Clinical efficacy of co-trimoxazole versus amoxicillin twice daily for treatment of pneumonia: a randomised controlled clinical trial in Pakistan
Open Access
- 1 February 2002
- journal article
- clinical trial
- Published by BMJ in Archives of Disease in Childhood
- Vol. 86 (2), 113-118
- https://doi.org/10.1136/adc.86.2.113
Abstract
Aims: To compare the clinical efficacy of twice daily oral co-trimoxazole with twice daily oral amoxicillin for treatment of childhood pneumonia. Methods: Randomised controlled, double blind, multicentre study in outpatient departments of seven hospitals and in one community health service. A total of 1471 children (aged 2–59 months) with non-severe pneumonia were randomly assigned to 25 mg/kg amoxicillin (n = 730) or 4 mg/kg trimethoprim plus 20 mg/kg sulphamethoxazole (co-trimoxazole) (n = 741). Both medicines were given orally twice daily for five days. Results: Data from 1459 children were analysed: 725 were randomised to amoxicillin and 734 to co-trimoxazole. Treatment failure in the amoxicillin group was 16.1% compared to 18.9% in the co-trimoxazole group. Multivariate analysis showed that treatment failure was more likely in infants who had history of difficult breathing or those who had been ill for more than three days before presentation. Conclusions: Both amoxicillin and co-trimoxazole were equally effective in non-severe pneumonia. Good follow up of patients is essential to prevent worsening of illness.Keywords
This publication has 24 references indexed in Scilit:
- Impacto de la resistencia a antimicrobianos y de serotipos de Streptococcus pneumoniae en la mortalidad de niños menores de 5 años con enfermedad invasoraRevista Panamericana de Salud Pública, 1999
- Etiology of acute lower respiratory tract infections in Gambian childrenThe Pediatric Infectious Disease Journal, 1991
- Antimicrobial resistance of pneumococci in children with acute lower respiratory tract infection in PakistanThe Lancet, 1991
- Etiology of Acute Lower Respiratory lhlct Infection in Children from Alabang, Metro ManilaClinical Infectious Diseases, 1990
- Diagnoses of Acute Lower Respiratory lhlct Infections in Children in Rawalpindi and Islamabad, PakistanClinical Infectious Diseases, 1990
- Accuracy of Radiographic Differentiation of Bacterial from Nonbacterial PneumoniaClinical Pediatrics, 1989
- Role of pharmacokinetics in the outcome of infectionsAntimicrobial Agents and Chemotherapy, 1988
- Amoxycillin in Bronchitis. Comparison of Two versus Three Daily DosesJournal of International Medical Research, 1987
- Comparison of Amoxycillin given Two and Three Times a Day in Acute Respiratory Tract Infections in ChildrenScandinavian Journal of Primary Health Care, 1986
- Prospective Clinical Trial on the Efficacy of Amoxycillin Administered Twice or Four Times Daily in Children with Respiratory Tract InfectionsJournal of International Medical Research, 1981