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. 2018 Sep 24;2018(9):CD002150. doi: 10.1002/14651858.CD002150.pub2

NCT00568711.

Trial name or title Controlled Trial: 5‐Day Course of Rifampin Versus Doxycycline for the Treatment of Mild to Moderate Scrub Typhus
Methods RCT
Participants Inclusion criteria
  • Adults 18 years of age or older

  • Fever higher than 37.5˚C

  • Concurrent presence of eschar or a maculopapular skin rash; and clear presence of more than 2 symptoms such as headache, malaise, myalgia, coughing, nausea, and abdominal discomfort

  • Patients hospitalized between 2006 and 2009 at Chosun University Hospital in Gwangju, South Korea, or at one of its 2 community‐based affiliated hospitals, all of which are located in southwestern Korea


Exclusion criteria
  • Inability to take oral medications

  • Pregnancy

  • Hypersensitivity to trial drugs

  • Previous drug therapy with potential anti‐rickettsial activity (for example, rifampicin, chloramphenicol, macrolides, fluoroquinolones, tetracyclines) within 48 hours before admission

  • Severe scrub typhus (shock requiring vasopressor therapy for longer than 1 hour)

  • Stuporous or comatose level of consciousness

  • Respiratory failure requiring mechanical ventilation or renal failure requiring immediate dialysis

  • For the differential diagnosis of scrub typhus from other diseases with similar symptoms (for example, murine typhus, leptospirosis, haemorrhagic fever with renal syndrome, systemic lupus erythematosus), patients underwent diagnostic tests. We thus excluded patients with concurrent infections at risk for causing different outcomes

Interventions
  • 5‐day rifampin therapy

  • 5‐day doxycycline therapy

Outcomes
  • Fever clearance time

  • Cure

  • Failure

  • Relapse

Starting date September 2006
Expected completion: December 2009
Unknown recruitment status
Contact information Prof. Dong‐Min Kim
 drongkim@chosun.ac.kr; Chosun University Hospital, Kwangju, Jeollanamdo, South Korea
Notes Location: Chosun University Hospital, or one of its 2 community‐based affiliated hospitals, all of which are located in southwestern Korea
Study ID number: NCT00568711