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trimethoprim and Complications, Infectious Pregnancy

trimethoprim has been researched along with Complications, Infectious Pregnancy in 41 studies

Trimethoprim: A pyrimidine inhibitor of dihydrofolate reductase, it is an antibacterial related to PYRIMETHAMINE. It is potentiated by SULFONAMIDES and the TRIMETHOPRIM, SULFAMETHOXAZOLE DRUG COMBINATION is the form most often used. It is sometimes used alone as an antimalarial. TRIMETHOPRIM RESISTANCE has been reported.
trimethoprim : An aminopyrimidine antibiotic whose structure consists of pyrimidine 2,4-diamine and 1,2,3-trimethoxybenzene moieties linked by a methylene bridge.

Research Excerpts

ExcerptRelevanceReference
"Sixty consecutive pregnant women with asymptomatic (covert) bacteriuria detected between 16 and 30 weeks gestation were randomly allocated to treatment with either a single 600 mg dose or a standard five-day course of trimethoprim."9.06Comparison of single dose with a five-day course of trimethoprim for asymptomatic (covert) bacteriuria of pregnancy. ( Bailey, RR; Bishop, V; Peddie, BA, 1986)
"Data available on the fetal safety of trimethoprim-sulfamethoxazole (TMP-SMX) exposure during pregnancy remains scarce and inconclusive."7.88Use of trimethoprim-sulfamethoxazole during pregnancy and risk of spontaneous abortion: a nested case control study. ( Bérard, A; Muanda, FT; Sheehy, O, 2018)
"Our exploratory analyses support the hypothesis that IRS may significantly reduce malaria and preterm birth risk among pregnant women with HIV receiving bed nets, daily trimethoprim-sulfamethoxazole, and combination antiretroviral therapy."5.24Protective Effect of Indoor Residual Spraying of Insecticide on Preterm Birth Among Pregnant Women With HIV Infection in Uganda: A Secondary Data Analysis. ( Awori, P; Clark, TD; Cohan, D; Dorsey, G; Gosling, R; Havlir, DV; Jagannathan, P; Kakuru, A; Kamya, MR; Koss, CA; Muhindo, M; Nakalambe, M; Natureeba, P; Ochieng, T; Plenty, A; Roh, ME; Shiboski, S, 2017)
"Intermittent preventive treatment in pregnancy with sulfadoxine/pyrimethamine is contra-indicated in HIV-positive pregnant women receiving sulfamethoxazole/trimethoprim prophylaxis."5.22Pharmacokinetics of mefloquine and its effect on sulfamethoxazole and trimethoprim steady-state blood levels in intermittent preventive treatment (IPTp) of pregnant HIV-infected women in Kenya. ( Desai, M; González, R; Green, M; Kariuki, S; Katana, A; Menendez, C; Otieno, K; Ouma, P; Slutsker, L; ter Kuile, F, 2016)
"Sixty consecutive pregnant women with asymptomatic (covert) bacteriuria detected between 16 and 30 weeks gestation were randomly allocated to treatment with either a single 600 mg dose or a standard five-day course of trimethoprim."5.06Comparison of single dose with a five-day course of trimethoprim for asymptomatic (covert) bacteriuria of pregnancy. ( Bailey, RR; Bishop, V; Peddie, BA, 1986)
"Data available on the fetal safety of trimethoprim-sulfamethoxazole (TMP-SMX) exposure during pregnancy remains scarce and inconclusive."3.88Use of trimethoprim-sulfamethoxazole during pregnancy and risk of spontaneous abortion: a nested case control study. ( Bérard, A; Muanda, FT; Sheehy, O, 2018)
" Pregnancy termination was refused, and she was treated with intravenous ampicillin and gentamicin followed by oral trimethoprim/sulfamethoxazol."3.67First-trimester maternal Listeria monocytogenes sepsis and chorioamnionitis with normal neonatal outcome. ( Cruikshank, DP; Warenski, JC, 1989)
" It is believed that traditional dosage regimens for uncomplicated UTIs are extravagant."2.38Management of lower urinary tract infections. ( Bailey, RR, 1993)
"Trimethoprim has a lesser propensity to select resistant organisms than most other antimicrobials."2.36Pharmacological principles in the treatment of urinary tract infections. ( Sommers, DK, 1983)
"Ethical and medical problems arise with typhoid infections in pregnant women."1.27Treatment of typhoid fever in pregnancy. ( Buongiorno, R; Schiraldi, O, 1984)

Research

Studies (41)

TimeframeStudies, this research(%)All Research%
pre-199032 (78.05)18.7374
1990's2 (4.88)18.2507
2000's3 (7.32)29.6817
2010's4 (9.76)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Roh, ME1
Shiboski, S1
Natureeba, P1
Kakuru, A1
Muhindo, M1
Ochieng, T1
Plenty, A1
Koss, CA1
Clark, TD1
Awori, P1
Nakalambe, M1
Cohan, D1
Jagannathan, P1
Gosling, R1
Havlir, DV1
Kamya, MR1
Dorsey, G1
Muanda, FT1
Sheehy, O1
Bérard, A1
Green, M1
Otieno, K1
Katana, A1
Slutsker, L1
Kariuki, S1
Ouma, P1
González, R1
Menendez, C1
ter Kuile, F1
Desai, M1
Orden-Martínez, B1
Martínez-Ruiz, R1
Millán-Pérez, R1
Melendez, J1
Claxton, A1
Erskine, K1
Barwitz, HJ1
Smithells, RW1
Johnson, CA1
Bennett, M1
Jensen, RK1
Schirmer, R1
Harpey, JP1
Veron, P1
Harris, RE1
Buongiorno, R1
Schiraldi, O1
Abraham, E1
Brenner, BE1
Simon, RR1
Sommers, DK1
Bailey, RR4
Bishop, V2
Peddie, BA2
Brumfitt, W4
Hamilton-Miller, JM1
Martens, M1
Wiersma, TJ1
Timmermans, AE1
Cruikshank, DP1
Warenski, JC1
Santana, JL1
Ramírez-Ronda, CH1
Soper, DE1
Merrill-Nach, S1
Berg, AO1
Soman, MP1
Kelly, RT1
Bibbins, B1
Fowler, JE1
Awadalla, SG1
Mercer, LJ1
Brown, LG1
Nguyen, BT1
Stadtsbaeder, S1
van Spreeuwel, JP1
Remmert, BP1
Le Loux, AM1
Nadorp, JH1
Mevissen-Verhage, EA1
Heilmann, FG1
Verbrugh, HA1
Kayser, AM1
Landheer, JE1
el-Tamtamy, S1
Hing, NK1
Hai, CK1
Ping, WW1
Pursell, R3
Bailey, MJ1
Neary, JT1
Notelovitz, M1
Coggiola, F1
Shaw, EJ1
Clark, AD1
Anderson, FM1
Samim, F1
Finland, M2
Kass, EH1
Villard, J1
Bobichon, R1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Reducing the Burden of Malaria in HIV-Infected Pregnant Women and Their HIV-Exposed Children (PROMOTE Birth Cohort 2)[NCT02282293]Phase 3200 participants (Actual)Interventional2014-12-09Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Composite Adverse Birth Outcome (Proportion With Low Birth Weight (<2500 gm), Spontaneous Abortion (<28 Weeks), Stillbirth (Fetal Demise ≥28 Weeks), Congenital Anomaly, or Preterm Delivery (<37 Weeks)

Proportion with low birth weight (<2500 gm), spontaneous abortion (<28 weeks), stillbirth (fetal demise ≥28 weeks), congenital anomaly, or preterm delivery (<37 weeks) (NCT02282293)
Timeframe: At delivery

InterventionParticipants (Count of Participants)
TS + DP Placebo Pregnancy15
Daily TS + Monthly DP Pregnancy20

Incidence of Malaria, Pregnant Women

The primary outcome will be the incidence of malaria, defined as the number of incident episodes per time at risk. Incident cases will include all treatments for malaria not proceeded by another treatment in the previous 14 days. (NCT02282293)
Timeframe: Time at risk will begin following administration of first dose of study drug to delivery

InterventionEvents per person-year (Number)
TS + DP Placebo Pregnancy0.03
Daily TS + Monthly DP Pregnancy0.00

Number of Monthly Routine Visits With Positive Blood Samples for Parasites

Proportion of monthly routine blood samples positive by LAMP for parasites (NCT02282293)
Timeframe: Following administration of first dose of study drug to delivery

Interventionvisits with positive blood sample (Count of Units)
TS + DP Placebo Pregnancy12
Daily TS + Monthly DP Pregnancy5

Number of Participants With Placental Malaria

The primary outcome will be the prevalence of placental malaria based on placental histopathology and dichotomized into any evidence of placental infection (parasites or pigment) vs. no evidence of placental infection. (NCT02282293)
Timeframe: at delivery estimated to be within 10 to 30 weeks of study entry

InterventionParticipants (Count of Participants)
TS + DP Placebo Pregnancy3
Daily TS + Monthly DP Pregnancy6

Number of Routine Visits Measured Every 8 Weeks During Pregnancy for Which the Participants Had Anemia

Anemia (hemoglobin less than 11g/dL) measured every 8 weeks during pregnancy (NCT02282293)
Timeframe: Following administration of first dose of study drugs to delivery

InterventionRoutine visit done every 8 weeks (Count of Units)
TS + DP Placebo Pregnancy65
Daily TS + Monthly DP Pregnancy51

Maternal Parasitemia at Delivery by Microscopy and LAMP

Proportion of women with parasitemia detected by microscopy or LAMP at delivery (NCT02282293)
Timeframe: At delivery

,
InterventionParticipants (Count of Participants)
MicroscopyLAMP
Daily TS + Monthly DP Pregnancy14
TS + DP Placebo Pregnancy02

Placental Parasitemia (Number of Women With Placental Blood Samples Positive for Malaria by Microscopy or PCR)

Proportion of placental blood samples positive for malaria by microscopy or PCR (NCT02282293)
Timeframe: At delivery

,
InterventionParticipants (Count of Participants)
Microscopy of placental bloodLAMP analysis of placental blood
Daily TS + Monthly DP Pregnancy13
TS + DP Placebo Pregnancy01

Reviews

6 reviews available for trimethoprim and Complications, Infectious Pregnancy

ArticleYear
Cystitis and pyelonephritis.
    Annals of emergency medicine, 1983, Volume: 12, Issue:4

    Topics: Amoxicillin; Bacterial Infections; Bacteriuria; Cystitis; Diagnosis, Differential; Drug Therapy, Com

1983
Pharmacological principles in the treatment of urinary tract infections.
    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde, 1983, Jul-23, Volume: 64, Issue:4

    Topics: Aminoglycosides; Anti-Bacterial Agents; Anti-Infective Agents, Urinary; Cephalosporins; Female; Huma

1983
Trimethoprim.
    British journal of hospital medicine, 1980, Volume: 23, Issue:3

    Topics: Anti-Infective Agents, Urinary; Bacteriuria; Drug Resistance, Microbial; Drug Therapy, Combination;

1980
Management of lower urinary tract infections.
    Drugs, 1993, Volume: 45 Suppl 3

    Topics: 4-Quinolones; Anti-Bacterial Agents; Anti-Infective Agents; Female; Humans; Pregnancy; Pregnancy Com

1993
[Summary of the 'Urinary tract infections' guideline (first revision) of the Dutch College of General Practitioners].
    Nederlands tijdschrift voor geneeskunde, 2001, Apr-14, Volume: 145, Issue:15

    Topics: Adult; Amoxicillin; Anti-Infective Agents, Urinary; Diagnosis, Differential; Female; Humans; Netherl

2001
Lower genitourinary infections in women.
    The Journal of family practice, 1986, Volume: 23, Issue:1

    Topics: Amoxicillin; Anti-Infective Agents, Urinary; Cystitis; Diagnosis, Differential; Drug Combinations; F

1986

Trials

8 trials available for trimethoprim and Complications, Infectious Pregnancy

ArticleYear
Protective Effect of Indoor Residual Spraying of Insecticide on Preterm Birth Among Pregnant Women With HIV Infection in Uganda: A Secondary Data Analysis.
    The Journal of infectious diseases, 2017, 12-19, Volume: 216, Issue:12

    Topics: Adolescent; Adult; Anti-Retroviral Agents; Chemoprevention; Drug Combinations; Female; HIV Infection

2017
Pharmacokinetics of mefloquine and its effect on sulfamethoxazole and trimethoprim steady-state blood levels in intermittent preventive treatment (IPTp) of pregnant HIV-infected women in Kenya.
    Malaria journal, 2016, Jan-05, Volume: 15

    Topics: Adolescent; Adult; Antimalarials; Double-Blind Method; Female; HIV Infections; Humans; Kenya; Malari

2016
Comparison of single dose with a 5-day course of co-trimoxazole for asymptomatic (covert) bacteriuria of pregnancy.
    The Australian & New Zealand journal of obstetrics & gynaecology, 1983, Volume: 23, Issue:3

    Topics: Adult; Anti-Infective Agents, Urinary; Drug Administration Schedule; Drug Combinations; Female; Huma

1983
Comparison of single dose with a five-day course of trimethoprim for asymptomatic (covert) bacteriuria of pregnancy.
    The New Zealand medical journal, 1986, Jul-09, Volume: 99, Issue:805

    Topics: Adolescent; Adult; Bacteriuria; Drug Administration Schedule; Drug Evaluation; Female; Humans; Pregn

1986
Double-blind trial to compare ampicillin, cephalexin, co-trimoxazole, and trimethoprim in treatment of urinary infection.
    British medical journal, 1972, Jun-17, Volume: 2, Issue:5815

    Topics: Ampicillin; Bacteriuria; Cephalexin; Cephalosporins; Drug Hypersensitivity; Escherichia coli Infecti

1972
[Preliminary results of treatment of symptomatic and asymptomatic bacteriuria in pregnancy with a new chemotherapeutic agent].
    Minerva ginecologica, 1973, Volume: 25, Issue:3

    Topics: Adult; Anti-Infective Agents; Bacteriuria; Clinical Trials as Topic; Evaluation Studies as Topic; Fe

1973
Trimethoprim-sulphamethoxazole in the treatment of urinary infection.
    The Medical journal of Australia, 1973, Jun-30, Volume: 1, Issue:2

    Topics: Abnormalities, Drug-Induced; Ampicillin; Anti-Infective Agents; Cephalexin; Clinical Trials as Topic

1973
Trimethoprim-sulfamethoxazole in the treatment of bacteriuria in women.
    The Journal of infectious diseases, 1973, Volume: 128

    Topics: Abnormalities, Drug-Induced; Ambulatory Care; Ampicillin; Bacteriuria; Cephalexin; Clinical Trials a

1973

Other Studies

27 other studies available for trimethoprim and Complications, Infectious Pregnancy

ArticleYear
Use of trimethoprim-sulfamethoxazole during pregnancy and risk of spontaneous abortion: a nested case control study.
    British journal of clinical pharmacology, 2018, Volume: 84, Issue:6

    Topics: Abortion, Spontaneous; Adolescent; Adult; Anti-Bacterial Agents; Case-Control Studies; Drug Combinat

2018
[What are we learning about Staphylococcus saprophyticus?].
    Enfermedades infecciosas y microbiologia clinica, 2008, Volume: 26, Issue:8

    Topics: Adolescent; Adult; Anti-Bacterial Agents; Contraindications; Drug Combinations; Drug Resistance, Mul

2008
MRSA bacteraemia after caesarean section wound infection: when screening is missed and things go wrong.
    Archives of gynecology and obstetrics, 2012, Volume: 285, Issue:3

    Topics: Adult; Amikacin; Anti-Bacterial Agents; Antibiotic Prophylaxis; Bacteremia; Cefuroxime; Cesarean Sec

2012
[Dysuria].
    MMW Fortschritte der Medizin, 2003, Sep-25, Volume: 145, Issue:39

    Topics: Adult; Anti-Infective Agents, Urinary; Child; Cystitis; Female; Humans; Male; Pregnancy; Pregnancy C

2003
Co-trimoxazole in pregnancy.
    Lancet (London, England), 1983, Nov-12, Volume: 2, Issue:8359

    Topics: Anti-Infective Agents; Drug Combinations; Female; Humans; Pregnancy; Pregnancy Complications, Infect

1983
Effect of combined antibiotic therapy on fertility in brood bitches infected with Brucella canis.
    Journal of the American Veterinary Medical Association, 1982, Jun-01, Volume: 180, Issue:11

    Topics: Abortion, Septic; Abortion, Veterinary; Animals; Brucellosis; Dihydrostreptomycin Sulfate; Dog Disea

1982
[Treatment of toxoplasmosis with trimethoprim-sulfamethoxazole].
    Presse medicale (Paris, France : 1983), 1983, May-28, Volume: 12, Issue:23

    Topics: Drug Combinations; Female; Humans; Pregnancy; Pregnancy Complications, Infectious; Sulfamethoxazole;

1983
Acute urinary tract infections and subsequent problems.
    Clinical obstetrics and gynecology, 1984, Volume: 27, Issue:4

    Topics: Acute Disease; Aminoglycosides; Anti-Bacterial Agents; Bacteriuria; Cystitis; Drug Combinations; Fem

1984
Treatment of typhoid fever in pregnancy.
    Chemioterapia : international journal of the Mediterranean Society of Chemotherapy, 1984, Volume: 3, Issue:2

    Topics: Adolescent; Adult; Ampicillin; Chloramphenicol; Drug Combinations; Female; Humans; Pregnancy; Pregna

1984
Single-dose antibacterial treatment for bacteriuria in pregnancy.
    Drugs, 1984, Volume: 27, Issue:2

    Topics: Bacteriuria; Cephaloridine; Drug Combinations; Drug Therapy, Combination; Female; Humans; Nitrofuran

1984
[Careful with trimethoprim in pregnant sows].
    Tijdschrift voor diergeneeskunde, 1993, Jan-15, Volume: 118, Issue:2

    Topics: Abnormalities, Drug-Induced; Animals; Female; Pregnancy; Pregnancy Complications, Infectious; Swine;

1993
First-trimester maternal Listeria monocytogenes sepsis and chorioamnionitis with normal neonatal outcome.
    Obstetrics and gynecology, 1989, Volume: 73, Issue:3 Pt 2

    Topics: Adult; Ampicillin; Anti-Infective Agents; Chorioamnionitis; Drug Combinations; Drug Therapy, Combina

1989
[The pregnant woman infected with the human immunodeficiency virus: recommendations for her management].
    Boletin de la Asociacion Medica de Puerto Rico, 1988, Volume: 80, Issue:5

    Topics: Acquired Immunodeficiency Syndrome; Candidiasis; Cytomegalovirus Infections; Female; Humans; Ketocon

1988
Successful therapy of penicillinase-producing Neisseria gonorrhoeae pharyngeal infection during pregnancy.
    Obstetrics and gynecology, 1986, Volume: 68, Issue:2

    Topics: Adult; Anti-Bacterial Agents; Drug Combinations; Female; Gonorrhea; Humans; Infant, Newborn; Neisser

1986
Pregnancy and brucellosis.
    Texas medicine, 1987, Volume: 83, Issue:5

    Topics: Adult; Brucellosis; Female; Humans; Pregnancy; Pregnancy Complications, Infectious; Recurrence; Sulf

1987
Staphylococcus saprophyticus as the cause of infected urinary calculus.
    Annals of internal medicine, 1985, Volume: 102, Issue:3

    Topics: Adult; Ampicillin; Bacteriuria; Drug Combinations; Female; Humans; Magnesium; Magnesium Compounds; P

1985
Pregnancy complicated by intraamniotic infection by Salmonella typhi.
    Obstetrics and gynecology, 1985, Volume: 65, Issue:3 Suppl

    Topics: Abortion, Spontaneous; Adult; Amniotic Fluid; Ampicillin; Clindamycin; Disseminated Intravascular Co

1985
Comparative effects of cotrimoxazole (trimethoprim-sulphamethoxazole) and spiramycin in pregnant mice infected with Toxoplasma gondii (Beverley strain).
    British journal of pharmacology, 1985, Volume: 85, Issue:3

    Topics: Animals; Antibodies; Birth Weight; Congenital Abnormalities; Delivery, Obstetric; Drug Combinations;

1985
[Clinical observations during an epidemic caused by Shigella flexneri].
    Nederlands tijdschrift voor geneeskunde, 1985, May-11, Volume: 129, Issue:19

    Topics: Adult; Aged; Arthritis, Infectious; Child, Preschool; Drug Combinations; Dysentery, Bacillary; Femal

1985
Letter: Co-trimoxazole and the blood.
    Lancet (London, England), 1974, May-11, Volume: 1, Issue:7863

    Topics: Adult; Aged; Anemia, Macrocytic; Drug Combinations; Female; Folic Acid Deficiency; Humans; Male; Pre

1974
Trimethoprim-sulphamethoxazole in the treatment of infections in obstetrical and gynaecological practice. A bacteriological and clinical study.
    The Medical journal of Malaysia, 1974, Volume: 28, Issue:4

    Topics: Bacterial Infections; Drug Therapy, Combination; Female; Humans; Pregnancy; Pregnancy Complications,

1974
The Uricult dip-slide in significant bacteriuria.
    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde, 1972, Sep-16, Volume: 46, Issue:37

    Topics: Ampicillin; Bacteria; Bacteriological Techniques; Bacteriuria; Female; Humans; Microbial Sensitivity

1972
R factors in Enterobacteriaceae causing asymptomatic bacteriuria of pregnancy.
    Journal of medical microbiology, 1973, Volume: 6, Issue:4

    Topics: Ampicillin; Bacteriuria; Chloramphenicol; Enterobacteriaceae; Enterobacteriaceae Infections; Escheri

1973
[Ad hoc administration of Bactrim(Roche) erfusion in obstetrics and gynecology].
    Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis, 1973, Aug-14, Volume: 62, Issue:33

    Topics: Anti-Infective Agents; Drug Combinations; Female; Folic Acid Antagonists; Genital Diseases, Female;

1973
Trimethoprim-sulfamethoxazole. Summary and comments on the conference.
    The Journal of infectious diseases, 1973, Volume: 128

    Topics: Bacteria; Bacterial Infections; Carrier State; Child; Child, Preschool; Drug Combinations; Drug Resi

1973
Editorial: Combinations of antimicrobial drugs: trimethoprim-sulfamethoxazole.
    The New England journal of medicine, 1974, Sep-19, Volume: 291, Issue:12

    Topics: Adult; American Medical Association; Ascorbic Acid; Attitude of Health Personnel; Bacterial Infectio

1974
[Study of the sulfamethoxazole-trimethoprim combination in gynecology and obstetrics].
    Journal de medecine de Lyon, 1971, Mar-05, Volume: 52, Issue:204

    Topics: Abortion, Septic; Anti-Infective Agents; Female; Folic Acid Antagonists; Humans; Pregnancy; Pregnanc

1971