BMJ  2006;333 (16 December), doi:10.1136/sbmj.39058.582431.F7

This week in the BMJ

Antibiotic prevents complications of measles

Prophylactic co-trimoxazole given to children with measles reduces the incidence of pneumonia (odds ratio 0.08, 95% confidence interval 0 to 0.56) and conjunctivitis, and positively affects weight gain in the month after infection (P=0.04), say Garly and colleagues (doi: 10.1136/bmj.38989.684178.AE). They randomised 84 patients in Guinea-Bissau with measles to either receive the antibiotic or a placebo for seven days after diagnosis. They saw a non-significant trend towards less diarrhoea, severe fever, oral thrush, and stomatitis in the group treated with antibiotic, but no difference in rates of otitis media between groups.


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Relevant Article

Prophylactic antibiotics to prevent pneumonia and other complications after measles: community based randomised double blind placebo controlled trial in Guinea-Bissau
May-Lill Garly, Carlitos Balé, Cesário Lourenco Martins, Hilton C Whittle, Jens Nielsen, Ida M Lisse, and Peter Aaby
BMJ 2006 333: 1245. [Abstract] [Full Text] [PDF]




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