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急性细菌性鼻窦炎的短疗程治疗:五日环丙沙星治疗与七日环丙沙星治疗对比

Short treatment durations for acute bacterial rhinosinusitis: Five days of gemifloxacin versus 7 days of gemifloxacin.

作者信息

Ferguson Berrylin J, Anon Jack, Poole Michael D, Hendrick Kim, Gilson Martyn, Seltzer Elyse G

机构信息

University of Pittsburgh School of Medicine, Ear, Nose, and Throat Specialists of Northwestern PA, 15213, USA.

出版信息

Otolaryngol Head Neck Surg. 2002 Jul;127(1):1-6. doi: 10.1067/mhn.2002.126593.

Abstract

OBJECTIVE

The primary objective of this study was to demonstrate the clinical and radiologic efficacy of 5 days compared with 7 days of gemifloxacin therapy in the treatment of acute bacterial rhinosinusitis (ABRS).

STUDY DESIGN

In this prospective, double-blind, multicenter, parallel-group study, adult patients presenting with ABRS were randomized to receive gemifloxacin 320 mg once daily for either 5 days (n = 218) or 7 days (n = 203).

RESULTS

For the primary efficacy end point, clinical response to therapy at follow-up, 5 days of therapy with gemifloxacin was as effective as 7 days of therapy (per-protocol population; treatment difference 0.44%; 95% confidence interval [CI], -6.54 to 7.41). Five and 7 days of treatment with gemifloxacin were well tolerated.

CONCLUSION AND SIGNIFICANCE

The clinical efficacy of gemifloxacin 320 mg daily for 5 days is at least as good as the efficacy of gemifloxacin 320 mg daily for 7 days in the treatment of ABRS.

摘要

目的

本研究的主要目的是证明与7天的吉米沙星治疗相比,5天的吉米沙星治疗在急性细菌性鼻窦炎(ABRS)治疗中的临床和放射学疗效。

研究设计

在这项前瞻性、双盲、多中心、平行组研究中,患有ABRS的成年患者被随机分配接受每日一次320毫克吉米沙星治疗,疗程为5天(n = 218)或7天(n = 203)。

结果

对于主要疗效终点,即随访时对治疗的临床反应,5天的吉米沙星治疗与7天的治疗效果相同(符合方案人群;治疗差异0.44%;95%置信区间[CI],-6.54至7.41)。5天和7天的吉米沙星治疗耐受性良好。

结论及意义

每日320毫克吉米沙星治疗5天在治疗ABRS方面的临床疗效至少与每日320毫克吉米沙星治疗7天的疗效相同。

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