Abstract
Twenty-two adult patients with urinary tract infections caused by penicillin-resistant bacteria completed treatment with amoxicillin alone or amoxicillin plus clavulanic acid in a randomized double-blind clinical trial. Of the 13 patients treated with amoxicillin plus clavulanic acid, the absence of bacteriuria within 7 days of therapy was observed in 85%, as compared with only 25% of the 8 patients receiving amoxicillin only. There were no significant side effects nor any clinical, biochemical, or hematological abnormalities related to either treatment. It was concluded that the combination of clavulanic acid and amoxicillin could be useful in the treatment of uncomplicated urinary tract infection caused by penicillin-resistant bacteria.
MeSH Terms
Amoxicillin/adverse effects,therapeutic use
Anti-Bacterial Agents/adverse effects,therapeutic use
Clavulanic Acid
Clinical Trials as Topic
Double-Blind Method
Drug Therapy, Combination
Female
Humans
Lactams/adverse effects,therapeutic use
Male
Middle Aged
Penicillin Resistance
Penicillins/therapeutic use
Urinary Tract Infections/drug therapy
Chemicals
Anti-Bacterial Agents
Lactams
Penicillins
Clavulanic Acid
Amoxicillin
Authors & Affiliations
4 authors, click to expand affiliations / ORCID
Martinelli R
Lopes A A
de Oliveira M M
Rocha H
References (10)
10 references, click to expand
-
Antibiotic susceptibility testing by a standardized single disk method.
Am J Clin Pathol. 1966 Apr;45(4):493-6
PMID: 5325707
-
Relapse and reinfection in chronic bacteriuria. II. The correlation between site of infection and pattern of recurrence in chronic bacteriuria.
N Engl J Med. 1968 Feb 22;278(8):422-7
PMID: 4965965
-
Clavulanic acid: a beta-lactamase-inhiting beta-lactam from Streptomyces clavuligerus.
Antimicrob Agents Chemother. 1977 May;11(5):852-7
PMID: 879738
-
Sodium clavulanate potentiation of cephalosporin activity against clinical isolates of cephalothin-resistant Klebsiella pneumoniae.
Antimicrob Agents Chemother. 1978 Jul;14(1):118-25
PMID: 356723
-
THE LOCALIZATION AND TREATMENT OF URINARY TRACT INFECTIONS: THE ROLE OF BACTERICIDAL URINE LEVELS AS OPPOSED TO SERUM LEVELS.
Medicine (Baltimore). 1965 Jan;44:1-36
PMID: 14264351
-
[Kinetics of beta-lactamase inhibition by clavulanic acid].
Biochim Biophys Acta. 1978 Oct 12;526(2):572-9
PMID: 363163
-
The inhibition of staphylococcal beta-lactamase by clavulanic acid.
Biochem J. 1979 Apr 1;179(1):67-76
PMID: 38773
-
In vitro synergistic properties of clavulanic acid, with ampicillin, amoxycillin and ticarcillin.
J Antimicrob Chemother. 1980 Jul;6(4):455-70
PMID: 6968746
-
In vitro study of clavulanic acid in combination with penicillin, amoxycillin, and carbenicillin.
Antimicrob Agents Chemother. 1978 Mar;13(3):389-93
PMID: 122520
-
Combined activitiy of clavulanic acid and ticarcillin against ticarcillin-resistant, gram-negative bacilli.
Antimicrob Agents Chemother. 1978 Aug;14(2):224-7
PMID: 308792