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. 1996 Mar;40(3):809–811. doi: 10.1128/aac.40.3.809

Efficacy of clarithromycin versus that of clindamycin for single-dose prophylaxis of experimental streptococcal endocarditis.

D Vermot 1, J M Entenza 1, J Vouillamoz 1, M P Glauser 1, P Moreillon 1
PMCID: PMC163207  PMID: 8851620

Abstract

Clarithromycin is compared with clindamycin for single-dose prophylaxis of streptococcal endocarditis in rats. Human-like kinetics of the two antibiotics prevented endocarditis in animals challenged with both small and large amounts of bacterial inocula. Clarithromycin was marginally superior to clindamycin against small amounts of inocula. Clarithromycin may be considered for endocarditis chemoprophylaxis in human.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bayer A. S., Tu J. Chemoprophylactic efficacy against experimental endocarditis caused by beta-lactamase-producing, aminoglycoside-resistant enterococci is associated with prolonged serum inhibitory activity. Antimicrob Agents Chemother. 1990 Jun;34(6):1068–1074. doi: 10.1128/aac.34.6.1068. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Chu S., Park Y., Locke C., Wilson D. S., Cavanaugh J. C. Drug-food interaction potential of clarithromycin, a new macrolide antimicrobial. J Clin Pharmacol. 1992 Jan;32(1):32–36. doi: 10.1002/j.1552-4604.1992.tb03784.x. [DOI] [PubMed] [Google Scholar]
  3. Dajani A. S., Bisno A. L., Chung K. J., Durack D. T., Freed M., Gerber M. A., Karchmer A. W., Millard H. D., Rahimtoola S., Shulman S. T. Prevention of bacterial endocarditis. Recommendations by the American Heart Association. JAMA. 1990 Dec 12;264(22):2919–2922. [PubMed] [Google Scholar]
  4. Entenza J. M., Blatter M., Glauser M. P., Moreillon P. Parenteral sparfloxacin compared with ceftriaxone in treatment of experimental endocarditis due to penicillin-susceptible and -resistant streptococci. Antimicrob Agents Chemother. 1994 Dec;38(12):2683–2688. doi: 10.1128/aac.38.12.2683. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Fluckiger U., Francioli P., Blaser J., Glauser M. P., Moreillon P. Role of amoxicillin serum levels for successful prophylaxis of experimental endocarditis due to tolerant streptococci. J Infect Dis. 1994 Jun;169(6):1397–1400. doi: 10.1093/infdis/169.6.1397. [DOI] [PubMed] [Google Scholar]
  6. Gatti G., Flaherty J., Bubp J., White J., Borin M., Gambertoglio J. Comparative study of bioavailabilities and pharmacokinetics of clindamycin in healthy volunteers and patients with AIDS. Antimicrob Agents Chemother. 1993 May;37(5):1137–1143. doi: 10.1128/aac.37.5.1137. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Glauser M. P., Bernard J. P., Moreillon P., Francioli P. Successful single-dose amoxicillin prophylaxis against experimental streptococcal endocarditis: evidence for two mechanisms of protection. J Infect Dis. 1983 Mar;147(3):568–575. doi: 10.1093/infdis/147.3.568. [DOI] [PubMed] [Google Scholar]
  8. Hall G., Hedström S. A., Heimdahl A., Nord C. E. Prophylactic administration of penicillins for endocarditis does not reduce the incidence of postextraction bacteremia. Clin Infect Dis. 1993 Aug;17(2):188–194. doi: 10.1093/clinids/17.2.188. [DOI] [PubMed] [Google Scholar]
  9. Héraïef E., Glauser M. P., Freedman L. R. Natural history of aortic valve endocarditis in rats. Infect Immun. 1982 Jul;37(1):127–131. doi: 10.1128/iai.37.1.127-131.1982. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Moreillon P., Francioli P., Overholser D., Meylan P., Glauser M. P. Mechanisms of successful amoxicillin prophylaxis of experimental endocarditis due to Streptococcus intermedius. J Infect Dis. 1986 Nov;154(5):801–807. doi: 10.1093/infdis/154.5.801. [DOI] [PubMed] [Google Scholar]
  11. Moreillon P., Overholser C. D., Malinverni R., Bille J., Glauser M. P. Predictors of endocarditis in isolates from cultures of blood following dental extractions in rats with periodontal disease. J Infect Dis. 1988 May;157(5):990–995. doi: 10.1093/infdis/157.5.990. [DOI] [PubMed] [Google Scholar]
  12. Sabath L. D., Wheeler N., Laverdiere M., Blazevic D., Wilkinson B. J. A new type of penicillin resistance of Staphylococcus aureus. Lancet. 1977 Feb 26;1(8009):443–447. doi: 10.1016/s0140-6736(77)91941-9. [DOI] [PubMed] [Google Scholar]
  13. Simmons N. A. Recommendations for endocarditis prophylaxis. The Endocarditis Working Party for Antimicrobial Chemotherapy. J Antimicrob Chemother. 1993 Mar;31(3):437–438. doi: 10.1093/jac/31.3.437. [DOI] [PubMed] [Google Scholar]
  14. Swartzberg J. E., Maresca R. M., Remington J. S. Gastrointestinal side effects associated with clinidamycin. 1,000 consecutive patients. Arch Intern Med. 1976 Aug;136(8):876–879. [PubMed] [Google Scholar]

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