[Treatment of upper genital infections in women. Multicenter study of the comparative efficacy and tolerance of an amoxicillin-clavulanic acid combination and of a triple antibiotic combination]

Rev Fr Gynecol Obstet. 1989 Oct;84(10):699-703.
[Article in French]

Abstract

Eighty-two patients with laparoscopically confirmed salpingitis were randomly divided into two groups in a multicentre and prospective trial. Single drug therapy with the amoxicillin-clavulanic acid combination was used in 42 patients (group A). The other 40 patients were given a combination of penicillin, aminoside and metronidazole (group B). For each case a secondary prescription for a tetracycline was discussed. Clinical results were comparable in both groups: sooner (at the end of the hospitalization period) in group A: 10 cured, 30 improved and 2 failures against 9 cured, 30 improved in group B. Later (evaluation after 5 to 8 weeks) a relapse was noted in five patients in group A and included one case of angioedema in group B. It is concluded that amoxicillin-clavulanic acid combination is a satisfactory alternative to the penicillin-aminoside-metronidazole combination, especially as it is simpler to use.

Publication types

  • Clinical Trial
  • Comparative Study
  • English Abstract
  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Amoxicillin / therapeutic use*
  • Amoxicillin-Potassium Clavulanate Combination
  • Clavulanic Acids / therapeutic use*
  • Drug Evaluation
  • Drug Therapy, Combination / therapeutic use
  • Drug Tolerance
  • Female
  • Humans
  • Metronidazole / therapeutic use*
  • Middle Aged
  • Multicenter Studies as Topic
  • Paromomycin / therapeutic use*
  • Penicillins / therapeutic use*
  • Prospective Studies
  • Random Allocation
  • Salpingitis / drug therapy*

Substances

  • Clavulanic Acids
  • Penicillins
  • Metronidazole
  • Paromomycin
  • Amoxicillin-Potassium Clavulanate Combination
  • Amoxicillin