Efficacy of clindamycin compared with amoxicillin-metronidazole after a 7-day regimen in the treatment of periodontitis in patients with diabetes: a randomized clinical trial

Autor: María Claudia Espinel-Bermúdez, José Antonio Robles-Cervantes, Sandra O. Hernández-González, Arieh R Mercado-Sesma, Rocío Patricia Mariaud-Schmidt, Juan Ramón Gómez-Sandoval, Vianeth del Carmen Martínez-Rodríguez, Karina Celia Morgado-Castillo
Rok vydání: 2019
Předmět:
Male
Endocrinology
Diabetes and Metabolism

periodontal disease
Type 2 diabetes
Clinical Care/Education/Nutrition
Gastroenterology
antibiotics
law.invention
0302 clinical medicine
Randomized controlled trial
law
030212 general & internal medicine
Clindamycin
Middle Aged
Prognosis
Anti-Bacterial Agents
Drug Therapy
Combination

Female
type 2 diabetes
medicine.symptom
medicine.drug
Adult
medicine.medical_specialty
Adolescent
Bleeding on probing
030209 endocrinology & metabolism
Diseases of the endocrine glands. Clinical endocrinology
03 medical and health sciences
Young Adult
Double-Blind Method
Internal medicine
Metronidazole
medicine
Humans
Periodontitis
Aged
business.industry
Amoxicillin
medicine.disease
RC648-665
Chronic periodontitis
Regimen
Diabetes Mellitus
Type 2

business
Follow-Up Studies
Zdroj: BMJ Open Diabetes Research & Care
BMJ Open Diabetes Research & Care, Vol 8, Iss 1 (2020)
ISSN: 2052-4897
Popis: ObjectiveTo determine the efficacy of clindamycin compared with amoxicillin-metronidazole after a 7-day regimen during nonsurgical treatment of periodontitis in patients with type 2 diabetes mellitus.Research design and methodsIn this double-blind, randomized clinical trial, a total of 42 patients with chronic periodontitis and type 2 diabetes were included. Patients were randomly assigned to treatment with either clindamycin or amoxicillin-metronidazole three times a day during 7 days. Clinical determinations (probing depth, bleeding on probe, and plaque index) were performed to determine the extent and severity of periodontitis before and after the pharmacological treatment.ResultsAfter 7 days of administration of clindamycin or amoxicillin-metronidazole, no differences were observed between the clinical determinations, probing depth (0.44 vs 0.50 mm, p=0.624), plaque index (17.62 vs 15.88%, p=0.910), and bleeding on probing (16.12 vs 22.17%, p=0.163), respectively. There were no adverse events in either group.ConclusionThe administration during 7 days of clindamycin or amoxicillin/metronidazole showed the same efficacy for the reduction of probing depth, plaque index, and bleeding on probing in patients with periodontitis and type 2 diabetes.
Databáze: OpenAIRE