medigraphic.com
SPANISH

Enfermedades Infecciosas y Microbiología

  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2018, Number 1

<< Back Next >>

Enf Infec Microbiol 2018; 38 (1)

Clinical efficacy of cefditoren for skin and soft tissue infection treatment

Ventura HTR, Guevara SMI, Ranero JGA, Martínez GD, Mondragón P, Flores TLY, Galicia TJ
Full text How to cite this article

Language: Spanish
References: 15
Page: 12-16
PDF size: 262.91 Kb.


Key words:

cellulitis, chronic venous insufficiency, chronic arterial insufficiency, skin and soft tissue infection, peripheral vein thrombosis.

ABSTRACT

Cefditoren is a third-generation cephalosporin that has been prescribed for skin and soft tissue infections treatment (Staphylococcus aureus and Streptococcus pyogenes), acute pharyngitis (S. pyogenes), acute sinusitis (Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis), acute exacerbation of chronic bronchitis (S. pneumoniae, H. influenzae and M. catarrhalis), mild to moderate community acquired pneumonia (S. pneumoniae, H. influenzae, S. aureus). Experience with cefditoren treatment in mild to moderate skin and soft tissue infections is presented.
Material and Methods. Observational, longitudinal, prospective study of incident cases from August 2016 to March 2017, patients with angiological problems who also had mild to moderate skin and soft tissue infections were collected. Patients were selected by four angiologists from Mexico City in their private practice. All patients received ambulatory management, receiving cefditoren at 200 mg or 400 mg every 12 hours for 7, 14 or more days according to evolution and severity. They were evaluated weekly until their cure.
Results. Data were collected from 126 patients. Patients had a mean age of 65 years (range 40 to 90 years), 70% of the female sex, 30% of the male sex. The improvement of pain, inflammation and hyperthermia was evident in the infected areas and a clinical resolution of the infectious process was obtained in 97%, because 3% of the patients left the treatment. Four percent of the patients had minor adverse events.
Conclusions. Cefditoren was effective in the treatment of mild to moderate skin and soft tissue infections.


REFERENCES

  1. Salgado, F., Arroyo, A., Lozano, A.B., Hidalgo, A. y Verdugo, J., Sociedad Andaluza de Enfermedades Infecciosas, “Infecciones de piel y partes blandas”, Med Clin. 2009, 133 : 552-564.

  2. Gunderson, C., “Celulitis: definición, etiología y manifestaciones clínicas”, Am J Med, 2011, 124: 1113-1122.

  3. Serrano, F.J. y Martín, A., “Enfermedad arterial periférica: aspectos fisiopatológicos, clínicos y terapéuticos”, Rev Esp Cardiol, 2007, 60: 969-982.

  4. Sánchez-Saldaña, L. y Sáenz-Anduaga, E., “Infecciones cutáneas bacterianas”, Dermatol Peru, 2006, 16: 7-31.

  5. Marinello, J., “Úlceras de la extremidad inferior. Concepto, clasificación y epidemiología de la úlcera de extremidad inferior”, Angiología, 2005, 57: 309.

  6. Saavedra, J., Santos, M., González, F., Hernández, T. y Navarro, M.L., Protocolos diagnóstico-terapéuticos de la aep: infectología pediátrica, 3ª ed., Madrid, Sociedad Española de Cardiología Pediátrica, 2015: 159-175.

  7. García, J.A., Mensa, J., Picazo de la Garza, J.J., Barberán, J., Serrano, R. et al., “Guía de tratamiento de las infecciones de piel y tejidos blandos”, Rev Esp Quimioterap, 2006, 19: 378-394.

  8. Hospital General de México, “Infecciones de tejidos blandos”, Guías de diagnóstico y tratamiento del Servicio de Infectología, 2014.

  9. Stevens, D.L., Bisno, A.L., Chambers, H.F. et al., “Practice guidelines for the diagnosis and management of skin and soft-tissue infections”, Clin Infect Dis, 2005, 41 (10): 1373-1406.

  10. Secretaría de Salud, “Diagnóstico y tratamiento fascitis necrosante”, Guías de Práctica Clínica, México, 2009.

  11. Asbel, L.E. y Levison, M.E., “Cephalosporins, carbapenems and monobactams”, Infect Dis Clin Na, 2000, 14 (2): 435-449.

  12. Arguedas, J.A., “Cefalosporinas”, Actualización en Farmacoterapia, 2003, 21: 35-39.

  13. Bucko, A.D., Hunt, B.J., Kidd, S.L. y Hom, R., “Randomized, double-blind, multicenter comparison of oral cefditoren 200 or 400 mg bid with either cefuroxime 250 mg bif or cefadroxil 500 mg bid for the treatment of uncomplicated skin and skin-structure infections”, Clin Ther, 2002, 24 (7): 1134-1147.

  14. Hernández-Martin, J., Romá, E., Salavert, M., Doménech, L. y Poveda, J.L., “Cefditoren pivoxil: a new oral cephalosporin for skin, soft tissue and respiratory tract infections”, Rev Esp Quimioter, 2006, 19: 231-246.

  15. Wellington, K. y Curran, M.P., “Cefditoren pivoxil: a review of its use in the treatment of bacterial infections”, Drugs, 2004, 64 (22): 2597-2618.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Enf Infec Microbiol. 2018;38