> Details

ten Doesschate, Thijs; Kuiper, Sander; van Nieuwkoop, Cees; Hassing, Robert Jan; Ketels, Tom; van Mens, Suzan P; van den Bijllaardt, Wouter; van der Bij, Akke K; Geerlings, Suzanne E; Koster, Ad; Koldewijn, Evert L; Branger, Judith; Hoepelman, Andy I M; van Werkhoven, Cornelis H; Bonten, Marc J M; ten Doesschate, Thijs; Hoepelman, Andy I M; van Werkhoven, Cornelis H; Bonten, Marc J M; van Nieuwkoop, Cees; Kuiper, Sander; van Dijk, Marleen M; Stalenhoef, Janneke E; Smid, Linda; [...]

Fosfomycin Vs Ciprofloxacin as Oral Step-Down Treatment for Escherichia coli Febrile Urinary Tract Infections in Women: A Randomized, Placebo-Controlled, Double-Blind, Multicenter Trial

Reference
management

Bookmarks

Remove from
bookmarks

Share this on Whatsapp

Close

Bookmarks



You can manage bookmarks using lists, please log in to your user account for this.
  • Media type: E-Article
  • Title: Fosfomycin Vs Ciprofloxacin as Oral Step-Down Treatment for Escherichia coli Febrile Urinary Tract Infections in Women: A Randomized, Placebo-Controlled, Double-Blind, Multicenter Trial
  • Contributor: ten Doesschate, Thijs; Kuiper, Sander; van Nieuwkoop, Cees; Hassing, Robert Jan; Ketels, Tom; van Mens, Suzan P; van den Bijllaardt, Wouter; van der Bij, Akke K; Geerlings, Suzanne E; Koster, Ad; Koldewijn, Evert L; Branger, Judith; Hoepelman, Andy I M; van Werkhoven, Cornelis H; Bonten, Marc J M; ten Doesschate, Thijs; Hoepelman, Andy I M; van Werkhoven, Cornelis H; Bonten, Marc J M; van Nieuwkoop, Cees; Kuiper, Sander; van Dijk, Marleen M; Stalenhoef, Janneke E; Smid, Linda; [...]
  • imprint: Oxford University Press (OUP), 2022
  • Published in: Clinical Infectious Diseases
  • Language: English
  • DOI: 10.1093/cid/ciab934
  • ISSN: 1537-6591; 1058-4838
  • Keywords: Infectious Diseases ; Microbiology (medical)
  • Origination:
  • Footnote:
  • Description: <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p>We aimed to determine the noninferiority of fosfomycin compared to ciprofloxacin as an oral step-down treatment for Escherichia coli febrile urinary tract infections (fUTIs) in women.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>This was a double-blind, randomized, controlled trial in 15 Dutch hospitals. Adult women who were receiving 2–5 days of empirical intravenous antimicrobials for E. coli fUTI were assigned to step-down treatment with once-daily 3g fosfomycin or twice-daily 0.5g ciprofloxacin for 10 days of total antibiotic treatment. For the primary end point, clinical cure at days 6–10 post-end of treatment (PET), a noninferiority margin of 10% was chosen. The trial was registered on Trialregister.nl (NTR6449).</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>After enrollment of 97 patients between 2017 and 2020, the trial ended prematurely because of the coronavirus disease 2019 pandemic. The primary end point was met in 36 of 48 patients (75.0%) assigned to fosfomycin and 30 of 46 patients (65.2%) assigned to ciprofloxacin (risk difference [RD], 9.6%; 95% confidence interval [CI]: –8.8% to 28.0%). In patients assigned to fosfomycin and ciprofloxacin, microbiological cure at days 6–10 PET occurred in 29 of 37 (78.4%) and 33 of 35 (94.3%; RD, –16.2%; 95% CI: –32.7 to –0.0%). Any gastrointestinal adverse event was reported in 25 of 48 (52.1%) and 14 of 46 (30.4%) patients (RD, 20.8%; 95% CI: 1.6% to 40.0%), respectively.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>Fosfomycin is noninferior to ciprofloxacin as oral step-down treatment for fUTI caused by E. coli in women. Fosfomycin use is associated with more gastrointestinal events.</jats:p> </jats:sec> <jats:sec> <jats:title>Clinical Trial Registration</jats:title> <jats:p>Trial NL6275 (NTR6449).</jats:p> </jats:sec>
  • Access State: Open Access