|
|
West J Med. 1994 January; 160(1): 31–37. | PMCID: PMC1022251 |
The new macrolides. Azithromycin and clarithromycin. M S Kanatani and B J Guglielmo Division of Clinical Pharmacy, University of California, School of Pharmacy, San Francisco 94143-0622. Abstract Clarithromycin and azithromycin are among the new generation of macrolides that have recently been approved for use. Compared with currently available antibiotics, these agents may be given less frequently and, in the case of azithromycin, for a shorter duration. In vitro data suggest an antimicrobial advantage of both clarithromycin and azithromycin against atypical mycobacterial and toxoplasmal species and possibly Haemophilus influenzae. The cost of both these agents is substantially higher than that of erythromycin and doxycycline, although the convenience of single-dose azithromycin is appealing compared with a 7-day course of doxycycline for chlamydial urethritis and cervicitis. These agents appear to offer advantages over erythromycin in the treatment of Mycobacterium avium-intracellulare. Additional data are needed to establish their role in other bacterial infections. Full text Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1.4M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References. These references are in PubMed. This may not be the complete list of references from this article. - Bahal N, Nahata MC. The new macrolide antibiotics: azithromycin, clarithromycin, dirithromycin, and roxithromycin. Ann Pharmacother. 1992 Jan;26(1):46–55. [PubMed]
- Wilson JT, van Boxtel CJ. Pharmacokinetics of Erythromycin in man. Antibiot Chemother. 1978;25:181–203. [PubMed]
- Neu HC. The development of macrolides: clarithromycin in perspective. J Antimicrob Chemother. 1991 Feb;27 Suppl A:1–9. [PubMed]
- Davey PG. The pharmacokinetics of clarithromycin and its 14-OH metabolite. J Hosp Infect. 1991 Sep;19 Suppl A:29–37. [PubMed]
- Hardy DJ, Guay DR, Jones RN. Clarithromycin, a unique macrolide. A pharmacokinetic, microbiological, and clinical overview. Diagn Microbiol Infect Dis. 1992 Jan;15(1):39–53. [PubMed]
- Drew RH, Gallis HA. Azithromycin--spectrum of activity, pharmacokinetics, and clinical applications. Pharmacotherapy. 1992;12(3):161–173. [PubMed]
- Hopkins S. Clinical toleration and safety of azithromycin. Am J Med. 1991 Sep 12;91(3A):40S–45S. [PubMed]
- Ball P. The future role and importance of macrolides. J Hosp Infect. 1991 Sep;19 Suppl A:47–59. [PubMed]
- Lode H. The pharmacokinetics of azithromycin and their clinical significance. Eur J Clin Microbiol Infect Dis. 1991 Oct;10(10):807–812. [PubMed]
- Neu HC. New macrolide antibiotics: azithromycin and clarithromycin. Ann Intern Med. 1992 Mar 15;116(6):517–519. [PubMed]
- Dark D. Multicenter evaluation of azithromycin and cefaclor in acute lower respiratory tract infections. Am J Med. 1991 Sep 12;91(3A):31S–35S. [PubMed]
- Williams JD. Spectrum of activity of azithromycin. Eur J Clin Microbiol Infect Dis. 1991 Oct;10(10):813–820. [PubMed]
- Davies BI, Maesen FP, Gubbelmans R. Azithromycin (CP-62,993) in acute exacerbations of chronic bronchitis: an open clinical, microbiological and pharmacokinetic study. J Antimicrob Chemother. 1989 May;23(5):743–751. [PubMed]
- Hardy DJ, Swanson RN, Rode RA, Marsh K, Shipkowitz NL, Clement JJ. Enhancement of the in vitro and in vivo activities of clarithromycin against Haemophilus influenzae by 14-hydroxy-clarithromycin, its major metabolite in humans. Antimicrob Agents Chemother. 1990 Jul;34(7):1407–1413. [PubMed]
- Rastogi N, Labrousse V. Extracellular and intracellular activities of clarithromycin used alone and in association with ethambutol and rifampin against Mycobacterium avium complex. Antimicrob Agents Chemother. 1991 Mar;35(3):462–470. [PubMed]
- Stauffer F, Dörtbudak O, Lahonik E. In vitro testing of clarithromycin in combination with ethambutol and rifampicin against Mycobacterium avium complex. Infection. 1991 Sep–Oct;19(5):343–345. [PubMed]
- Brown BA, Wallace RJ, Jr, Onyi GO, De Rosas V, Wallace RJ., 3rd Activities of four macrolides, including clarithromycin, against Mycobacterium fortuitum, Mycobacterium chelonae, and M. chelonae-like organisms. Antimicrob Agents Chemother. 1992 Jan;36(1):180–184. [PubMed]
- Young LS, Wiviott L, Wu M, Kolonoski P, Bolan R, Inderlied CB. Azithromycin for treatment of Mycobacterium avium-intracellulare complex infection in patients with AIDS. Lancet. 1991 Nov 2;338(8775):1107–1109. [PubMed]
- Preac-Mursic V, Wilske B, Schierz G, Süss E, Gross B. Comparative antimicrobial activity of the new macrolides against Borrelia burgdorferi. Eur J Clin Microbiol Infect Dis. 1989 Jul;8(7):651–653. [PubMed]
- Mursic VP, Wilske B, Schierz G, Holmburger M, Süss E. In vitro and in vivo susceptibility of Borrelia burgdorferi. Eur J Clin Microbiol. 1987 Aug;6(4):424–426. [PubMed]
- Ridgway GL, Mumtaz G, Fenelon L. The in-vitro activity of clarithromycin and other macrolides against the type strain of Chlamydia pneumoniae (TWAR). J Antimicrob Chemother. 1991 Feb;27 Suppl A:43–45. [PubMed]
- Steingrimsson O, Olafsson JH, Thorarinsson H, Ryan RW, Johnson RB, Tilton RC. Azithromycin in the treatment of sexually transmitted disease. J Antimicrob Chemother. 1990 Jan;25 Suppl A:109–114. [PubMed]
- Martin DH, Mroczkowski TF, Dalu ZA, McCarty J, Jones RB, Hopkins SJ, Johnson RB. A controlled trial of a single dose of azithromycin for the treatment of chlamydial urethritis and cervicitis. The Azithromycin for Chlamydial Infections Study Group. N Engl J Med. 1992 Sep 24;327(13):921–925. [PubMed]
- Anderson G. Clarithromycin in the treatment of community-acquired lower respiratory tract infections. J Hosp Infect. 1991 Sep;19 Suppl A:21–27. [PubMed]
- Levenstein JH. Clarithromycin versus penicillin in the treatment of streptococcal pharyngitis. J Antimicrob Chemother. 1991 Feb;27 Suppl A:67–74. [PubMed]
- Bachand RT., Jr A comparative study of clarithromycin and penicillin VK in the treatment of outpatients with streptococcal pharyngitis. J Antimicrob Chemother. 1991 Feb;27 Suppl A:75–82. [PubMed]
- Scaglione F. Comparison of the clinical and bacteriological efficacy of clarithromycin and erythromycin in the treatment of streptococcal pharyngitis. Curr Med Res Opin. 1990;12(1):25–33. [PubMed]
- Hamedani P, Ali J, Hafeez S, Bachand R, Jr, Dawood G, Quereshi S, Raza R, Yab Z. The safety and efficacy of clarithromycin in patients with Legionella pneumonia. Chest. 1991 Dec;100(6):1503–1506. [PubMed]
- Cassell GH, Drnec J, Waites KB, Pate MS, Duffy LB, Watson HL, McIntosh JC. Efficacy of clarithromycin against Mycoplasma pneumoniae. J Antimicrob Chemother. 1991 Feb;27 Suppl A:47–59. [PubMed]
- Wallace RJ, Jr, Brown BA, Onyi GO. Skin, soft tissue, and bone infections due to Mycobacterium chelonae chelonae: importance of prior corticosteroid therapy, frequency of disseminated infections, and resistance to oral antimicrobials other than clarithromycin. J Infect Dis. 1992 Aug;166(2):405–412. [PubMed]
- Dautzenberg B, Truffot C, Legris S, Meyohas MC, Berlie HC, Mercat A, Chevret S, Grosset J. Activity of clarithromycin against Mycobacterium avium infection in patients with the acquired immune deficiency syndrome. A controlled clinical trial. Am Rev Respir Dis. 1991 Sep;144(3 Pt 1):564–569. [PubMed]
- Dautzenberg B, Saint Marc T, Meyohas MC, Eliaszewitch M, Haniez F, Rogues AM, De Wit S, Cotte L, Chauvin JP, Grosset J. Clarithromycin and other antimicrobial agents in the treatment of disseminated Mycobacterium avium infections in patients with acquired immunodeficiency syndrome. Arch Intern Med. 1993 Feb 8;153(3):368–372. [PubMed]
- Fernandez-Martin J, Leport C, Morlat P, Meyohas MC, Chauvin JP, Vilde JL. Pyrimethamine-clarithromycin combination for therapy of acute Toxoplasma encephalitis in patients with AIDS. Antimicrob Agents Chemother. 1991 Oct;35(10):2049–2052. [PubMed]
- Dannemann B, McCutchan JA, Israelski D, Antoniskis D, Leport C, Luft B, Nussbaum J, Clumeck N, Morlat P, Chiu J, et al. Treatment of toxoplasmic encephalitis in patients with AIDS. A randomized trial comparing pyrimethamine plus clindamycin to pyrimethamine plus sulfadiazine. The California Collaborative Treatment Group. Ann Intern Med. 1992 Jan 1;116(1):33–43. [PubMed]
- Lassus A. Comparative studies of azithromycin in skin and soft-tissue infections and sexually transmitted infections by Neisseria and Chlamydia species. J Antimicrob Chemother. 1990 Jan;25 Suppl A:115–121. [PubMed]
- Schönwald S, Gunjaca M, Kolacny-Babić L, Car V, Gosev M. Comparison of azithromycin and erythromycin in the treatment of atypical pneumonias. J Antimicrob Chemother. 1990 Jan;25 Suppl A:123–126. [PubMed]
- Araujo FG, Guptill DR, Remington JS. Azithromycin, a macrolide antibiotic with potent activity against Toxoplasma gondii. Antimicrob Agents Chemother. 1988 May;32(5):755–757. [PubMed]
- Mallory SB. Azithromycin compared with cephalexin in the treatment of skin and skin structure infections. Am J Med. 1991 Sep 12;91(3A):36S–39S. [PubMed]
- Hooton TM. A comparison of azithromycin and penicillin V for the treatment of streptococcal pharyngitis. Am J Med. 1991 Sep 12;91(3A):23S–26S. [PubMed]
- Felstead SJ, Daniel R. Short-course treatment of sinusitis and other upper respiratory tract infections with azithromycin: a comparison with erythromycin and amoxycillin. European Azithromycin Study Group. J Int Med Res. 1991 Sep–Oct;19(5):363–372. [PubMed]
- Daniel R. Simplified treatment of acute lower respiratory tract infection with azithromycin: a comparison with erythromycin and amoxycillin. European Azithromycin Study Group. J Int Med Res. 1991 Sep–Oct;19(5):373–383. [PubMed]
- Chang HR, Pechère JC. In vitro effects of four macrolides (roxithromycin, spiramycin, azithromycin [CP-62,993], and A-56268) on Toxoplasma gondii. Antimicrob Agents Chemother. 1988 Apr;32(4):524–529. [PubMed]
- Wood MJ. The tolerance and toxicity of clarithromycin. J Hosp Infect. 1991 Sep;19 Suppl A:39–46. [PubMed]
|