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lüll Systematic review: fluoroquinolones for the treatment of intra-abdominal surgical infections Falagas ME; Matthaiou DK; Bliziotis IAAliment Pharmacol Ther 2007[Jan]; 25 (2): 123-31BACKGROUND: Intra-abdominal infections result in substantial morbidity and mortality. Fluoroquinolones are among the various regimens that are used for the treatment of these infections. AIM: To evaluate the available data from laboratory and clinical studies regarding the use of fluoroquinolones for the treatment of patients with intra-abdominal infections. METHODS: We searched for relevant laboratory and clinical studies in the PubMed and the Cochrane Library databases. RESULTS: Good pharmacokinetic and pharmacodynamic properties of fluoroquinolones in inflamed abdominal tissue are reported in several laboratory studies. In six prospective non-randomized clinical studies of patients with intra-abdominal infections, the clinical success achieved with the use of fluoroquinolones ranged from 77% to 94%. In 10 randomized-controlled trials fluoroquinolone-based regimens were compared with other commonly used (mainly beta-lactam-based) regimens. Clinical success, bacterial eradication, withdrawal because of toxicity and mortality were similar between the compared treatment arms except from two randomized-controlled trials, in which clinical success was statistically higher in the fluoroquinolone treatment arm. CONCLUSIONS: Fluoroquinolones seem to be an effective and relatively safe option for the treatment of patients with intra-abdominal infections.|Abdominal Abscess/*drug therapy[MESH]|Anti-Infective Agents/*therapeutic use[MESH]|Fluoroquinolones/*therapeutic use[MESH]|Humans[MESH]|Peritonitis/*drug therapy[MESH]|Postoperative Complications/*prevention & control[MESH]|Randomized Controlled Trials as Topic[MESH] |