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Early bactericidal activity of rifabutin versus that of placebo in treatment of disseminated Mycobacterium avium complex bacteremia in AIDS patients
Author(s) -
Bertrand Dautzenberg,
Paola Castellani,
JL Pellegrin,
Daniel Vittecoq,
C. Truffot-Pernot,
Nicoletta Pirotta,
D Sassella
Publication year - 1996
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.40.7.1722
Subject(s) - rifabutin , bacteremia , placebo , medicine , mycobacterium avium intracellulare infection , antibiotics , antibacterial agent , microbiology and biotechnology , mycobacterium avium complex , mycobacterium , gastroenterology , immunology , biology , tuberculosis , pathology , clarithromycin , alternative medicine
Rifabutin, 600 mg/day, was compared with a placebo in the early treatment of culture-proven Mycobacterium avium bacteremia in patients with AIDS. Following 14 days' treatment, bacteriological success, defined as a negative culture or a reduction in the number of CFU of M. avium organisms per milliliter of blood by a factor of > or = 0.5 log from the baseline, was observed in 7 of 10 (70%) evaluable rifabutin patients and in 1 of 13 (8%) evaluable placebo patients (P = 0.002). Rifabutin is active against M. avium as a single agent and can make a significant contribution to combination regimens for the treatment of disseminated M. avium infection in AIDS patients.

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