Bacterial eradication rates with shortened courses of 2nd- and 3rd-generation cephalosporins versus 10 days of penicillin for treatment of group A streptococcal tonsillopharyngitis in adults
- PMID: 17908614
- DOI: 10.1016/j.diagmicrobio.2007.04.010
Bacterial eradication rates with shortened courses of 2nd- and 3rd-generation cephalosporins versus 10 days of penicillin for treatment of group A streptococcal tonsillopharyngitis in adults
Abstract
In a meta-analysis of 5 randomized controlled trials involving 1030 adults, the likelihood of bacteriologic eradication in the treatment of group A beta-hemolytic streptococcal (GAS) tonsillopharyngitis with 5 days of select cephalosporins (cefpodoxime, cefuroxime, cefotiam, and cefdinir) was noninferior to 10 days of penicillin (odds ratio, 1.46; 95% confidence interval, 0.96-2.22, P = 0.08).
Similar articles
-
Meta-analysis of cephalosporins versus penicillin for treatment of group A streptococcal tonsillopharyngitis in adults.Clin Infect Dis. 2004 Jun 1;38(11):1526-34. doi: 10.1086/392496. Epub 2004 May 11. Clin Infect Dis. 2004. PMID: 15156437
-
A pooled comparison of cefdinir and penicillin in the treatment of group a beta-hemolytic streptococcal pharyngotonsillitis.Clin Ther. 2005 Aug;27(8):1266-73. doi: 10.1016/j.clinthera.2005.08.003. Clin Ther. 2005. PMID: 16199251
-
Meta-analysis of cephalosporin versus penicillin treatment of group A streptococcal tonsillopharyngitis in children.Pediatrics. 2004 Apr;113(4):866-82. doi: 10.1542/peds.113.4.866. Pediatrics. 2004. PMID: 15060239
-
Defining the optimum treatment regimen for azithromycin in acute tonsillopharyngitis.Pediatr Infect Dis J. 2004 Feb;23(2 Suppl):S129-34. doi: 10.1097/01.inf.0000112527.33870.0d. Pediatr Infect Dis J. 2004. PMID: 14770076 Review.
-
Comparison of European and U.S. results for cephalosporin versus penicillin treatment of group A streptococcal tonsillopharyngitis.Eur J Clin Microbiol Infect Dis. 2006 Jun;25(6):354-64. doi: 10.1007/s10096-006-0154-7. Eur J Clin Microbiol Infect Dis. 2006. PMID: 16767482 Review.
Cited by
-
The Effect of Amoxicillin with Clavulanate on the Microbiota of Tonsillar Tissue in Disease: a Randomized Control Trial.Microbiol Spectr. 2022 Dec 21;10(6):e0123922. doi: 10.1128/spectrum.01239-22. Epub 2022 Nov 1. Microbiol Spectr. 2022. PMID: 36318025 Free PMC article. Clinical Trial.
-
Disease manifestations and pathogenic mechanisms of Group A Streptococcus.Clin Microbiol Rev. 2014 Apr;27(2):264-301. doi: 10.1128/CMR.00101-13. Clin Microbiol Rev. 2014. PMID: 24696436 Free PMC article. Review.
-
Effect of a Widespread Reduction in Treatment Duration for Group A Streptococcal Pharyngitis on Outcomes Including Household Transmission.Open Forum Infect Dis. 2025 Jun 6;12(7):ofaf323. doi: 10.1093/ofid/ofaf323. eCollection 2025 Jul. Open Forum Infect Dis. 2025. PMID: 40599493 Free PMC article. Clinical Trial.
-
Short- vs. Long-Course Antibiotic Treatment for Acute Streptococcal Pharyngitis: Systematic Review and Meta-Analysis of Randomized Controlled Trials.Antibiotics (Basel). 2020 Oct 26;9(11):733. doi: 10.3390/antibiotics9110733. Antibiotics (Basel). 2020. PMID: 33114471 Free PMC article. Review.
-
Clinical practice guideline: tonsillitis I. Diagnostics and nonsurgical management.Eur Arch Otorhinolaryngol. 2016 Apr;273(4):973-87. doi: 10.1007/s00405-015-3872-6. Epub 2016 Jan 11. Eur Arch Otorhinolaryngol. 2016. PMID: 26755048 Free PMC article.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical