Infectious exacerbation of chronic obstructive pulmonary disease: prospects for high-dose levofloxacin therapy

• Published in: Klinicheskaia meditsina Vol. 91; no. 3; p. 44
• Main Authors: Astaf'ev, A V, Styrt, E A, Sinopal'nikov, A I
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 2013
• Subjects: Aged; Amoxicillin-Potassium Clavulanate Combination - administration & dosage; Amoxicillin-Potassium Clavulanate Combination - adverse effects; Amoxicillin-Potassium Clavulanate Combination - economics; Amoxicillin-Potassium Clavulanate Combination - pharmacology; Anti-Bacterial Agents - administration & dosage; Anti-Bacterial Agents - adverse effects; Anti-Bacterial Agents - economics; Anti-Bacterial Agents - pharmacology; Female; Humans; Levofloxacin; Male; Middle Aged; Ofloxacin - administration & dosage; Ofloxacin - adverse effects; Ofloxacin - economics; Ofloxacin - pharmacology; Pulmonary Disease, Chronic Obstructive - drug therapy; Pulmonary Disease, Chronic Obstructive - microbiology; Treatment Outcome
• ISSN: 0023-2149

This open comparative randomized study of efficacy, safety, and pharmacoeconomic characteristics of hilifox-750 (750 mg daily for 5 days) and amoxiclav 2X (875/125 mg twice daily for 10 days) included 60 patients with chronic obstructive pulmonary disease (COPD). Duration of the study was 6 months. Medians of age and smoking index in the group treated with hilifox-750 were 63.5 yr (59, 67) and 30 packs/yr (15, 60) respectively. The treatment reduced cough, apnea, sputum volume and pyoptysis with comparative rates of normalization of body temperature and peripheral leukocyte counts in both groups. Helifox-750 promoted decrease in coughing and apnea within the first three days of therapy. 28 (93%) and 26 (87%) patients recovered by day 4 of helifox and amoxiclav therapy (F-test p = 0.67). Both drugs showed comparable bacteriological efficacy. They were not different in terms of side effect frequency that were mild, resolved spontaneously and did not require withdrawal of therapy. Helifox had advantages over amoxiclav in that it reduced duration of antibacterial therapy to 5 days and of temporary incapacity to 12 days (vs 14); moreover, it needs to be taken only once daily.