PMID- 18057480 OWN - NLM STAT- MEDLINE DCOM- 20100222 LR - 20231213 IS - 0974-7559 (Electronic) IS - 0019-6061 (Linking) VI - 44 IP - 11 DP - 2007 Nov TI - Cefpodoxime proxetil compared with cefixime for treatment of typhoid fever in children. PG - 838-41 AB - In order to evaluate clinical and bacteriological efficacy of Cefpodoxime Proxetil (CP) in typhoid fever in comparison to cefixime (CF), we assessed 140 children with suspected typhoid fever. Fulfilling inclusion criteria finally 40 culture confirmed typhoid fever were allocated in randomized double blind clinical trial (RCT) to receive therapy with either oral CP (16 mg/kg/day, n = 21) or oral CF (20 mg/kg/day, n = 19) for 10 days. The two groups were comparable in their clinical and baseline characteristics. The clinical efficacy was similar in the two groups with only 2 (one in each group) clinical failures and all showing bacteriological eradication on subsequent blood culture. The time of defervescence was comparable in both groups (4.87 Fluconazole Prophylaxis against Fungal Colonization and Invasive Fungal Infection in Very Low Birth Weight Infants 2.33 vs 4.27 +/- 2.28 days, P = 0.308), with no relapse during 3 months follow up and no significant adverse effect. CP reduced the treatment cost by 33% in comparison to cefixime. Our study suggests CP is effective, safe and cheaper oral option for treatment of typhoid fever in children. FAU - Shakur, Md Salim AU - Shakur MS AD - Dhaka Shishu (Children) Hospital, ShereBangla Nagar, Dhaka 1207, Bangladesh. njshantu@yahoo.com FAU - Arzuman, Selina Akhter Laila AU - Arzuman SA FAU - Hossain, Jesmin AU - Hossain J FAU - Mehdi, Hasan AU - Mehdi H FAU - Ahmed, Mesbahuddin AU - Ahmed M LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - India TA - Indian Pediatr JT - Indian pediatrics JID - 2985062R RN - 0 (Anti-Bacterial Agents) RN - 97I1C92E55 (Cefixime) RN - C43C467DPE (Ceftizoxime) SB - IM MH - Anti-Bacterial Agents/*therapeutic use MH - Cefixime/*therapeutic use MH - Ceftizoxime/*analogs & derivatives/therapeutic use MH - Child MH - Child, Preschool MH - Double-Blind Method MH - Female MH - Humans MH - Infant MH - Male MH - Typhoid Fever/*drug therapy MH - Cefpodoxime Proxetil EDAT- 2007/12/07 09:00 MHDA- 2010/02/23 06:00 CRDT- 2007/12/07 09:00 PHST- 2007/12/07 09:00 [pubmed] PHST- 2010/02/23 06:00 [medline] PHST- 2007/12/07 09:00 [entrez] PST - ppublish SO - Indian Pediatr. 2007 Nov;44(11):838-41.