PMID- 18945594 OWN - NLM STAT- MEDLINE DCOM- 20090310 LR - 20220408 IS - 0924-8579 (Print) IS - 0924-8579 (Linking) VI - 33 IP - 2 DP - 2009 Feb TI - Safety and tolerability of ertapenem versus ceftriaxone in a double-blind study performed in children with complicated urinary tract infection, community-acquired pneumonia or skin and soft-tissue infection. PG - 163-7 LID - 10.1016/j.ijantimicag.2008.08.005 [doi] AB - The carbapenem antibiotic ertapenem has been shown to be safe, well tolerated and effective in treating adults with complicated urinary tract infection, skin and soft-tissue infection and community-acquired pneumonia. In this study, we evaluated ertapenem for treating these infections in children in a randomised, double-blind, active-controlled clinical trial. The primary outcome was the incidence of clinical and laboratory drug-related serious adverse events (AEs). Children were randomised in a 3:1 ratio (ertapenem:ceftriaxone) stratified by index infection and age to receive ertapenem or ceftriaxone; 303 children received ertapenem and 100 children received ceftriaxone. The median duration of parenteral therapy was 4 days for both treatments. The most commonly reported drug-related clinical AEs during parenteral therapy were diarrhoea (5.9% ertapenem, 10% ceftriaxone), infusion site erythema (3% ertapenem, 2% ceftriaxone) and infusion site pain (5% ertapenem, 1% ceftriaxone). One child in each group reported a serious drug-related clinical AE. No serious drug-related laboratory AEs were reported. In children aged 3 months to 17 years, ertapenem was well tolerated and had a comparable safety profile to that of ceftriaxone. FAU - Arguedas, Adriano AU - Arguedas A AD - Instituto de Atencion Pediatrica, Universidad de Ciencias Medicas, Instituto Costarricense de Investigaciones Clinicas, San Jose, Costa Rica. aarguedas@iped.net FAU - Cespedes, Jaime AU - Cespedes J FAU - Botet, Francesc Aseni AU - Botet FA FAU - Blumer, Jeffrey AU - Blumer J FAU - Yogev, Ram AU - Yogev R FAU - Gesser, Richard AU - Gesser R FAU - Wang, Jean AU - Wang J FAU - West, Joseph AU - West J FAU - Snyder, Theresa AU - Snyder T FAU - Wimmer, Wendy AU - Wimmer W CN - Protocol 036 Study Group LA - eng SI - ClinicalTrials.gov/NCT00451386 PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20081021 PL - Netherlands TA - Int J Antimicrob Agents JT - International journal of antimicrobial agents JID - 9111860 RN - 0 (Anti-Bacterial Agents) RN - 0 (beta-Lactams) RN - 75J73V1629 (Ceftriaxone) RN - G32F6EID2H (Ertapenem) SB - IM MH - Adolescent MH - Anti-Bacterial Agents/*adverse effects/therapeutic use MH - Ceftriaxone/*adverse effects/therapeutic use MH - Child MH - Child, Preschool MH - Community-Acquired Infections MH - Double-Blind Method MH - Ertapenem MH - Female MH - Humans MH - Infant MH - Male MH - Molecular Sequence Data MH - Pneumonia, Bacterial/*drug therapy MH - Skin Diseases, Bacterial/*drug therapy MH - Soft Tissue Infections/*drug therapy MH - Urinary Tract Infections/*drug therapy MH - beta-Lactams/*adverse effects/therapeutic use FIR - Ardila, Margarita IR - Ardila M FIR - Arrieta, Antonio IR - Arrieta A FIR - Azimi, Parvin IR - Azimi P FIR - Bradley, John IR - Bradley J FIR - Chatterjee, Archana IR - Chatterjee A FIR - Cizman, Milan IR - Cizman M FIR - Clark, William IR - Clark W FIR - Domachowske, Joseph IR - Domachowske J FIR - Galaz, Maria Isabel IR - Galaz MI FIR - Garces, Raquel IR - Garces R FIR - de Miguel, Maria Garcia IR - de Miguel MG FIR - Georgescu, Andrian IR - Georgescu A FIR - Hahn, Deidre IR - Hahn D FIR - Heystek, Martinus IR - Heystek M FIR - Koh, Mia IR - Koh M FIR - La Via, William IR - La Via W FIR - Ledermann, Walter IR - Ledermann W FIR - Lieberman, Jay IR - Lieberman J FIR - Mani, Chitra IR - Mani C FIR - Reigada, Carmen Otero IR - Reigada CO FIR - Rodrigues, Ana IR - Rodrigues A FIR - Rodriguez, Adib IR - Rodriguez A FIR - Rowen, Judith IR - Rowen J FIR - Rudoy, Raul IR - Rudoy R FIR - Ruiz-Contreras, Jesus IR - Ruiz-Contreras J FIR - SanJoaquin, Venusto IR - SanJoaquin V FIR - Segura, Libia IR - Segura L FIR - Stein, Renato IR - Stein R FIR - Suarez, Jose IR - Suarez J FIR - Tamarit, Desamparados Perez IR - Tamarit DP FIR - Tan, Kah IR - Tan K FIR - Thurmann, Petra IR - Thurmann P FIR - Van Dyk, Jacobus IR - Van Dyk J FIR - Velasco-Bernardo, Rosa IR - Velasco-Bernardo R FIR - Yap, Hui Kim IR - Yap HK FIR - Zielen, Stefan IR - Zielen S EDAT- 2008/10/24 09:00 MHDA- 2009/03/11 09:00 CRDT- 2008/10/24 09:00 PHST- 2008/03/27 00:00 [received] PHST- 2008/07/24 00:00 [revised] PHST- 2008/08/01 00:00 [accepted] PHST- 2008/10/24 09:00 [pubmed] PHST- 2009/03/11 09:00 [medline] PHST- 2008/10/24 09:00 [entrez] AID - S0924-8579(08)00383-X [pii] AID - 10.1016/j.ijantimicag.2008.08.005 [doi] PST - ppublish SO - Int J Antimicrob Agents. 2009 Feb;33(2):163-7. doi: 10.1016/j.ijantimicag.2008.08.005. Epub 2008 Oct 21.