Amoxicillin versus Cotrimoxazole for Treating Non-severe Pneumonia: A Systematic Review

Riana Suwarni, Anjar Nuryanto
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Abstract

Introduction: Pneumonia is still one of the common causes of death in children under 5 years old in low-middle-income countries. The common cause of pneumonia is bacteria, requiring antibiotics as treatment. This systematic review evaluates the efficacy of amoxicillin and cotrimoxazole in treating pneumonia. Methods: This systematic review used PRISMA rules to analyze Pubmed and Europe PMC articles. The dose, duration, and therapeutic failure of amoxicillin and cotrimoxazole were assessed. Results: A total of 336 articles were selected for title and abstract screening. Four articles met the requirements, and two were selected for systematic review analysis. A total of 20,646 patients were analyzed, 11,633 (56.3%) received amoxicillin and 9,013 (43.7%) received cotrimoxazole. There was no significant difference in treatment failure between amoxicillin and cotrimoxazole. Conclusion: Amoxicillin has the same efficacy as cotrimoxazole for the management of non-severe pneumonia in children under 5 years old.
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治疗非重症肺炎的阿莫西林与复方新诺明:系统回顾
导言:肺炎仍然是中低收入国家 5 岁以下儿童的常见死因之一。肺炎的常见病因是细菌,需要使用抗生素治疗。本系统综述评估了阿莫西林和复方新诺明治疗肺炎的疗效。方法:本系统性综述采用 PRISMA 规则分析了 Pubmed 和欧洲 PMC 上的文章。对阿莫西林和复方新诺明的剂量、疗程和治疗失败进行了评估。结果:共有 336 篇文章被选中进行标题和摘要筛选。四篇文章符合要求,其中两篇被选中进行系统综述分析。共分析了 20,646 名患者,其中 11,633 人(56.3%)接受了阿莫西林治疗,9,013 人(43.7%)接受了复方新诺明治疗。阿莫西林和复方新诺明的治疗失败率没有明显差异。结论在治疗 5 岁以下儿童非重症肺炎方面,阿莫西林与复方新诺明疗效相同。
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