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[Effectiveness and tolerance of piperacillin in 333 patients]

Presse Medicale (Paris, France : 1983)
|December 20, 1986
PubMed

Insights

Piperacillin demonstrated 85% clinical effectiveness in severe infections. However, failures occurred with resistant strains, and side effects were similar to other beta-lactam antibiotics.

Area of Science:

  • Infectious Diseases
  • Pharmacology
  • Clinical Medicine

Background:

  • Severe infections pose significant treatment challenges.
  • Piperacillin is a beta-lactam antibiotic used for bacterial infections.
  • Evaluating new antibiotic effectiveness is crucial for patient care.

Purpose of the Study:

  • To assess the clinical effectiveness and safety of piperacillin in patients with severe infections.
  • To compare piperacillin's efficacy against ampicillin- and carbenicillin-resistant strains.
  • To document adverse events associated with piperacillin treatment.

Main Methods:

  • A French multicentric trial involving 333 patients with severe infections.
  • Piperacillin administered as monotherapy in 212 cases.
  • Clinical effectiveness and safety data collected and analyzed.

Main Results:

  • Piperacillin achieved clinical effectiveness in 85% of patients.
  • Increased treatment failures were observed with ampicillin- and carbenicillin-resistant strains, despite in vitro sensitivity.
  • Piperacillin exhibited a safety profile comparable to other beta-lactam antibiotics, with hypersensitivity reactions being the primary adverse effect.

Conclusions:

  • Piperacillin is an effective treatment option for severe infections, achieving high clinical success rates.
  • Caution is advised when using piperacillin against strains resistant to other penicillins, even if sensitive in vitro.
  • Piperacillin's safety profile is favorable, similar to existing beta-lactam antibiotics.

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