Efficacy of intravenous clindamycin and methicillin in gram-positive soft tissue infections

Annals of Surgery
|February 1, 1975
PubMed

Insights

Clindamycin phosphate and methicillin effectively treated soft tissue infections caused by gram-positive bacteria. Both antibiotics showed comparable efficacy and adverse effects, making clindamycin a viable alternative to methicillin.

Area of Science:

  • Infectious Diseases
  • Pharmacology
  • Surgical Infections

Background:

  • Soft tissue infections caused by gram-positive organisms, particularly staphylococci, are common in general surgery.
  • Effective antibiotic therapy is crucial as an adjunct to surgical management.

Purpose of the Study:

  • To compare the efficacy and safety of intravenous clindamycin phosphate versus methicillin in treating soft tissue infections.
  • To evaluate clindamycin phosphate as a potential substitute for methicillin.

Main Methods:

  • A comparative study was conducted on a general surgical service.
  • Patients received either intravenous clindamycin phosphate or methicillin.
  • Infections were classified by severity, causative organisms (gram-positive, chiefly staphylococci), and site.

Main Results:

  • Both clindamycin and methicillin demonstrated excellent or good clinical and bacteriologic responses.
  • Adverse effects for both drugs were comparable.
  • Clindamycin phosphate proved effective as an adjunct to surgical therapy.

Conclusions:

  • Clindamycin phosphate is a satisfactory alternative to methicillin for treating soft tissue infections.
  • The study supports the use of clindamycin phosphate in managing gram-positive soft tissue infections.

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