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Comparison of Ampicillin, Trimethoprim-Sulfamethoxazole and Rifampin therapy for Shigellosis in Admitted patients.

Journal of the Korean Pediatric Society 1981;24(4):298-303.
Published online April 15, 1981.
Comparison of Ampicillin, Trimethoprim-Sulfamethoxazole and Rifampin therapy for Shigellosis in Admitted patients.
Jae Phil Kim, Hyang Suk Yoon, Gong Ihn Kwun, Hyung Suck Byun, Kyung Yonng Huh, Chull Sohn
Department of Pediatrics, School of Medicine, Chonnam University, Kwangju, Korea.
세균성 이질에 대한 Ampicillin, Trimethoprim-Sulfamethoxazole,Rifampin의 치료 효과 비교
김재필, 윤향석, 권공인, 변형석, 허경룡, 손철
전남대학교 의과대학 소아과학교실
Abstract
Forty-Five cases of Shigellosis were treated with Ampicillin, TMP/SMX and Rifampin from April 1980. to November 1980. Of the 18 strains of shigellae, in-vitro sensitivity test was performed against twelve antimicrobial agents. The percentage of resistant strains was 77.8% in Ampicillin and 100% in TMP/SMX. Inhibition zone diameter by Rifampin disc was 8~10mm in all cases and clinical improvement with treatment was noted in nearly all cases, therefore we regarded inhibition zone diameter above 8mm sensitive to Rifampin. In clinical evaluation, the percentage of effectiveness by antibiotics was as follows; Ampicillin-60%, TMP/SMX-70% and Rifampin-93.3%. Rifampin appears to be the best, available drug bacteriologically and clinically for the treatment of Shilgellosis.
Key Words: Sensitivty test, Inhibition zone diameter, Effectiveness


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