Page last updated: 2024-10-31

metronidazole and Critical Illness

metronidazole has been researched along with Critical Illness in 11 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.

Critical Illness: A disease or state in which death is possible or imminent.

Research Excerpts

ExcerptRelevanceReference
"Data on the impact of combination therapy (intravenous metronidazole [IV MTZ] plus oral vancomycin [PO VAN]) on clinical outcomes in intensive care unit (ICU) patients with severe non-fulminant Clostridioides difficile infection (CDI), including NAP1-positive samples, are lacking."7.96Evaluation of Addition of Intravenous Metronidazole to Oral Vancomycin Therapy in Critically Ill Patients with Non-Fulminant Severe Clostridioides difficile Infection. ( Banoub, M; Blackman, AL; Claeys, KC; Heil, EL; Kristie Johnson, J; Leekha, S; Vega, AD, 2020)
"Data on the impact of combination therapy (intravenous metronidazole [IV MTZ] plus oral vancomycin [PO VAN]) on clinical outcomes in intensive care unit (ICU) patients with severe non-fulminant Clostridioides difficile infection (CDI), including NAP1-positive samples, are lacking."3.96Evaluation of Addition of Intravenous Metronidazole to Oral Vancomycin Therapy in Critically Ill Patients with Non-Fulminant Severe Clostridioides difficile Infection. ( Banoub, M; Blackman, AL; Claeys, KC; Heil, EL; Kristie Johnson, J; Leekha, S; Vega, AD, 2020)
" Nonetheless, there is a lack in pharmacokinetics information for this population, and dosing criteria may vary between healthcare centers."1.91Model-informed precision dosing of antimicrobial drugs in pediatrics: experiences from a pilot scale program. ( Arriaga-García, FJ; Medellín-Garibay, SE; Milán-Segovia, RDC; Pérez-González, LF; Rodríguez-Báez, AS; Romano-Moreno, S; Velarde-Salcedo, R, 2023)
"Bacteremia was infrequently detected, but isolated pathogens were multidrug resistant."1.56Prevalence, Etiology, and Outcome of Sepsis among Critically Ill Patients in Malawi. ( Charles, A; Kadyaudzu, C; Onofrey, L; Prin, M; Purcell, L, 2020)

Research

Studies (11)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (9.09)18.2507
2000's1 (9.09)29.6817
2010's4 (36.36)24.3611
2020's5 (45.45)2.80

Authors

AuthorsStudies
Velarde-Salcedo, R1
Pérez-González, LF1
Rodríguez-Báez, AS1
Arriaga-García, FJ1
Milán-Segovia, RDC1
Romano-Moreno, S1
Medellín-Garibay, SE1
Manthey, CF1
Dranova, D1
Christner, M1
Drolz, A1
Kluge, S1
Lohse, AW1
Fuhrmann, V1
Vega, AD1
Heil, EL2
Blackman, AL1
Banoub, M2
Kristie Johnson, J1
Leekha, S2
Claeys, KC2
Prin, M1
Onofrey, L1
Purcell, L1
Kadyaudzu, C1
Charles, A1
Ito, H1
Vega, A1
Blackman, A1
Johnson, JK1
Carter, C1
Viveash, S1
Rokas, KE1
Johnson, JW1
Beardsley, JR1
Ohl, CA1
Luther, VP1
Williamson, JC1
Koo, JS1
Choi, WS1
Park, DW1
Yildiz, T1
Gündeş, S1
Willke, A1
Solak, M1
Toker, K1
Grundfest-Broniatowski, S1
Quader, M1
Alexander, F1
Walsh, RM1
Lavery, I1
Milsom, J1

Reviews

1 review available for metronidazole and Critical Illness

ArticleYear
Clostridium difficile colitis in the critically ill.
    Diseases of the colon and rectum, 1996, Volume: 39, Issue:6

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anti-Bacterial Agents; APACHE; Colectomy; Combined Modal

1996

Other Studies

10 other studies available for metronidazole and Critical Illness

ArticleYear
Model-informed precision dosing of antimicrobial drugs in pediatrics: experiences from a pilot scale program.
    European journal of pediatrics, 2023, Volume: 182, Issue:9

    Topics: Anti-Bacterial Agents; Bayes Theorem; Child; Clindamycin; Critical Illness; Fluconazole; Humans; Lin

2023
Initial therapy affects duration of diarrhoea in critically ill patients with Clostridioides difficile infection (CDI).
    Critical care (London, England), 2019, 12-09, Volume: 23, Issue:1

    Topics: Aged; Anti-Infective Agents; Clostridioides difficile; Clostridium Infections; Cohort Studies; Criti

2019
Evaluation of Addition of Intravenous Metronidazole to Oral Vancomycin Therapy in Critically Ill Patients with Non-Fulminant Severe Clostridioides difficile Infection.
    Pharmacotherapy, 2020, Volume: 40, Issue:5

    Topics: Administration, Oral; Aged; Anti-Bacterial Agents; APACHE; Clostridium Infections; Cohort Studies; C

2020
Prevalence, Etiology, and Outcome of Sepsis among Critically Ill Patients in Malawi.
    The American journal of tropical medicine and hygiene, 2020, Volume: 103, Issue:1

    Topics: Adult; Anti-Bacterial Agents; Antifungal Agents; Bacteremia; Burkholderia Infections; Candida glabra

2020
Critique of "Evaluation of Addition of Intravenous Metronidazole to Oral Vancomycin Therapy in Critically Ill Patients with Non-Fulminant Severe Clostridioides difficile Infection".
    Pharmacotherapy, 2020, Volume: 40, Issue:9

    Topics: Clostridioides; Clostridium Infections; Critical Illness; Humans; Metronidazole; Vancomycin

2020
Reply to Letters to the Editor.
    Pharmacotherapy, 2020, Volume: 40, Issue:9

    Topics: Anti-Infective Agents; Clostridioides; Clostridium Infections; Critical Illness; Humans; Metronidazo

2020
Nursing a critically ill tetanus patient in an intensive care unit in Zambia.
    British journal of nursing (Mark Allen Publishing), 2017, May-11, Volume: 26, Issue:9

    Topics: Analgesics, Opioid; Anti-Infective Agents; Anticonvulsants; Back Pain; Critical Care Nursing; Critic

2017
The Addition of Intravenous Metronidazole to Oral Vancomycin is Associated With Improved Mortality in Critically Ill Patients With Clostridium difficile Infection.
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2015, Sep-15, Volume: 61, Issue:6

    Topics: Administration, Intravenous; Administration, Oral; Adult; Aged; Anti-Infective Agents; Clostridioide

2015
Fulminant amebic colitis mimicking pseudomembranous colitis.
    Gastrointestinal endoscopy, 2010, Volume: 71, Issue:2

    Topics: Anastomosis, Surgical; Anti-Bacterial Agents; Appendectomy; Biopsy, Needle; Colonoscopy; Combined Mo

2010
Spontaneous, nontraumatic gas gangrene due to Clostridium perfringens.
    International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2006, Volume: 10, Issue:1

    Topics: Amikacin; Anti-Bacterial Agents; Anti-Infective Agents; Blister; Ceftazidime; Clostridium perfringen

2006