Authors: Roja Rahimi Shekoufeh Nikfar Ali Rezaie Mohammad Abdollahi
Publish Date: 2007/04/06
Volume: 52, Issue: 11, Pages: 2920-2925
Abstract
To systematically evaluate the efficacy of antibacterial therapy in ulcerative colitis we carried out a metaanalysis of controlled clinical trials Within the time period 1966 through September 2006 PUBMED EMBASE and SCOPUS were searched for clinical trial studies that investigated the efficacy of antibiotics in ulcerative colitis We considered clinical remission as our key outcome of interest Of 122 studies 10 randomized placebocontrolled clinical trials matched our criteria and were included in the analysis 530 patients All the studies used antibiotics as an adjunct therapy to conventional treatment of ulcerative colitis ie corticosteroids and 5aminosalycilic acid Pooling of these trials yielded odds ratio OR of 214 95 confidence interval CI 148–309 P00001 in favor of antimicrobial therapy Metaanalysis of shortterm trials 5–14 days showed a higher rate of clinical remission in patients treated with antibiotics OR 202 95 CI 136–3 These results suggest that adjunctive antibacterial therapy is effective for induction of clinical remission in ulcerative colitis
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