OBJECTIVES Clostridium difficile-associated disease has increased in incidence and severity. Recommended treatments include metronidazole and vancomycin. Recent investigations, however, document the failure of metronidazole to cure a substantial proportion of patients with Clostridium difficile colitis, but oral administration of vancomycin raises concerns over selection of antibiotic-resistant...

BACKGROUND Metronidazole, a 5-nitroimidazole derivative, is the main antitrichomonal agent of choice for treatment of trichomoniasis. Since 1962, some cases of treatment failure with metronidazole have been reported and recently drug resistance is now on the rise in the world. This study was aimed to determine current susceptibility of Iranian isolates of Trichomonas vaginalis to metronidazole....

characterized by recurrent course for many years, is primarily based on metronidazole preparations. This is the first compound authorized by FDA for local acne rosacea therapy. Majority of patients respond to oral administration of an antibiotic complemented with topical application of metronidazole. The available metronidazole products involve 0.75—2% ointments and gels. To achieve good compli...

Background Type I hypersensitivity reaction to metronidazole and its skin testing are rarely reported. A 69 year old lady had laproscopic cholecystectomy on 27September 2010. Post surgery, IV ciprofloxacin 400mg and metronidazole 500mg were infused at 8.00 pm. Within 30 minutes, she experienced pruritus and noted erythema on her left forearm followed by urticaria over upper limbs and chest. She...

OBJECTIVE The present study was undertaken to investigate the pharmacokinetics of metronidazole in pregnant patients with bacterial vaginosis. METHODS Twenty patients received metronidazole (Flagyl ®, Pfizer, 235 East 42nd Street, NY, NY 10017) oral dose 500 mg twice a day for 3 consecutive days. Pharmacokinetic analyses of metronidazole were performed after a single oral dose on the morning ...

Serum concentrations of tinidazole and metronidazole have been measured in healthy female volunteers who received a single dose of 2 g. of each drug in a cross-over study. Bioassays against T. vaginalis showed that metronidazole achieved higher peak concentrations (mean 81 mug./ml.) than did tinidazole (mean 67 mug./ml.), while assays for unchanged drug showed higher peak concentrations of tini...

A 74-year-old man presented with a four week history of behavioural disturbances, upper and lower extremity numbness and impaired balance. He had been treated with metronidazole for six months for osteomyelitis of the right hallux. Examination revealed encephalopathy, and glove-and-stocking sensory loss to pinprick with reduced vibration threshold at the toe. The gait was wide based and ataxic....

Background : Pseudomonus stutzeri bactrerium is one of the most important and effective denitrifier bacteria in wastewater. With regard to the importance of effects of nitrate on water resources and human health and role of metronidazole inhibition, this study was done with the aim of survey of effect of metronidazole different concentrations on biological denitrification of Pesudomonas stutzer...

BACKGROUND The prevalence of metronidazole-resistant H. pylori is almost 50% in Thailand which severely limits the use of this drug for eradication therapy. The aims of this study were to evaluate the efficacy and safety profiles of 7-day bismuth-based quadruple therapy including metronidazole as an initial treatment for H. pylori infection in a high metronidazole resistance area. MATERIALS A...

BACKGROUND Bacterial vaginosis is one of the most prevalent complications among reproductive-aged women. Antibacterial and antifungal effects of Berberis vulgaris have been demonstrated in vitro and in vivo. OBJECTIVES This study aimed to compare the therapeutic effects of the vaginal gel of Berberis vulgaris 5% (in metronidazole base) with metronidazole vaginal gel 0.75% on bacterial vaginos...