Page last updated: 2024-10-31

metronidazole and Anal Fistula

metronidazole has been researched along with Anal Fistula in 33 studies

Metronidazole: A nitroimidazole used to treat AMEBIASIS; VAGINITIS; TRICHOMONAS INFECTIONS; GIARDIASIS; ANAEROBIC BACTERIA; and TREPONEMAL INFECTIONS.
metronidazole : A member of the class of imidazoles substituted at C-1, -2 and -5 with 2-hydroxyethyl, nitro and methyl groups respectively. It has activity against anaerobic bacteria and protozoa, and has a radiosensitising effect on hypoxic tumour cells. It may be given by mouth in tablets, or as the benzoate in an oral suspension. The hydrochloride salt can be used in intravenous infusions. Metronidazole is a prodrug and is selective for anaerobic bacteria due to their ability to intracellularly reduce the nitro group of metronidazole to give nitroso-containing intermediates. These can covalently bind to DNA, disrupting its helical structure, inducing DNA strand breaks and inhibiting bacterial nucleic acid synthesis, ultimately resulting in bacterial cell death.

Research Excerpts

ExcerptRelevanceReference
"To evaluate, in a prospective, open-label study, the influence of antibiotics and azathioprine on the clinical outcome of perianal fistulas in patients with Crohn's disease."9.10Antibiotics and azathioprine for the treatment of perianal fistulas in Crohn's disease. ( Dejaco, C; Harrer, M; Miehsler, W; Reinisch, W; Vogelsang, H; Waldhoer, T, 2003)
"To evaluate combination therapy with azathioprine and metronidazole in German Shepherd Dogs with perianal fistulae."7.70Management of perianal fistulae in five dogs using azathioprine and metronidazole prior to surgery. ( Beck, JA; Hunt, GB; Malik, R; Tisdall, PL, 1999)
"Remission and response of perianal fistulas were defined as closure of all fistulas and closure of at least 50% of fistulas that were draining at baseline, respectively."6.74Ciprofloxacin or metronidazole for the treatment of perianal fistulas in patients with Crohn's disease: a randomized, double-blind, placebo-controlled pilot study. ( Bernstein, CN; Bitton, A; Cockeram, A; Feagan, BG; Mahadevan, U; Sandborn, WJ; Thia, KT; Wong, C, 2009)
"To evaluate, in a prospective, open-label study, the influence of antibiotics and azathioprine on the clinical outcome of perianal fistulas in patients with Crohn's disease."5.10Antibiotics and azathioprine for the treatment of perianal fistulas in Crohn's disease. ( Dejaco, C; Harrer, M; Miehsler, W; Reinisch, W; Vogelsang, H; Waldhoer, T, 2003)
"Fifty-two patients (median age 36 yr) with draining perianal fistulas were treated with ciprofloxacin (N = 49) or metronidazole (N = 3) for a median duration of 7 wk."3.74NOD2/CARD15 gene variants are linked to failure of antibiotic treatment in perianal fistulating Crohn's disease. ( Angelberger, S; Dejaco, C; Lichtenberger, C; Miehsler, W; Reinisch, W; Schaeffeler, E; Schwab, M; Teml, A; Vogelsang, H; Waldhoer, T; Wehkamp, J, 2008)
"To evaluate combination therapy with azathioprine and metronidazole in German Shepherd Dogs with perianal fistulae."3.70Management of perianal fistulae in five dogs using azathioprine and metronidazole prior to surgery. ( Beck, JA; Hunt, GB; Malik, R; Tisdall, PL, 1999)
"Remission and response of perianal fistulas were defined as closure of all fistulas and closure of at least 50% of fistulas that were draining at baseline, respectively."2.74Ciprofloxacin or metronidazole for the treatment of perianal fistulas in patients with Crohn's disease: a randomized, double-blind, placebo-controlled pilot study. ( Bernstein, CN; Bitton, A; Cockeram, A; Feagan, BG; Mahadevan, U; Sandborn, WJ; Thia, KT; Wong, C, 2009)
"Metronidazole was orally administered for the first 2 weeks."2.74Long-term prospective evaluation of topically applied 0.1% tacrolimus ointment for treatment of perianal sinuses in dogs. ( Hauptman, JG; Stanley, BJ, 2009)
"Perianal fistulas are common in Crohn's disease and often have a poor prognosis, with permanent sphincter and perineal tissue destruction."2.44Perianal fistulizing Crohn's disease: a call to action. ( Kamm, MA; Ng, SC, 2008)
" Moreover, long-term use of glucocorticosteroids is associated with serious and sometimes irreversible side effects."2.42An historical overview of the treatment of Crohn's disease: why do we need biological therapies? ( Rutgeerts, PJ, 2004)
"He had urinary infection and severe ileocolitis."2.39Management of rectourethral fistulas in Crohn's disease. ( Bucci, L; Frizelle, FA; Santoro, GA, 1995)
"Asymptomatic perianal fistulas in a patient with Crohn's disease do not require treatment."2.38Perianal inflammatory conditions in inflammatory bowel disease. ( Gordon, PH; Stein, BL, 1993)
"Metronidazole is a nitroimidazole antibiotic used in treating anaerobic bacteria and protozoal infections."1.56Reversible optic neuropathy secondary to metronidazole. ( Anwyll, N; Gerry, P; Gormley, J, 2020)
"Fistulas were treated with antibiotics in 59."1.38Genital fistulas in female Crohn's disease patients.: clinical characteristics and response to therapy. ( Bermejo, F; de la Poza, G; Gisbert, JP; López-Sanroman, A; Marín-Jimenez, I; Muriel, A; Opio, V; Taxonera, C, 2012)
"CD-associated perianal fistulas are mainly complex."1.38Endoscopic ultrasound for perianal Crohn's disease: disease and fistula characteristics, and impact on therapy. ( Assulin, Y; Beer-Gabel, M; Chowers, Y; Lahat, A, 2012)
"Nevertheless, patients with perianal fistulas and CARD15 mutations showed worse response to antibiotics."1.37CARD15 mutations and perianal fistulating Crohn's disease: correlation and predictive value of antibiotic response. ( Andrade, P; Donato, MM; Ferreira, M; Freire, P; Portela, F; Sofia, C, 2011)
"Recto-urethral fistulas due to Crohn's disease are very uncommon."1.35[Urethral fistula due to Crohn's disease: case report of successful conservative management]. ( Borovicka, J; Engeler, DS; Hetzer, FH; Meyer, D; Schmid, HP; Schwab, C, 2008)
"He had urinary infection and severe ileocolitis."1.30[Treatment of recto-urethral fistulas in Crohn's disease]. ( Aiello, C; Bucci, L; Cerbone, V; de Werra, C; Gentile, M; Santoro, GA, 1997)
"For the prophylaxis of a post-surgical recurrence, only salicylates are established."1.30[Conservative therapy of fistulas of the anorectal area in Crohn disease]. ( Brucks, U; Malfertheiner, P; Peitz, U, 1999)
"Pancreatitis is generally regarded to be an extra-intestinal complication of Crohn's disease unless the duodenum is directly involved."1.29Crohn's disease associated with pancreatitis of unknown etiology: a case report. ( Arakawa, S; Omata, F; Takahashi, H; Ueno, F, 1993)
"The mean age at diagnosis of Crohn's disease was 11."1.28Perianal complications of pediatric Crohn's disease. ( Bilik, R; Griffiths, AM; Palder, SB; Shandling, B; Sherman, P, 1991)
"This meningorectal fistula is the first of its kind to our knowledge to be demonstrated by microbiologic, radiologic, and pathologic studies."1.26Meningorectal fistula as a cause of polymicrobial anaerobic meningitis. ( Berelowitz, BA; Breyer, MD; Malinoff, H; Walsh, TJ; Weinstein, RA, 1982)

Research

Studies (33)

TimeframeStudies, this research(%)All Research%
pre-19902 (6.06)18.7374
1990's9 (27.27)18.2507
2000's14 (42.42)29.6817
2010's6 (18.18)24.3611
2020's2 (6.06)2.80

Authors

AuthorsStudies
Sosa Solís, AM1
Fernández Antuña, L1
Royo Cuadra, Y1
Castellarnau Figueras, E1
Anwyll, N1
Gerry, P1
Gormley, J1
Ghahramani, L1
Minaie, MR1
Arasteh, P1
Hosseini, SV1
Izadpanah, A1
Bananzadeh, AM1
Ahmadbeigi, M1
Hooshanginejad, Z1
Arroyo, A1
Moya, P1
Rodríguez-Prieto, MA1
Alcaide, MJ1
Aguilar, MM1
Bellón, M1
Pérez-Vázquez, MT1
Candela, F1
Calpena, R1
Blaker, JJ1
Pratten, J1
Ready, D1
Knowles, JC1
Forbes, A1
Day, RM1
Thia, KT1
Mahadevan, U1
Feagan, BG1
Wong, C1
Cockeram, A1
Bitton, A1
Bernstein, CN1
Sandborn, WJ1
Iesalnieks, I1
Glass, H1
Kilger, A1
Ott, C1
Klebl, F1
Agha, A1
Schlitt, HJ1
Strauch, U1
Stanley, BJ1
Hauptman, JG1
Freire, P1
Portela, F1
Donato, MM1
Ferreira, M1
Andrade, P1
Sofia, C1
Pomazkin, VI1
de la Poza, G1
López-Sanroman, A1
Taxonera, C1
Marín-Jimenez, I1
Gisbert, JP1
Bermejo, F1
Opio, V1
Muriel, A1
Lahat, A1
Assulin, Y1
Beer-Gabel, M1
Chowers, Y1
Zimmerman, DD1
Delemarre, JB1
Gosselink, MP1
Hop, WC1
Briel, JW1
Schouten, WR1
Dejaco, C2
Harrer, M1
Waldhoer, T2
Miehsler, W2
Vogelsang, H2
Reinisch, W2
Rutgeerts, PJ1
Dignass, AU1
Atienza, P1
Kamm, MA1
Ng, SC1
Angelberger, S1
Wehkamp, J1
Lichtenberger, C1
Schaeffeler, E1
Schwab, M1
Teml, A1
Schwab, C1
Meyer, D1
Hetzer, FH1
Borovicka, J1
Schmid, HP1
Engeler, DS1
Walsh, TJ1
Weinstein, RA1
Malinoff, H1
Breyer, MD1
Berelowitz, BA1
Stein, BL1
Gordon, PH1
Omata, F1
Arakawa, S1
Takahashi, H1
Ueno, F1
Santoro, GA2
Bucci, L2
Frizelle, FA1
Aiello, C1
Cerbone, V1
de Werra, C1
Gentile, M1
Lehrnbecher, T1
Kontny, HU1
Jeschke, R1
Peitz, U1
Brucks, U1
Malfertheiner, P1
Patrlj, L1
Kocman, B1
Martinac, M1
Jadrijevic, S1
Sosa, T1
Sebecic, B1
Brkljacic, B1
Tisdall, PL1
Hunt, GB1
Beck, JA1
Malik, R1
Arseneau, KO1
Cohn, SM1
Cominelli, F1
Connors, AF1
Nadler, LH1
Palder, SB1
Shandling, B1
Bilik, R1
Griffiths, AM1
Sherman, P1
Malchow, H1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Prospective Longitudinal Study on the Effect of Tight Control Management on Perianal Crohn's Disease[NCT03861689]40 participants (Anticipated)Interventional2019-07-01Enrolling by invitation
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

5 reviews available for metronidazole and Anal Fistula

ArticleYear
An historical overview of the treatment of Crohn's disease: why do we need biological therapies?
    Reviews in gastroenterological disorders, 2004, Volume: 4 Suppl 3

    Topics: Anti-Infective Agents; Biological Therapy; Ciprofloxacin; Crohn Disease; Glucocorticoids; Humans; Im

2004
[Refractory perineal fistulas in Crohn's disease].
    Gastroenterologie clinique et biologique, 2007, Volume: 31, Issue:4

    Topics: Anti-Bacterial Agents; Anti-Inflammatory Agents; Antibodies, Monoclonal; Ciprofloxacin; Crohn Diseas

2007
Perianal fistulizing Crohn's disease: a call to action.
    Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2008, Volume: 6, Issue:1

    Topics: Anti-Infective Agents; Anti-Inflammatory Agents; Crohn Disease; Endosonography; Gastrointestinal Age

2008
Perianal inflammatory conditions in inflammatory bowel disease.
    Current opinion in general surgery, 1993

    Topics: Abscess; Adult; Colitis, Ulcerative; Combined Modality Therapy; Crohn Disease; Female; Humans; Male;

1993
Management of rectourethral fistulas in Crohn's disease.
    International journal of colorectal disease, 1995, Volume: 10, Issue:4

    Topics: Adult; Crohn Disease; Follow-Up Studies; Humans; Male; Metronidazole; Perineum; Rectal Fistula; Scro

1995

Trials

4 trials available for metronidazole and Anal Fistula

ArticleYear
Antibiotic therapy for prevention of fistula in-ano after incision and drainage of simple perianal abscess: A randomized single blind clinical trial.
    Surgery, 2017, Volume: 162, Issue:5

    Topics: Abscess; Anti-Bacterial Agents; Antibiotic Prophylaxis; Anus Diseases; Ciprofloxacin; Drainage; Huma

2017
Ciprofloxacin or metronidazole for the treatment of perianal fistulas in patients with Crohn's disease: a randomized, double-blind, placebo-controlled pilot study.
    Inflammatory bowel diseases, 2009, Volume: 15, Issue:1

    Topics: Adult; Anti-Infective Agents; Ciprofloxacin; Crohn Disease; Double-Blind Method; Female; Humans; Mal

2009
Long-term prospective evaluation of topically applied 0.1% tacrolimus ointment for treatment of perianal sinuses in dogs.
    Journal of the American Veterinary Medical Association, 2009, Aug-15, Volume: 235, Issue:4

    Topics: Administration, Oral; Administration, Topical; Anal Sacs; Animals; Dietary Proteins; Dog Diseases; D

2009
Antibiotics and azathioprine for the treatment of perianal fistulas in Crohn's disease.
    Alimentary pharmacology & therapeutics, 2003, Volume: 18, Issue:11-12

    Topics: Adjuvants, Immunologic; Adolescent; Adult; Aged; Anti-Bacterial Agents; Anus Diseases; Azathioprine;

2003

Other Studies

24 other studies available for metronidazole and Anal Fistula

ArticleYear
Perianal disease as the first manifestation in paediatric Crohn's disease.
    Gastroenterologia y hepatologia, 2020, Volume: 43, Issue:5

    Topics: Abscess; Adalimumab; Anemia, Hypochromic; Azathioprine; Child; Crohn Disease; Fissure in Ano; Gastro

2020
Reversible optic neuropathy secondary to metronidazole.
    BMJ case reports, 2020, Dec-17, Volume: 13, Issue:12

    Topics: Adult; Crohn Disease; Electroretinography; Evoked Potentials, Visual; Humans; Male; Metronidazole; O

2020
Photodynamic therapy for the treatment of complex anal fistula.
    Techniques in coloproctology, 2017, Volume: 21, Issue:2

    Topics: Adolescent; Adult; Aged; Aminolevulinic Acid; Anti-Infective Agents; Antibiotic Prophylaxis; Combine

2017
Assessment of antimicrobial microspheres as a prospective novel treatment targeted towards the repair of perianal fistulae.
    Alimentary pharmacology & therapeutics, 2008, Sep-01, Volume: 28, Issue:5

    Topics: Animals; Anti-Infective Agents; Biocompatible Materials; Drug Delivery Systems; Humans; Metronidazol

2008
[Perianal fistulas in Crohn's disease: treatment results at an interdisciplinary unit].
    Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen, 2009, Volume: 80, Issue:6

    Topics: Abscess; Adolescent; Adult; Anti-Infective Agents; Anti-Inflammatory Agents; Antibodies, Monoclonal;

2009
CARD15 mutations and perianal fistulating Crohn's disease: correlation and predictive value of antibiotic response.
    Digestive diseases and sciences, 2011, Volume: 56, Issue:3

    Topics: Adult; Anti-Bacterial Agents; Ciprofloxacin; Crohn Disease; Drug Therapy, Combination; Female; Genet

2011
[Results of one-stage reconstruction of anal sphincter in surgical treatment of fistulas-in-ano combined with fecal incontinence].
    Vestnik khirurgii imeni I. I. Grekova, 2011, Volume: 170, Issue:3

    Topics: Adult; Anal Canal; Antibiotic Prophylaxis; Ceftriaxone; Fecal Incontinence; Female; Follow-Up Studie

2011
Genital fistulas in female Crohn's disease patients.: clinical characteristics and response to therapy.
    Journal of Crohn's & colitis, 2012, Volume: 6, Issue:3

    Topics: Adalimumab; Adolescent; Adult; Age Factors; Anti-Infective Agents; Anti-Inflammatory Agents; Antibod

2012
Endoscopic ultrasound for perianal Crohn's disease: disease and fistula characteristics, and impact on therapy.
    Journal of Crohn's & colitis, 2012, Volume: 6, Issue:3

    Topics: Abscess; Adolescent; Adrenal Cortex Hormones; Adult; Aged; Anti-Infective Agents; Anti-Inflammatory

2012
Smoking affects the outcome of transanal mucosal advancement flap repair of trans-sphincteric fistulas.
    The British journal of surgery, 2003, Volume: 90, Issue:3

    Topics: Adult; Aged; Anti-Infective Agents; Cefuroxime; Female; Follow-Up Studies; Humans; Male; Metronidazo

2003
[Management of perianal fistulizing Crohn's disease: a conservative approach].
    Deutsche medizinische Wochenschrift (1946), 2005, Aug-26, Volume: 130, Issue:34-35

    Topics: Anti-Infective Agents; Ciprofloxacin; Combined Modality Therapy; Crohn Disease; Fecal Incontinence;

2005
NOD2/CARD15 gene variants are linked to failure of antibiotic treatment in perianal fistulating Crohn's disease.
    The American journal of gastroenterology, 2008, Volume: 103, Issue:5

    Topics: Adult; Alleles; Anti-Infective Agents; beta-Defensins; Ciprofloxacin; Crohn Disease; Female; Genetic

2008
[Urethral fistula due to Crohn's disease: case report of successful conservative management].
    Der Urologe. Ausg. A, 2008, Volume: 47, Issue:10

    Topics: Azathioprine; Ciprofloxacin; Crohn Disease; Cystoscopy; Cystostomy; Diagnosis, Differential; Drug Th

2008
Meningorectal fistula as a cause of polymicrobial anaerobic meningitis.
    American journal of clinical pathology, 1982, Volume: 78, Issue:1

    Topics: Female; Fistula; Humans; Meninges; Meningitis; Metronidazole; Middle Aged; Radiotherapy; Rectal Fist

1982
Crohn's disease associated with pancreatitis of unknown etiology: a case report.
    Gastroenterologia Japonica, 1993, Volume: 28, Issue:3

    Topics: Acute Disease; Adult; Crohn Disease; Humans; Male; Metronidazole; Pancreatitis; Parenteral Nutrition

1993
[Treatment of recto-urethral fistulas in Crohn's disease].
    Minerva chirurgica, 1997, Volume: 52, Issue:9

    Topics: Adult; Anti-Infective Agents; Crohn Disease; Follow-Up Studies; Humans; Immunosuppressive Agents; Ma

1997
Metastatic Crohn's disease in a 9-year-old boy.
    Journal of pediatric gastroenterology and nutrition, 1999, Volume: 28, Issue:3

    Topics: Anti-Infective Agents; Anti-Inflammatory Agents; Azathioprine; Child; Crohn Disease; Erythema; Human

1999
[Conservative therapy of fistulas of the anorectal area in Crohn disease].
    Zentralblatt fur Chirurgie, 1999, Volume: 124 Suppl 2

    Topics: Crohn Disease; Humans; Immunosuppressive Agents; Metronidazole; Postoperative Complications; Prognos

1999
Fibrin glue-antibiotic mixture in the treatment of anal fistulae: experience with 69 cases.
    Digestive surgery, 2000, Volume: 17, Issue:1

    Topics: Adult; Cefotaxime; Cephalosporins; Drug Therapy, Combination; Electrocoagulation; Female; Fibrin Tis

2000
Management of perianal fistulae in five dogs using azathioprine and metronidazole prior to surgery.
    Australian veterinary journal, 1999, Volume: 77, Issue:6

    Topics: Administration, Oral; Animals; Anti-Infective Agents; Azathioprine; Dog Diseases; Dogs; Female; Immu

1999
Cost-utility of initial medical management for Crohn's disease perianal fistulae.
    Gastroenterology, 2001, Volume: 120, Issue:7

    Topics: Adult; Antibodies, Monoclonal; Crohn Disease; Drug Costs; Drug Therapy, Combination; Female; Gastroi

2001
Fistula-in-ano in Crohn's disease.
    Diseases of the colon and rectum, 1991, Volume: 34, Issue:10

    Topics: Chemotherapy, Adjuvant; Crohn Disease; Humans; Metronidazole; Rectal Fistula

1991
Perianal complications of pediatric Crohn's disease.
    Journal of pediatric surgery, 1991, Volume: 26, Issue:5

    Topics: Abscess; Adolescent; Anus Diseases; Child; Child, Preschool; Crohn Disease; Female; Fissure in Ano;

1991
[Fistulas in Crohn disease--conservative versus operative treatment. The internist viewpoint].
    Zeitschrift fur Gastroenterologie. Verhandlungsband, 1985, Volume: 20

    Topics: Adolescent; Adult; Child; Combined Modality Therapy; Crohn Disease; Female; Humans; Intestinal Fistu

1985