Treatment of bone and joint infections caused by Gram-negative bacilli with a cefepime-fluoroquinolone combination

Clin Microbiol Infect. 2006 Oct;12(10):1030-3. doi: 10.1111/j.1469-0691.2006.01523.x.

Abstract

A 3-year retrospective study evaluated the effectiveness and safety of cefepime plus a fluoroquinolone for treating bone and joint infections caused by Gram-negative bacilli (GNB) in 28 patients. Intra-operative cultures yielded primarily Pseudomonas spp. and Enterobacter cloacae. Full recovery (cure) was observed in 79% of patients. There were no serious adverse effects and no resistant organisms were isolated. The results of the study confirmed the safety and effectiveness of cefepime combined with a fluoroquinolone for the treatment of bone and joint infections caused by Gram-negative bacilli.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / therapeutic use
  • Bone Diseases, Infectious / drug therapy*
  • Cefepime
  • Cephalosporins / administration & dosage*
  • Cephalosporins / therapeutic use
  • Ciprofloxacin / administration & dosage*
  • Ciprofloxacin / therapeutic use
  • Drug Therapy, Combination
  • Female
  • Gram-Negative Bacterial Infections / drug therapy*
  • Humans
  • Joint Diseases / drug therapy*
  • Male
  • Middle Aged
  • Ofloxacin / administration & dosage*
  • Ofloxacin / therapeutic use
  • Retrospective Studies

Substances

  • Anti-Bacterial Agents
  • Cephalosporins
  • Ciprofloxacin
  • Cefepime
  • Ofloxacin