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Azithromycin versus Cephalexin for Simple Traumatic Wounds in the Emergency Department: A Randomised Trial

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  • Hamed Ghafouri
  • Morteza Zare
  • Azam Bazrafshan
  • Abbas Edalatkhah
  • Niloofar Abazarian

Abstract

OBJECTIVE- The aim of this study was to investigate efficacy of azithromycin versus cephalexin for infection prophylaxisis in patients with simple traumatic wounds managed at emergency department.METHOD- This randomized controlled trial compared short-course therapy of once-daily azithromycin (500 mg before the wound repair followed by 250 mg/day for 5 days) with cephalexin (1000 mg before wound repair followed by 250 mg every 6 hours for 5 days) in the treatment of patients with simple traumatic wounds. A total of 366 patients were randomly selected for the study and 303 were evaluated for the final analysis.RESULTS- On completion of therapy, the rate of observed infection was 9.6% in the cephalexin group (15 patients, odds ratio=0.77, 95% confidence interval, 0.56 to 1.06) and 5.4% in the azithromycin group (8 patients, odds ratio 1.42, 95% confidence interval, 0.80 to 2.52). Both treatment indicated similar prophylactic efficacy during the study (P=0.197).CONCLUSION- Our study showed that Azithromycin as infection prophylaxis in simple traumatic wounds had the same effect as cephalexin but azithromycin is easier to use and more cost-effective compared to cephalexin.

Suggested Citation

  • Hamed Ghafouri & Morteza Zare & Azam Bazrafshan & Abbas Edalatkhah & Niloofar Abazarian, 2016. "Azithromycin versus Cephalexin for Simple Traumatic Wounds in the Emergency Department: A Randomised Trial," Global Journal of Health Science, Canadian Center of Science and Education, vol. 8(10), pages 185-185, October.
  • Handle: RePEc:ibn:gjhsjl:v:8:y:2016:i:10:p:185
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    JEL classification:

    • R00 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General - - - General
    • Z0 - Other Special Topics - - General

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