van Balen F A, Touw-Otten F W, de Melker R A
Department of General Practice, University of Utrecht, The Netherlands.
J Antimicrob Chemother. 1990 Oct;26 Suppl B:153-60. doi: 10.1093/jac/26.suppl_b.153.
In a double-blind four-block randomized trial the efficacy and tolerance of a single dose of pefloxacin 800 mg was compared with a five day treatment with norfloxacin 400 mg twice daily in the treatment of uncomplicated urinary tract infections in general practice. The 222 patients included were all healthy non-pregnant women, aged between 18 and 65 years, with dysuria, urinary frequency or urgency, who visited their general practitioner. Outcome parameters were the rates of resolution of symptoms after eight to ten days (T2) and after six weeks (T3), the bacteriological response at T2 and T3, and the tolerance of pefloxacin and norfloxacin. Only slight differences were demonstrated at any stage and after six weeks the success rates in the pefloxacin group were not different from those in the norfloxacin group. Tolerance in both groups was rated as satisfactory, although the higher dose of pefloxacin caused more gastrointestinal side effects.
在一项双盲四组随机试验中,将单剂量800毫克培氟沙星的疗效和耐受性与诺氟沙星400毫克每日两次的五日疗法进行了比较,以治疗全科医疗中单纯性尿路感染。纳入的222例患者均为健康非妊娠女性,年龄在18至65岁之间,有排尿困难、尿频或尿急症状,前来就诊于全科医生。观察指标为八至十天(T2)和六周(T3)后症状缓解率、T2和T3时的细菌学反应以及培氟沙星和诺氟沙星的耐受性。在任何阶段仅显示出轻微差异,六周后培氟沙星组的成功率与诺氟沙星组无差异。两组的耐受性均被评为满意,尽管培氟沙星较高剂量导致更多胃肠道副作用。