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  • Comparison of loracarbef (LY163892) versus amoxicillin in the treatment of bronchopneumonia and lobar pneumonia
    Infection, 1992
    Co-Authors: O. Müller, K. Wettich
    Abstract:

    Loracarbef, der erste Vertreter der neuen Substanzklasse der Carbacephem-Antibiotika, wurde in einer randomisierten doppelblinden Parallelgruppen-Studie bei 84 erwachsenen Patienten mit ambulant erworbener Broncho- bzw. Lobärpneumonie im Vergleich mit Amoxicillin auf seine Wirksamkeit und Sicherheit geprüft. Bei zweimal täglicher Gabe hatte Loracarbef dieselbe klinische und bakteriologische Wirksamkeit wie die dreimal tägliche Verabreichung von Amoxicillin. Die Nebenwirkungen waren in beiden Gruppen meist leichtgradig und passager. Die gute Wirksamkeit gegenüber den wichtigsten Erregern der ambulant erworbenen bakteriellen Pneumonie und die bessere Betalactamasestabilität sowie die längere Halbwertszeit im Vergleich zu Amoxicillin und die nur zweimal tägliche Verabreichung sind Vorteile von Loracarbef hinsichtlich der therapeutischen Sicherheit und der Patientenfreundlichkeit. Loracarbef (LY163892), a Carbacephem, is the first of a new class of β-lactam compounds. A 14-day, double-blind, randomized, parallel treatment study compared loracarbef (400 mg b.i.d.; n=169) and amoxicillin (500 mg t.i.d.; n=167) in the treatment of lobar pneumonia and bronchopneumonia. Forty-four patients in the loracarbef group and 40 patients in the amoxicillin group were evaluable for efficacy analysis. Streptococcus pneumoniae and Haemophilus influenzae were isolated from pure or mixed cultures in 45.5% of the evaluable patients, with S. pneumoniae being isolated most frequently. Favourable clinical responses (cure or improvement) in the loracarbef-treated group (42/44; 95.5%) were similar to those in the amoxicillin-treated group (38/40; 95%). A favourable bacteriological response was observed for 36/44 (81.8%) loracarbef-treated patients compared with 28/40 (70%) amoxicillin-treated patients (p=0.2). Adverse events were similar in both groups. Withdrawal of treatment was required in three patients in each group due to gastrointestinal events or rash/allergic exanthema. These data support the conclusion that loracarbef and amoxicillin have comparable efficacy and safety in the treatment of bronchopneumonia and lobar pneumonia caused by susceptible pathogens. However, loracarbef can be administered twice daily, offering the advantage of improved patient compliance. It is also active against β-lactamse producing organisms.

  • Comparison of loracarbef (LY163892) versus amoxicillin in the treatment of bronchopneumonia and lobar pneumonia.
    Infection, 1992
    Co-Authors: O. Müller, K. Wettich
    Abstract:

    Loracarbef (LY163892), a Carbacephem, is the first of a new class of β-lactam compounds. A 14-day, double-blind, randomized, parallel treatment study compared loracarbef (400 mg b.i.d.; n=169) and amoxicillin (500 mg t.i.d.; n=167) in the treatment of lobar pneumonia and bronchopneumonia. Forty-four patients in the loracarbef group and 40 patients in the amoxicillin group were evaluable for efficacy analysis.Streptococcus pneumoniae andHaemophilus influenzae were isolated from pure or mixed cultures in 45.5% of the evaluable patients, withS. pneumoniae being isolated most frequently. Favourable clinical responses (cure or improvement) in the loracarbef-treated group (42/44; 95.5%) were similar to those in the amoxicillin-treated group (38/40; 95%). A favourable bacteriological response was observed for 36/44 (81.8%) loracarbef-treated patients compared with 28/40 (70%) amoxicillin-treated patients (p=0.2). Adverse events were similar in both groups. Withdrawal of treatment was required in three patients in each group due to gastrointestinal events or rash/allergic exanthema. These data support the conclusion that loracarbef and amoxicillin have comparable efficacy and safety in the treatment of bronchopneumonia and lobar pneumonia caused by susceptible pathogens. However, loracarbef can be administered twice daily, offering the advantage of improved patient compliance. It is also active against β-lactamse producing organisms.