BMJ  2007;334:560 (17 March), doi:10.1136/bmj.39140.628600.BE

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Topical azithromycin is effective for conjunctivitis

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A three day course of a new preparation of azithromycin (1.5% eye drops (Azyter)) is as effective and safe as seven days of tobramycin 3% in treating purulent bacterial conjunctivitis. A multicentre, randomised, single blind trial recruited 1043 children and adults, of whom 471 had an initial positive bacterial culture and no major deviation from protocol. On an intention to treat analysis, the clinical cure rate at days 8-10 was 87.8% for azithromycin and 89.4% for tobramycin. The only adverse event was a burning sensation on application: four patients complained of this.

The authors recommend the new preparation, especially for children, because of its reduced dosage regimen—twice daily for three days only—rather than one drop of tobramycin every two hours for the first two days, followed by four times daily for five days. The trial was funded by Laboratoires Théa, the manufacturer of the eye drops used in the study.

    Br J Ophthalmol Oct 2006; doi: 10.1136/bjo.2006.10355610.1136/bjo.2006.103556[Abstract/Free Full Text]

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BMJ 2007 334: 389. [Extract] [Full Text] [PDF]




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