Eighty-five girls, ages 3-16, with a past history of recurrent urinary tract infections were treated for 10 days with either trimethoprim/sulfamethoxazole, ampicillin or cephalexin. Patients with normal roentgenograms as well as those with reflux and cortical scarring were included. In the 12 weeks following completion of treatment, a significantly lower recurrence rate was noted in children who received trimethoprim/sulfamethoxazole. There was no differ ence in the recurrence rate whether or not radiographic abnormalities were present. No serious side effects were noted with any drug regimen.
Get full access to this article
View all access options for this article.
References
1.
Harding GK, Ronald AR: Clinical experiences: genitourinary infections. A. Infections of the urinary tract. Efficacy of trimethoprim/sulfamethoxazole in bacteriuria. J Infect Dis128:641, 1973
2.
Harding GK, Ronald AR: A controlled study of antimicrobial prophylaxis of recurrent urinary infection in women. N Engl J Med291:597, 1974
3.
Kasanen A., Kaarsalo E., Hiltunen R., et al: Comparison of long-term, low-dosage nitrofurantoin, methenamine hippurate, trimethoprim and trimethoprim-sulphamethoxazole on the control of recurrent urinary tract infection. Ann Clin Res6:285, 1974
4.
Scherwin J., Holm P.: Long-term treatment with sulphamethoxazole/trimethoprim (Bactrim) and nitrofurantoin in chronic urinary tract infections. A controlled clinical trial. Chemotherapy23:282, 1977
5.
Stamey TA, Condy M., Mihara G.: Prophylactic efficacy of nitrofurantoin macrocrystals and trimethoprim-sulfamethoxazole in urinary infections. Biologic effects on the vaginal and rectal flora. N Engl J Med296:780, 1977
6.
Gleckman RA: Trimethoprim/sulfamethoxazole versus ampicillin in chronic urinary tract infections. A double-blind multicenter cooperative controlled study . JAMA233:427, 1975
7.
Gower PE, Tasker PR: Comparative double-blind study of cephalexin and co-trimoxazole in urinary tract infections. Br Med J1:684, 1976
8.
Bennett WM, Craven R.: Urinary tract infections in patients with severe renal disease. Treatment with ampicillin and trimethoprim/sulfamethoxazole. JAMA236:946, 1976
9.
Madsen ST: Trimethoprim and sulfphamethoxazole in urinary tract infections. A double-blind trial. Seand J Urol Nephrol7:184, 1973
10.
Bose W., Karama A., Linzenmeier G., et al: Controlled trial of cotrimoxazole in children with urinary-tract infection. Bacteriological efficacy and haematological toxicity. Lancet2:614, 1974
11.
Ellerstein NS, Sullivan TD, Baliah T., et al: Trimethoprim/sulfamethoxazole and ampicillin in the treatment of acute urinary tract infections in children: a double-blind study. Pediatrics60: 245, 1977
12.
Forbes DA, Drummond KN: Trimethoprim-sulfamethoxazole in recurrent urinary tract infection in children . J Infect Dis128:626, 1973
13.
Smellie JM, Gruneberg RN, Leakey A.: Long-term low-dosage co-trimoxazole in the management of urinary tract infection in children. J Antimicrob Chemother2:287, 1976
14.
Bauer AW, Kirby Wmm, Sherris JC, et al: Antibiotic susceptibility testing by a standardized single disk method. Am J Clin Pathol45:493, 1966
15.
Smellie JM, Gruneberg RN, Leakey A., et al: Long-term low-dose cotrimoxazole in prophylaxis of childhood urinary tract infection: clinical aspects. Br Med J2:203, 1976