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. 2023 May 23;12(6):944. doi: 10.3390/antibiotics12060944

Table 2.

Randomised controlled trials: Oral antibiotic therapy or short-term parenteral therapy (<2 weeks) followed by oral antibiotic therapy vs. parenteral antibiotic therapy.

Article Year Osteomyelitis Type Sample Size Investigation Exclusion Criteria Results
Li et al. [25] 2019 Bone and joint infection, including infection of osteosynthetic material 1054 Standard oral vs. standard IV S. aureus bacteraemia; endocarditis, concomitant infection requiring prolonged antibiotics; mild osteomyelitis; no suitable antibiotic choices to permit randomisation; septic shock; unlikely to comply with trial; mycobacterial, fungal, parasitic, or viral infection Non-inferiority of oral therapy to parenteral therapy. Treatment failure at 1 year 13.2% vs. 14.6% respectively
Azamgarhi
et al. [26]
2021 Bone and joint infection 328 Standard oral vs. standard IV Not available OVIVA trial findings can be safely implemented into clinical practice
Gentry et al. [27] 1991 Non-prosthesis osteomyelitis 33 Ofloxacin vs. cephalosporin Multiple sites of infection, retained prosthetic material, bacteremia Ofloxacin statistically non- inferior to IV antibiotics
Gentry et al. [28] 1990 Osteomyelitis after surgical debridement 59 Ciprofloxacin vs. beta-lactam + aminoglycoside Septicemia, MRSA Ciprofloxacin statistically non-inferior to IV antibiotics
Gomis et al. [29] 1985 Osteomyelitis including prosthesis infection 32 Ofloxacin vs. imipenem Not available Ofloxacin non-inferior to IV imipenem-cilastatin
Euba et al. [30] 2009 Non-axial
Staphylococcus aureus osteomyelitis
50 TMP-SMX + rifampicin vs. cloxacillin Prosthetic joint infection, polymicrobial 8 weeks of co-trimoxazole non inferior to or 6 weeks of IV + 2 weeks of PO oxacillin

Legend: IV—intravenous, MRSA—Methicillin resistant Staphylococcus aureus, TMP-SMX—trimethoprim-sulfamethoxazole.