz, A
Ganeo, M
Mosimann, F
Chautemps, R
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Published in International Journal of Antimicrobial Agents. 1999, vol. 11, no. 2, p. 107-13
Abstract This multicentre, open-label, randomised trial compared meropenem (0.5 g/8 h) and imipenem/cilastatin (at the commonly used dosage of 0.5 g/6 h) in monotherapy in patients with moderately severe intra-abdominal infections (IAIs). In total, 161 patients were randomised (82 meropenem, 79 imipenem/cilastatin). The mean APACHE II scores in the two groups were 5.8 and 6.4, respectively. At the end of therapy, 65/71 (91.6%) evaluable meropenem recipients were clinically cured or improved, compared to 60/64 (93.8%) imipenem/cilastatin recipients. This difference and that in an intention-to-treat analysis (82.1 vs 86.1%, respectively), were not statistically significant. Both drugs were generally well tolerated. Thus, meropenem 0.5 g/8 h is as clinically effective and well tolerated as imipenem/cilastatin 0.5 g/6 h in moderately severe IAIs.
Keywords APACHEAdultCilastatin/administration & dosage/therapeutic useDrug Therapy, CombinationFemaleHumansImipenem/administration & dosage/therapeutic useMaleMiddle AgedPeritonitis/drug therapyThienamycins/administration & dosage/therapeutic use
Identifiers
PMID: 10221413
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Structures
Research group Chirurgie viscérale (104)
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ZANETTI, G et al. Meropenem (1.5 g/day) is as effective as imipenem/cilastatin (2 g/day) for the treatment of moderately severe intra-abdominal infections. In: International Journal of Antimicrobial Agents, 1999, vol. 11, n° 2, p. 107-13. https://archive-ouverte.unige.ch/unige:73145

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Deposited on : 2015-06-10

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