Page last updated: 2024-10-31

metronidazole and Phlegmon

metronidazole has been researched along with Phlegmon in 31 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
"A multi-centre double-blind, placebo-controlled clinical trial was performed to determine the minimum number of doses of metronidazole required for effective prophylaxis of vaginal cuff abscess following hysterectomy."5.06A comparison of single-dose and multi-dose metronidazole prophylaxis for hysterectomy. ( Haverkorn, MJ, 1987)
"The use of topical metronidazole has been limited to the treatment of acne rosacea, infected foot ulcers associated with diabetes mellitus, varicose veins, postirradiation ulcers, and dental conditions since the Food and Drug Administration approved the drug in 1988."3.69Topical metronidazole for arterial insufficiency ulcers. ( Gibson, LB; Kaplan, B, 1995)
"Periorbital cellulitis is a potential sight-threatening complication of sinusitis."2.94The management of periorbital cellulitis secondary to sinonasal infection: a multicenter prospective study in the United Kingdom. ( Al-Lami, A; Grounds, R; Hone, R; Hopkins, C; Lloyd, G; Mahalingam, S; Pervez, A; Poon, JS; Riley, P; Rudd, J; Shamil, E; Wong, G, 2020)
"30 patients had severe acute pelvic inflammatory disease with peritonitis, 3 tubo-ovarian abscesses, 4 endomyometritis, and 2 posthysterectomy pelvic cellulitis."2.66Sulbactam/ampicillin versus metronidazole/gentamicin in the treatment of severe pelvic infections. ( Crombleholme, W; Dahrouge, D; DeKay, V; Hadley, WK; Landers, D; Ohm-Smith, M; Robbie, MO; Sweet, RL, 1986)
"Patients with confirmed Lemierre syndrome were included in our retrospective monocentric study."2.50Lemierre syndrome: study of 11 cases and literature review. ( Atallah, I; Karkas, A; N'Gouan, JM; Reyt, E; Righini, CA; Schmerber, S; Tourniaire, R, 2014)
"Lemierre's syndrome is a rare disease in young otherwise healthy people showing septic embolism in the lungs and peripheral vessels."1.36[Phlegmon of the palm of the hand as initial manifestation of the Lemierre syndrome]. ( Braunbeck, A; Daecke, W; Fiebig, C; Geiger, EV; Maier, M; Marzi, I; Weber, R, 2010)
"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)
"Bacterial orbital cellulitis is an infection of the soft tissues behind the orbital septum."1.31The role of technetium-99m-HMPAO-labeled WBC scintigraphy in the diagnosis of orbital cellulitis. ( Ada, E; Capa, G; Durak, H; Durak, I; Sayit, E; Söylev, M; Yilmaz, M, 2001)
"Midline nasal dermoid cysts are congenital lesions resulting from aberrant embryological development."1.29Nasal dermoid sinus cysts: an unusual presentation, computed tomographic scan findings, and surgical results. ( Armstrong, DC; Bortoluzzi, P; Posnick, JC, 1994)

Research

Studies (31)

TimeframeStudies, this research(%)All Research%
pre-19909 (29.03)18.7374
1990's9 (29.03)18.2507
2000's6 (19.35)29.6817
2010's5 (16.13)24.3611
2020's2 (6.45)2.80

Authors

AuthorsStudies
Tara, F2
Danesteh, S2
Rezaee, M2
Geraylow, KR2
Moodi Ghalibaf, A2
Moeindarbari, S2
Mahalingam, S1
Hone, R1
Lloyd, G1
Grounds, R1
Shamil, E1
Wong, G1
Al-Lami, A1
Pervez, A1
Rudd, J1
Poon, JS1
Riley, P1
Hopkins, C1
Edson, RS1
Litin, SC1
Bundrick, JB1
Righini, CA1
Karkas, A1
Tourniaire, R1
N'Gouan, JM1
Schmerber, S1
Reyt, E1
Atallah, I1
van Hulsteijn, LT1
Mieog, JS1
Zwartbol, MH1
Merkus, JW1
van Nieuwkoop, C1
Evans, D1
Shakur, R1
Scott, D1
Park, HC1
Chang, MY1
Lee, BH1
Braunbeck, A1
Geiger, EV1
Weber, R1
Maier, M1
Daecke, W1
Fiebig, C1
Marzi, I1
Kumar, V1
Saunders, D1
Conscience, I1
Perceau, G1
Le Berruyer, PY1
Bernard, P1
Bouzat, P1
Broux, C1
Soriano, E1
Pavese, P1
Croizé, J1
Stahl, JP1
Jacquot, C1
Cullen, KW1
MacBain, GC1
Feki, A1
Gehanno, P1
Saint-Guily, JL1
Régnier, B1
Vachon, F1
Kaplan, B1
Gibson, LB1
Wong, VY1
Duncan, NO1
Edwards, MS1
Posnick, JC1
Bortoluzzi, P1
Armstrong, DC1
McRae, D1
Dilkes, M1
Jacob-Hood, J1
Ghufoor, K1
Tsarev, VN1
Ushakov, RV1
Rose, C1
Tellion, C1
Ferri, F1
Donazzan, M1
Desiaterik, VI1
Krivitskiĭ, IuM1
Svetlovskiĭ, AA1
Shapovaliuk, VV1
Dellamonica, P1
Bernard, E1
Sayit, E1
Söylev, M1
Capa, G1
Durak, I1
Ada, E1
Yilmaz, M1
Durak, H1
Dancer, SJ1
McNAIR, D1
Finn, P1
Kolsto, AB1
Beaune, J1
Llorca, G1
Gonin, A1
Brun, Y1
Fleurette, J1
Neidhart, JP1
Haverkorn, MJ1
Crombleholme, W1
Landers, D1
Ohm-Smith, M1
Robbie, MO1
Hadley, WK1
DeKay, V1
Dahrouge, D1
Sweet, RL1
Halvorson, GD1
Halvorson, JE1
Iserson, KV1
Antani, JA1
Srinivas, HV1
Krishnamurthy, KR1
Borgaonkar, AN1
Finegold, SM1
Rosenblatt, JE1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Trimethoprim-sulfamethoxazole Versus Placebo in the Treatment of Cutaneous Abscesses in the Emergency Department[NCT00867789]140 participants (Actual)Interventional2009-03-31Terminated (stopped due to Slow enrollment due to subjects not meeting inclusion/exclusion criteria)
A Randomized Trial of Intranasal Fentanyl Versus Placebo as an Adjunct to Lidocaine Infiltration in Adults Undergoing Abscess Incision and Drainage in the Emergency[NCT03872700]Phase 349 participants (Actual)Interventional2019-08-01Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Health Outcomes After Use With Trimethoprim-sulfamethaxazole

(NCT00867789)
Timeframe: two years

InterventionPercentage of outcomes assessed (Number)
Trimethoprim-sulfamethaxazole0
Sugar Pill0

NRS Pain Score After Blunt Dissection

Patient reported NRS pain scores after Blunt Dissection. The NRS for pain is a reliable and validated measure of pain intensity ranging from 0 - no pain, to 10 - worst pain imaginable. (NCT03872700)
Timeframe: Measured once anytime up to 60 minutes following intranasal administration

Interventionscore on a scale (Mean)
Intranasal Fentanyl4.1
Placebo4.4

NRS Pain Score After Irrigation

Patient reported NRS pain scores after Irrigation. The NRS for pain is a reliable and validated measure of pain intensity ranging from 0 - no pain, to 10 - worst pain imaginable. (NCT03872700)
Timeframe: Measured once anytime up to 60 minutes following intranasal administration

Interventionscore on a scale (Mean)
Intranasal Fentanyl3.4
Placebo2.6

NRS Pain Score After Lidocaine Injection

Patient reported NRS pain scores after Lidocaine injection. The NRS for pain is a reliable and validated measure of pain intensity ranging from 0 - no pain, to 10 - worst pain imaginable. (NCT03872700)
Timeframe: Following Lidocaine injection measured once anytime up to 12 minutes after intranasal administration

Interventionscore on a scale (Mean)
Intranasal Fentanyl8.4
Placebo8.0

NRS Pain Score After Packing of Abscess

Patient reported pain after Packing of abscess. The NRS for pain is a reliable and validated measure of pain intensity ranging from 0 - no pain, to 10 - worst pain imaginable. (NCT03872700)
Timeframe: Measured once at the time of completion of application of the bandage, up to 60 minutes following intranasal administration

Interventionscore on a scale (Mean)
Intranasal Fentanyl4.5
Placebo3.9

NRS Pain Score Following Incision

Patient reported NRS pain scores following Incision. The NRS for pain is a reliable and validated measure of pain intensity ranging from 0 - no pain, to 10 - worst pain imaginable. (NCT03872700)
Timeframe: Measured once anytime up to 60 minutes following intranasal administration

Interventionscore on a scale (Mean)
Intranasal Fentanyl3.9
Placebo3.9

Numerical Rating Scale (NRS) Pain Score at Baseline

Patient reported pain scores at baseline. The NRS for pain is a reliable and validated measure of pain intensity ranging from 0 - no pain, to 10 - worst pain imaginable. (NCT03872700)
Timeframe: Baseline

Interventionscore on a scale (Mean)
Intranasal Fentanyl8.3
Placebo8.1

Numerical Rating Scale (NRS) Pain Score for Overall Procedure

Patient reported pain scores for overall Procedure assessed immediately after placement of dressing at the end of procedure. The NRS for pain is a reliable and validated measure of pain intensity ranging from 0 - no pain, to 10 - worst pain imaginable. (NCT03872700)
Timeframe: Measured once following placement of dressing at completion of procedure, up to 60 minutes following intranasal administration

Interventionscore on a scale (Mean)
Intranasal Fentanyl6.2
Placebo7.0

Reviews

1 review available for metronidazole and Phlegmon

ArticleYear
Lemierre syndrome: study of 11 cases and literature review.
    Head & neck, 2014, Volume: 36, Issue:7

    Topics: Abscess; Adolescent; Adult; Aged; Amoxicillin-Potassium Clavulanate Combination; Anti-Bacterial Agen

2014

Trials

6 trials available for metronidazole and Phlegmon

ArticleYear
Effectiveness of postoperative oral administration of cephalexin and metronidazole on surgical site infection among obese women undergoing cesarean section: a randomized, double-blind, placebo-controlled, parallel-group study-phase III.
    Antimicrobial resistance and infection control, 2022, 12-05, Volume: 11, Issue:1

    Topics: Administration, Oral; Anti-Bacterial Agents; Antibiotic Prophylaxis; Cellulitis; Cephalexin; Cesarea

2022
Effectiveness of postoperative oral administration of cephalexin and metronidazole on surgical site infection among obese women undergoing cesarean section: a randomized, double-blind, placebo-controlled, parallel-group study-phase III.
    Antimicrobial resistance and infection control, 2022, 12-05, Volume: 11, Issue:1

    Topics: Administration, Oral; Anti-Bacterial Agents; Antibiotic Prophylaxis; Cellulitis; Cephalexin; Cesarea

2022
Effectiveness of postoperative oral administration of cephalexin and metronidazole on surgical site infection among obese women undergoing cesarean section: a randomized, double-blind, placebo-controlled, parallel-group study-phase III.
    Antimicrobial resistance and infection control, 2022, 12-05, Volume: 11, Issue:1

    Topics: Administration, Oral; Anti-Bacterial Agents; Antibiotic Prophylaxis; Cellulitis; Cephalexin; Cesarea

2022
Effectiveness of postoperative oral administration of cephalexin and metronidazole on surgical site infection among obese women undergoing cesarean section: a randomized, double-blind, placebo-controlled, parallel-group study-phase III.
    Antimicrobial resistance and infection control, 2022, 12-05, Volume: 11, Issue:1

    Topics: Administration, Oral; Anti-Bacterial Agents; Antibiotic Prophylaxis; Cellulitis; Cephalexin; Cesarea

2022
The management of periorbital cellulitis secondary to sinonasal infection: a multicenter prospective study in the United Kingdom.
    International forum of allergy & rhinology, 2020, Volume: 10, Issue:6

    Topics: Adult; Anti-Bacterial Agents; Ceftriaxone; Cellulitis; Child; Drug Therapy, Combination; Humans; Len

2020
Computerized tomography of acute, tender peritonsillar swellings.
    Clinical otolaryngology and allied sciences, 1993, Volume: 18, Issue:5

    Topics: Biopsy, Needle; Cellulitis; Cost-Benefit Analysis; Humans; Metronidazole; Palatine Tonsil; Penicilli

1993
[Open, noncomparative multicenter study of the efficacy and tolerance of a spiramycin-metronidazole combination used in infectious oral pathology].
    Le Chirurgien-dentiste de France, 1991, Jan-17, Volume: 61, Issue:548

    Topics: Bacterial Infections; Cellulitis; Drug Combinations; Dry Socket; Edema; Humans; Metronidazole; Mouth

1991
A comparison of single-dose and multi-dose metronidazole prophylaxis for hysterectomy.
    The Journal of hospital infection, 1987, Volume: 9, Issue:3

    Topics: Abscess; Adolescent; Adult; Aged; Aged, 80 and over; Cellulitis; Clinical Trials as Topic; Double-Bl

1987
Sulbactam/ampicillin versus metronidazole/gentamicin in the treatment of severe pelvic infections.
    Drugs, 1986, Volume: 31 Suppl 2

    Topics: Ampicillin; beta-Lactamase Inhibitors; Cellulitis; Drug Therapy, Combination; Endometritis; Female;

1986

Other Studies

24 other studies available for metronidazole and Phlegmon

ArticleYear
Clinical Pearls in Infectious Diseases 2017.
    Disease-a-month : DM, 2017, Volume: 63, Issue:6

    Topics: Administration, Intravaginal; Adult; Aged; Anti-Bacterial Agents; Body Piercing; Campylobacter Infec

2017
Appendicitis Presenting As Cellulitis of the Right Leg.
    The Journal of emergency medicine, 2017, Volume: 52, Issue:1

    Topics: Aged; Anti-Bacterial Agents; Appendicitis; Cefuroxime; Cellulitis; Emergency Service, Hospital; Esch

2017
Antibiotic prescribing.
    British journal of hospital medicine (London, England : 2005), 2008, Volume: 69, Issue:7

    Topics: Anti-Bacterial Agents; Cellulitis; Clindamycin; Clostridioides difficile; Diarrhea; Humans; Medical

2008
Nonoperative management of right colonic diverticulitis using radiologic evaluation.
    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2010, Volume: 12, Issue:2

    Topics: Adolescent; Adult; Aged; Anti-Bacterial Agents; Cellulitis; Cephalosporins; Colon, Ascending; Divert

2010
[Phlegmon of the palm of the hand as initial manifestation of the Lemierre syndrome].
    Der Unfallchirurg, 2010, Volume: 113, Issue:2

    Topics: Abscess; Acromioclavicular Joint; Anti-Bacterial Agents; Cellulitis; Combined Modality Therapy; Diag

2010
Orbital cellulitis after phacoemulsification and intraocular lens implantation.
    Journal of cataract and refractive surgery, 2004, Volume: 30, Issue:4

    Topics: Anti-Infective Agents; Cellulitis; Erythromycin; Female; Humans; Lens Implantation, Intraocular; Met

2004
[Bilateral breast bacterial cellulite secondary to Streptococcus agalactiae septicemia].
    Annales de dermatologie et de venereologie, 2006, Volume: 133, Issue:2

    Topics: Adenocarcinoma; Aged; Amoxicillin; Anti-Bacterial Agents; Anti-Infective Agents; Breast Diseases; Ce

2006
[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
An unusual case of cellulitis associated with Bacteroides fragilis septicaemia.
    The Journal of hospital infection, 1982, Volume: 3, Issue:3

    Topics: Bacteroides fragilis; Bacteroides Infections; Cellulitis; Humans; Male; Metronidazole; Middle Aged;

1982
[Significance of a spiramycin-metronidazole combination in the treatment of acute, circumscribed perimaxillary cellulitis].
    Le Chirurgien-dentiste de France, 1981, Dec-03, Volume: 51, Issue:136

    Topics: Acute Disease; Adult; Cellulitis; Drug Combinations; Drug Tolerance; Female; Humans; Jaw Diseases; L

1981
[Cellulitis of the neck due to anaerobic germs: report of 10 cases (author's transl)].
    Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris, 1982, Volume: 99, Issue:1-2

    Topics: Anaerobiosis; Cellulitis; Gas Gangrene; Humans; Metronidazole; Neck; Penicillin G

1982
Topical metronidazole for arterial insufficiency ulcers.
    The Journal of the American Osteopathic Association, 1995, Volume: 95, Issue:3

    Topics: Administration, Topical; Adult; Arterial Occlusive Diseases; Cellulitis; Foot Ulcer; Humans; Leg; Ma

1995
Medical management of orbital infection.
    The Pediatric infectious disease journal, 1994, Volume: 13, Issue:11

    Topics: Ceftazidime; Cellulitis; Child; Female; Humans; Metronidazole; Nafcillin; Orbital Diseases

1994
Nasal dermoid sinus cysts: an unusual presentation, computed tomographic scan findings, and surgical results.
    Annals of plastic surgery, 1994, Volume: 32, Issue:5

    Topics: Bone Transplantation; Cellulitis; Child, Preschool; Cloxacillin; Combined Modality Therapy; Coronary

1994
[The immunomodulating therapy of odontogenic phlegmons with complexes of antibacterial preparations and water-soluble polymers for medical use].
    Stomatologiia, 1996, Volume: Spec No

    Topics: Adjuvants, Immunologic; Anti-Infective Agents, Local; Cellulitis; Colloids; Dextrans; Drug Evaluatio

1996
[Severe diffuse facial cellulitis].
    Revue de stomatologie et de chirurgie maxillo-faciale, 1997, Volume: 98, Issue:4

    Topics: Adolescent; Amikacin; Anti-Bacterial Agents; Anti-Infective Agents; Anti-Inflammatory Agents; Bacter

1997
[Surgical treatment of putrid neck phlegmon].
    Klinichna khirurhiia, 1998, Issue:3

    Topics: Adult; Anti-Bacterial Agents; Antitrichomonal Agents; Cellulitis; Female; Humans; Hyperbaric Oxygena

1998
'Deep throat' cellulitis.
    The Journal of infection, 1999, Volume: 38, Issue:2

    Topics: Anti-Bacterial Agents; Cefoxitin; Cellulitis; Cephamycins; Female; Fusobacterium Infections; Fusobac

1999
The role of technetium-99m-HMPAO-labeled WBC scintigraphy in the diagnosis of orbital cellulitis.
    Annals of nuclear medicine, 2001, Volume: 15, Issue:1

    Topics: Cefotaxime; Cellulitis; Eye Infections, Bacterial; Female; Humans; Leukocytes; Magnetic Resonance Im

2001
Bacillus cereus cellulitis from contaminated heroin.
    Journal of medical microbiology, 2002, Volume: 51, Issue:3

    Topics: Adult; Anti-Bacterial Agents; Bacillus cereus; Cellulitis; Forearm; Genotype; Gentamicins; Heroin; H

2002
[Necrotic phlegmon of the hand, starting point for a septicemia caused by Aeromonas hydrophila. Demonstration of the ichthyological origin of the infection].
    La Nouvelle presse medicale, 1978, Apr-08, Volume: 7, Issue:14

    Topics: Aeromonas; Animals; Bacterial Infections; Cellulitis; Chloramphenicol; Doxycycline; Drug Therapy, Co

1978
Abscess incision and drainage in the emergency department--Part I.
    The Journal of emergency medicine, 1985, Volume: 3, Issue:3

    Topics: Abscess; Bacteria, Aerobic; Bacteria, Anaerobic; Cellulitis; Clindamycin; Drainage; Emergency Servic

1985
Abscess incision and drainage in the emergency department--Part I.
    The Journal of emergency medicine, 1985, Volume: 3, Issue:3

    Topics: Abscess; Bacteria, Aerobic; Bacteria, Anaerobic; Cellulitis; Clindamycin; Drainage; Emergency Servic

1985
Abscess incision and drainage in the emergency department--Part I.
    The Journal of emergency medicine, 1985, Volume: 3, Issue:3

    Topics: Abscess; Bacteria, Aerobic; Bacteria, Anaerobic; Cellulitis; Clindamycin; Drainage; Emergency Servic

1985
Abscess incision and drainage in the emergency department--Part I.
    The Journal of emergency medicine, 1985, Volume: 3, Issue:3

    Topics: Abscess; Bacteria, Aerobic; Bacteria, Anaerobic; Cellulitis; Clindamycin; Drainage; Emergency Servic

1985
Metronidazole in dracunculiasis. Report of further trials.
    The American journal of tropical medicine and hygiene, 1972, Volume: 21, Issue:2

    Topics: Antiparasitic Agents; Cellulitis; Dracunculiasis; Humans; India; Metronidazole

1972
Practical aspects of anaerobic sepsis.
    Medicine, 1973, Volume: 52, Issue:4

    Topics: Abscess; Anaerobiosis; Arthritis, Infectious; Bacterial Infections; Bacteroides; Bone Diseases; Brai

1973