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metronidazole and Complications of Diabetes Mellitus

metronidazole has been researched along with Complications of Diabetes Mellitus in 15 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
" Ceftolozane/tazobactam is an antibacterial with potent activity against Gram-negative pathogens and is approved for the treatment of cIAI (with metronidazole) and cUTI (including pyelonephritis)."5.24Analysis of patients with diabetes and complicated intra-abdominal infection or complicated urinary tract infection in phase 3 trials of ceftolozane/tazobactam. ( Huntington, JA; Long, J; Popejoy, MW, 2017)
"Pneumococcal cellulitis is an uncommon infection."1.34[Streptococcus pneumoniae cellulitis in a diabetic patient]. ( Bouzat, P; Broux, C; Croizé, J; Jacquot, C; Pavese, P; Soriano, E; Stahl, JP, 2007)
") q6-8h dosing (Group B)."1.34Metronidazole single versus multiple daily dosing in serious intraabdominal/pelvic and diabetic foot infections. ( Amato, BM; Cunha, BA; Feuerman, M; Hamid, NS; Malone, B; Wang, S, 2007)
"Colonoscopy revealed a picture of pseudomembranous colitis, and Clostridium difficile toxin was positive."1.31Pseudomembranous colitis without diarrhea presenting clinically as acute intestinal pseudo-obstruction. ( Pauly, MP; Sheikh, RA; Trudeau, WL; Yasmeen, S, 2001)

Research

Studies (15)

TimeframeStudies, this research(%)All Research%
pre-19905 (33.33)18.7374
1990's1 (6.67)18.2507
2000's7 (46.67)29.6817
2010's2 (13.33)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Popejoy, MW1
Long, J1
Huntington, JA1
Rao, DD1
Desai, A1
Kulkarni, RD1
Gopalkrishnan, K1
Rao, CB1
Lo, M1
Reid, M1
Brokenshire, M1
Bredin, C1
Margery, J1
Bordier, L1
Mayaudon, H1
Dupuy, O1
Vergeau, B1
Bauduceau, B1
Bouzat, P1
Broux, C1
Soriano, E1
Pavese, P1
Croizé, J1
Stahl, JP1
Jacquot, C1
Wang, S1
Cunha, BA1
Hamid, NS1
Amato, BM1
Feuerman, M1
Malone, B1
Meziou, TJ1
Chaabène, H1
Masmoudi, A1
Boudaya, S1
Cheikhrouhou, H1
Bouassida, S1
Turki, H1
Zimmerman, J1
Silver, J1
Shapiro, M1
Friedman, G1
Melmed, RN1
Zelenitsky, SA1
Silverman, RE1
Duckworth, H1
Harding, GK1
Sheikh, RA1
Yasmeen, S1
Pauly, MP1
Trudeau, WL1
Jones, JH1
Sheehan, JP1
Ulchaker, MM1
Berridge, DC1
Slack, RC1
Hopkinson, BR1
Makin, GS1
Taylor, JA1
Grimmer, H1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Multicenter, Double-Blind, Randomized, Phase 3 Study to Compare the Efficacy and Safety of Intravenous CXA-201 With That of Meropenem in Complicated Intraabdominal Infections[NCT01445678]Phase 3494 participants (Actual)Interventional2011-12-23Completed
A Multicenter, Double-Blind, Randomized, Phase 3 Study to Compare the Safety and Efficacy of Intravenous CXA-201 and Intravenous Levofloxacin in Complicated Urinary Tract Infection, Including Pyelonephritis[NCT01345929]Phase 3558 participants (Actual)Interventional2011-06-20Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

The Percentage of Subjects With Clinical Outcome of Cure at the Test of Cure (TOC) Visit in the Microbiological Intent to Treat (MITT) Population

Clinical cure is complete resolution or significant improvement in signs and symptoms of the index infection, such that no additional antibacterial therapy or surgical or drainage procedure was required for the index infection. (NCT01445678)
Timeframe: TOC; 26-30 days after start of study drug administration

Interventionpercentage of subjects (Number)
CXA-201 and Metronidazole as Treatment for cIAI83.0
Meropenem as Treatment for cIAI87.3

The Percentage of Subjects With Clinical Response at End of Therapy (EOT) Visit in the MITT Population

Clinical response is complete resolution or significant improvement in signs and symptoms of the index infection, such that no additional antibacterial therapy or surgical or drainage procedure was required for the index infection. (NCT01445678)
Timeframe: EOT; Within 24 hours of last study drug administration

Interventionpercentage of subjects (Number)
CXA-201 and Metronidazole as Treatment for cIAI89.2
Meropenem as Treatment for cIAI92.3

The Percentage of Subjects With Clinical Response at End of Therapy in the ME Population

Clinical response is complete resolution or significant improvement in signs and symptoms of the index infection, such that no additional antibacterial therapy or surgical or drainage procedure was required for the index infection. (NCT01445678)
Timeframe: EOT; Within 24 hours of last study drug administration

Interventionpercentage of subjects (Number)
CXA-201 and Metronidazole as Treatment for cIAI97.1
Meropenem as Treatment for cIAI97.5

The Percentage of Subjects With Clinical Response at LFU Visit in the ME Population

Clinical response is clinical cure at TOC and no signs and symptoms recur or worsen since the TOC visit (NCT01445678)
Timeframe: LFU; 38 to 45 days after first study drug administration

Interventionpercentage of subjects (Number)
CXA-201 and Metronidazole as Treatment for cIAI100
Meropenem as Treatment for cIAI99.3

The Percentage of Subjects With Clinical Response at Long Term Follow-Up (LFU) in the MITT Population

Clinical response is clinical cure at TOC and no signs and symptoms recur or worsen since the TOC visit. (NCT01445678)
Timeframe: LFU; 38 to 45 days after first study drug administration

Interventionpercentage of subjects (Number)
CXA-201 and Metronidazole as Treatment for cIAI82.5
Meropenem as Treatment for cIAI86.6

The Percentage of Subjects With Microbiological Outcome of Success at the TOC Visit in the Microbiologically Evaluable (ME) Population

Success is eradication (absence of the baseline pathogen in a specimen appropriately obtained from the original site of infection) or presumed eradication (absence of material to culture in a subject who was assessed as a clinical cure) for each baseline pathogen (NCT01445678)
Timeframe: TOC; 26-30 days after start of study drug administration

Interventionpercentage of subjects (Number)
CXA-201 and Metronidazole as Treatment for cIAI94.2
Meropenem as Treatment for cIAI94.7

The Percentage of Subjects Who Have Both a Per-subject Microbiological Outcome of Eradication and a Clinical Outcome of Cure at the Test of Cure (TOC) Visit in the Microbiological Modified ITT (mMITT) Population

(NCT01345929)
Timeframe: Test of Cure Visit (7 Days [± 2 days] after completion of study drug administration)

Interventionpercentage of subjects (Number)
CXA-201 as Treatment for cUTI76.9
Levofloxacin as Treatment for cUTI68.4

The Percentage of Subjects Who Have Both a Per-subject Microbiological Outcome of Eradication and a Clinical Outcome of Cure at the TOC Visit in the Microbiologically Evaluable (ME) Population.

(NCT01345929)
Timeframe: Test of Cure Visit (7 Days [± 2 days] after completion of study drug administration)

Interventionpercentage of subjects (Number)
CXA-201 as Treatment for cUTI83.3
Levofloxacin as Treatment for cUTI75.4

Trials

3 trials available for metronidazole and Complications of Diabetes Mellitus

ArticleYear
Analysis of patients with diabetes and complicated intra-abdominal infection or complicated urinary tract infection in phase 3 trials of ceftolozane/tazobactam.
    BMC infectious diseases, 2017, 05-02, Volume: 17, Issue:1

    Topics: Adult; Aged; Anti-Bacterial Agents; Bacterial Infections; Cephalosporins; Diabetes Complications; Di

2017
Analysis of patients with diabetes and complicated intra-abdominal infection or complicated urinary tract infection in phase 3 trials of ceftolozane/tazobactam.
    BMC infectious diseases, 2017, 05-02, Volume: 17, Issue:1

    Topics: Adult; Aged; Anti-Bacterial Agents; Bacterial Infections; Cephalosporins; Diabetes Complications; Di

2017
Analysis of patients with diabetes and complicated intra-abdominal infection or complicated urinary tract infection in phase 3 trials of ceftolozane/tazobactam.
    BMC infectious diseases, 2017, 05-02, Volume: 17, Issue:1

    Topics: Adult; Aged; Anti-Bacterial Agents; Bacterial Infections; Cephalosporins; Diabetes Complications; Di

2017
Analysis of patients with diabetes and complicated intra-abdominal infection or complicated urinary tract infection in phase 3 trials of ceftolozane/tazobactam.
    BMC infectious diseases, 2017, 05-02, Volume: 17, Issue:1

    Topics: Adult; Aged; Anti-Bacterial Agents; Bacterial Infections; Cephalosporins; Diabetes Complications; Di

2017
A prospective, randomized, double-blind studyof single high dose versus multiple standard dose gentamicin both in combination withmetronidazole for colorectal surgicalprophylaxis.
    The Journal of hospital infection, 2000, Volume: 46, Issue:2

    Topics: Aged; Anti-Bacterial Agents; Anti-Infective Agents; Antibiotic Prophylaxis; Colorectal Neoplasms; Di

2000
Pharmacodynamic observations on metronidazole therapy. Side effects in endocrine, metabolic and auto-immune disorders. 3. Anti-ischemic and anti-inflammatory action in peripheral vascular disorders.
    Proceedings of the Western Pharmacology Society, 1966, Volume: 9

    Topics: Blood Circulation; Blood Flow Velocity; Blood Pressure; Clinical Trials as Topic; Diabetes Complicat

1966

Other Studies

12 other studies available for metronidazole and Complications of Diabetes Mellitus

ArticleYear
Comparison of maxillofacial space infection in diabetic and nondiabetic patients.
    Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics, 2010, Volume: 110, Issue:4

    Topics: Adolescent; Amoxicillin-Potassium Clavulanate Combination; Anti-Bacterial Agents; Case-Control Studi

2010
Resistance of Trichomonas vaginalis infections to metronidazole in Auckland sexual health clinics: report of two cases.
    The New Zealand medical journal, 2002, Aug-23, Volume: 115, Issue:1160

    Topics: Administration, Intravaginal; Administration, Oral; Adult; Ambulatory Care Facilities; Animals; Anti

2002
Diabetes and Amoebiasis: a high risk encounter.
    Diabetes & metabolism, 2004, Volume: 30, Issue:1

    Topics: Aged; Animals; Antiprotozoal Agents; Colon; Diabetes Complications; Drug Combinations; Entamoeba his

2004
[Streptococcus pneumoniae cellulitis in a diabetic patient].
    Medecine et maladies infectieuses, 2007, Volume: 37, Issue:5

    Topics: Aged; Ceftriaxone; Cellulitis; Ciprofloxacin; Diabetes Complications; Humans; Male; Metronidazole; M

2007
Metronidazole single versus multiple daily dosing in serious intraabdominal/pelvic and diabetic foot infections.
    Journal of chemotherapy (Florence, Italy), 2007, Volume: 19, Issue:4

    Topics: Abdomen; Adult; Aged; Aged, 80 and over; Anti-Bacterial Agents; Bacteroides fragilis; Bacteroides In

2007
[Disseminated cutaneous leishmaniasis secondary to lymphoedema: two cases].
    Annales de dermatologie et de venereologie, 2008, Volume: 135, Issue:2

    Topics: Aged; Antiprotozoal Agents; Diabetes Complications; Erysipelas; Female; Humans; Leishmaniasis, Diffu

2008
Clindamycin unresponsive anaerobic osteomyelitis treated with oral metronidazole.
    Scandinavian journal of infectious diseases, 1980, Volume: 12, Issue:1

    Topics: Administration, Oral; Bacterial Infections; Bacteroides fragilis; Clindamycin; Diabetes Complication

1980
Pseudomembranous colitis without diarrhea presenting clinically as acute intestinal pseudo-obstruction.
    Journal of gastroenterology, 2001, Volume: 36, Issue:9

    Topics: Aged; Anti-Infective Agents; Biopsy; Colonic Pseudo-Obstruction; Colonoscopy; Contrast Media; Diabet

2001
Healthy and diseased gingiva.
    The Practitioner, 1975, Volume: 214, Issue:1281

    Topics: Adult; Child; Chronic Disease; Dental Plaque; Diabetes Complications; Gingiva; Gingival Diseases; Gi

1975
Blastocystis hominis treatable cause of diabetic diarrhea.
    Diabetes care, 1990, Volume: 13, Issue:8

    Topics: Administration, Oral; Adult; Animals; Diabetes Complications; Diabetes Mellitus; Diagnosis, Differen

1990
A bacteriological survey of amputation wound sepsis.
    The Journal of hospital infection, 1989, Volume: 13, Issue:2

    Topics: Aged; Aged, 80 and over; Amputation, Surgical; Bacteria; Diabetes Complications; Female; Humans; Mal

1989
[Histological picture report No. 202. Vulvitis (vulvovaginitis) candidomycetica].
    Zeitschrift fur Haut- und Geschlechtskrankheiten, 1968, Apr-01, Volume: 43, Issue:7

    Topics: Adrenal Cortex Hormones; Adult; Antifungal Agents; Candidiasis, Vulvovaginal; Diabetes Complications

1968