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Comparative study of ceftriaxone and cefoperazone in the treatment of acute cholecystitis
J Friedlender1, P Meyer, M C Marti
1Gastrointestinal Surgery Unit, Cantonal Hospital, University of Geneva, Switzerland.
Abstract:
Forty patients with acute cholecystitis were divided into two randomized groups on the basis of the emergency antimicrobial therapy received, and were treated for a period of 5 days. The first group was given ceftriaxone (Rocephin), the second cefoperazone (Cefobis). This concomitant antimicrobial treatment of acute cholecystitis proved to be effective in 85% of the patients; 15% underwent 'à chaud' surgery on the 6th day because of a lack of response to the treatment. Ceftriaxone and cefoperazone proved to be equally effective. Use of ceftriaxone, however, was simpler (one injection a day) and the cost of treatment substantially lower.