Database : HANSEN
Search on : ENSAIOS CLINICOS [Subject descriptor]
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Id:13728
Author:DeRossi, Scott S; Hersh, Elliot V
Title:Antibiotics and oral contraceptives ..-
Source:s.l; s.n; 2002. 7 p. ilus, graf.
Abstract:With the exception of rifampin-like drugs, there is a lack of scientific evidence supporting the ability of commonly prescribed antibiotics, including all those routinely employed in outpatient dentistry, to either reduce blood levels and/or the effectiveness of oral contraceptives. To date, all clinical trials studying the effects of concomitant antibiotic therapy (with the exception of rifampin and rifabutin) have failed to demonstrate an interaction. Like all drugs, oral contraceptives are not 100 per cent effective with the failure rate in the typical United States population reported to be as high as 3 per cent. It is thus possible that the case reports of unintended pregnancies during antibiotic therapy may simply represent the normal failure rate of these drugs. Considering that both drug classes are prescribed frequently to women of childbearing potential, one would expect a much higher rate of oral contraceptive failure in this group of patients if a true drug:drug interaction existed. On the other hand, if the interaction does exist but is a relatively rare event, occurring in, say, 1 in 5000 women, clinical studies such as those described in this article would not detect the interaction. The pharmacokinetic studies of simultaneous antibiotic and oral contraceptive ingestion, and the retrospective studies of pregnancy rates among oral contraceptive users exposed to antibiotics, all suffer from one potential common weakness, i.e., their relatively small sample size. Sample sizes in the pharmacokinetic trials ranged from 7 to 24 participants, whereas the largest retrospective study of pregnancy rates still evaluated less than 800 total contraceptive users. Still, the incidence of such a rare interaction would not differ from the accepted normal failure rate of oral contraceptive therapy. The medico-legal ramifications of what looks like at best a rare interaction remains somewhat "murky." On one hand, we have medico-legal experts advising the profession to exercise caution and warn all oral contraceptive users of a potential reduction in efficacy during antibiotic therapy. These opinions are not evidence-based and rely heavily on one or two legal proceedings that cannot even be substantiated. On the other hand, there is one recently published legal proceeding in which the outcome was in favor of the oral surgeon. There is clearly...(AU).
Descriptors:VIES (EPIDEMIOLOGIA)
DISPONIBILIDADE BIOLOGICA
ANTIBIOTICOS/farmacocin
ANTIBIOTICOS/uso terap
ESTUDOS RETROSPECTIVOS
ABSORCAO INTESTINAL/ef drogas
RIFABUTINA/uso terap
RIFAMPINA/uso terap
ANTICONCEPCIONAIS ORAIS/antag
ANTICONCEPCIONAIS ORAIS/farmacocin
ANTICONCEPCIONAIS ORAIS/uso terap
INTERACOES DE MEDICAMENTOS
 ENSAIOS CLINICOS
 JURISPRUDÊNCIA
 TAMANHO DA AMOSTRA
Limits:HUMANO
FEMININO
GRAVIDEZ
Electronic Medium:http://www.ilsl.br
Location:BR191.1; 09018/s


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Id:13470
Author:Brasil, Juviano; Opromolla, Diltor Vladimir Araújo; Souza-Freitas, José Alberto de; Fleury, Raul Negrão
Title:Incidência de alteraçoes patológicas da mucosa bucal em pacientes portadores de hanseníase virchowiana Pathological alterations in oral mucosa of lepromatous patients-
Source:s.l; s.n; Jan.-Jun. 1974. 16 p. ilus, tab.
Abstract:One hundred and fifty lepromatous patients of both sexes, with active lesions, were selected for this trough clinica, bacilloscopic and histopathological examinations. Two kinds of lesions were found: active and residual. Specific active were described as maculae, infiltrations, papules, nodules and plaques, with were most frequently found, in decreasing order, in uvula, solt and hard palate, and lips. Lesions presenting positive baciloscopy, even with an apparently normal mucosa, were always considered as active. Residual lesions were destrucution, atrophy and retraction of uvula, scars and nasopalatine perforation, more frequent in those patients with longer duration of the disease.(AU).
Descriptors:PATOLOGIA BUCAL
HANSENIASE
ENSAIOS CLINICOS
MUCOSA BUCAL/patol
Limits:HUMANO
ADULTO
RESUMO EM INGLES
Electronic Medium:http://www.ilsl.br
Location:BR191.1; 01541/s


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Id:13461
Author:Waters, M. F; Rees, R. J; Pearson, J. M; Laing, A. B; Helmy, H. S; Gelber, R. H
Title:Rifampicin for lepromatous leprosy: nine years' experience ..-
Source:s.l; s.n; January 21, 1978. 4 p. tab.
Abstract:Over 100 patients with lepromatous leprosy were treated with rifampicin in a series of pilot, uncontrolled, and controlled trials in 1968-77. The rapid bactericidal effect of rifampicin on Mycobacterium leprae was confirmed. Clinical improvement became apparent sometimes as early as 14 days after the start of treatment. Nevertheless, a few persisting viable M leprae were detected as long as five years after the start of treatment with rifampicin either by itself or in combination with the bacteriostatic drug thiambutosine. Treatment with rifampicin and dapsone for six months reduced the number of persisting leprosy bacteria more than treatment with dapsone alone. Although rifampicin proved more effective than dapsone, it is unlikely that used by itself if can significantly shorten the length of treatment in lepromatous leprosy. Therefore initial intensive combined treatment with two or more bactericidal drugs (including rifampicin) warrants further investigation in both untreated leprosy and lepromatous leprosy resistant to dapsone.(AU).
Descriptors:MYCOBACTERIUM LEPRAE/ef drogas
HANSENIASE/quimioter
ENSAIOS CLINICOS
COMBINACAO DE MEDICAMENTOS
DAPSONA/uso terap
FENILTIOUREIA/analog
FENILTIOUREIA/uso terap
RIFAMPINA/admin
RIFAMPINA/farmacol
RIFAMPINA/uso terap
Limits:HUMANO
ANIMAL
CAMUNDONGOS
Electronic Medium:http://www.ilsl.br
Location:BR191.1; 01449/s


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Id:13369
Author:Lwin, Kyaw; Sundaresan, T; Gyi, Mg Mg; Bechelli, L. M; Tamondong, C; Garbajosa, P. Gallego; Sansarricq, H; Noordeen SK
Title:BCG vaccination of children against leprosy: fourteen-year findings of the trial in Burma ..-
Source:s.l; s.n; 1985. 10 p. mapas, tab, graf.
Abstract:The value of BCG vaccination in preventing leprosy among children was studied in an area of high leprosy endemicity in Burma through a controlled trial; one group of 13066 children received BCG and another group of 13176 served as controls. The overall protective effect of BCG, which was only about 20% over the 14-year period, was found to vary with the batch of vaccine, as well as age, sex, and contacts status the children. The protective effect of BCG against the lepromatous type of leprosy could not be measured because of the low incidence. Protection was observed throught the fourteen years of the study except for the firts year. The results are compared with those of three other major BCG trials in leprosy. The trial has shown that BCG provides only a very modest level of protection and that BCG vaccination is not likely to be an important solution for leprosy control.(AU).
Descriptors:VACINA BCG
ENSAIOS CLINICOS
DEMOGRAFIA
SEGUIMENTOS
HANSENIASE/epidemiol
HANSENIASE/prev
MIANMA
Limits:ESTUDO COMPARATIVO
HUMANO
RECÉM-NASCIDO
LACTENTE
PRÉ-ESCOLAR
CRIANÇA
ADOLESCENTE
Electronic Medium:http://www.ilsl.br
Location:BR191.1; 01802/s


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Id:13356
Author:Shepard, Charles C; Levy, Louis; Fasal, Paul
Title:Further experience with the rapid bactericidal effect of rifampin on Mycobacterium leprae ..-
Source:s.l; s.n; nov. 1974. 5 p. tab, graf.
Abstract:The effect of rifampin therapy in leprosy was studied in two clinical short-term trials in which skin punch biopsy specimens were taken at regular intervals for the inoculation of mice in order to monitor the decrease in proportion of viable Mycobacterium leprae in the patients lesions. In a trial of rifampin in a dosage of 600mg daily, the bacterial viability feel to undectable levels in the first specimen taken after the start of theraphy (at 3-4 days in 4 patients, 7-8 days in 9, and 4 days in 2). Dapsone-treated controls required 20 to more than 112 days for the same change. In a trial of a single dose of 1,500mg rifampin, the viability fell to undetectable levels in the first specimen taken after the start of therapy also (at 3-5 days in all 14 patients).(AU).
Descriptors:FATORES DE TEMPO
HANSENIASE/quimioter
MYCOBACTERIUM LEPRAE/ef drogas
DAPSONA/admin
DAPSONA/farmacol
ENSAIOS CLINICOS
RELACAO DOSE-RESPOSTA A DROGA
BIOPSIA
RIFAMPINA/admin
RIFAMPINA/farmacol
Limits:HUMANO
ANIMAL
CAMUNDONGOS
Electronic Medium:http://www.ilsl.br
Location:BR191.1; 01966/s


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Id:13300
Author:Anand, L. C; Tiwari, V. D; Rathore, B. S; Singh, Onkar
Title:Clinical trial with CIBA 1906 in lepromatous leprosy ..-
Source:s.l; s.n; apr. 1981. 7 p. tab.
Abstract:Drug trial with CIBA 1906 was conducted in 50 cases of lepromatous leprosy who were intolerant to dapsone therapy. Drug was tolerated well and lepra reactions were infrequent and mild. Clinical improvement was seen in 72% cases whereas no appreciable change was detected in 28% cases. An average reduction of 0.4 in BI was detected in 62% cases, while remaining cases did not show any reduction in BI. No significant side effects were encountered during the study. Antibacterial activity of CIBA 1906 was not found superior to dapsone.(AU).
Descriptors:HANSENOSTATICOS/uso terap
ENSAIOS CLINICOS
HANSENIASE/quimioter
FENILTIOUREIA/analog
FENILTIOUREIA/ef adv
FENILTIOUREIA/uso terap
Limits:HUMANO
MASCULINO
ADULTO
Electronic Medium:http://www.ilsl.br
Location:BR191.1; 00694/s


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Id:13241
Author:Aronne Benach, M. T; Naranjo Cascante, G
Title:Estudio de biodisponibilidad en dos preparaciones distintas de rifampicina Bioavailability of 2 different rifampicin preparations-
Source:s.l; s.n; October 15, 1980. 4 p. tab, graf.
Abstract:Blood levels of two different preparations of Rifampicin were determined after a standard dose of 600mg. Three hours later, blood concentrations showed no statistical differences. Six hours later the levels were statiscally significant well above the minimum inhibitory levels for Mycobacterium Tuberculosis. For practical purposes it may be said that no diference in th bioavailability existis between the two drugs studied...(AU).
Descriptors:ABSORCAO INTESTINAL
FATORES DE TEMPO
DISPONIBILIDADE BIOLOGICA
ENSAIOS CLINICOS
AVALIACAO DE MEDICAMENTOS
RIFAMPINA/sangue
RIFAMPINA/metab
RIFAMPINA/urina
Limits:HUMANO
MASCULINO
FEMININO
ADULTO
MEIA-IDADE
ADOLESCENTE
RESUMO EM INGLES
Electronic Medium:http://www.ilsl.br
Location:BR191.1; 00679/s


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Id:11824
Author:Mujagic, Hamza; Chabner, Bruce A; Mujagic, Zlata
Title:Mechanisms of action and potential therapeutic uses of thalidomide ..-
Source:s.l; s.n; 2002. 12 p. ilus, tab.
Descriptors:ENSAIOS CLINICOS
MIELOMA MULTIPLO
MIELOMA MULTIPLO
NEOPLASIAS
NEOPLASIAS
SENSIBILIDADE E ESPECIFICIDADE
TALIDOMIDA
TALIDOMIDA
TALIDOMIDA
Location:BR191.1; 08562/s


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Id:11696
Author:Smith, C. M; Smith, W. C. S
Title:Chemoprophylaxis is effective in the prevention of leprosy in endemic countries: a systematic review and meta-analysis ..-
Source:s.l; s.n; 2000. 6 p. tab.
Descriptors:HANSENIASE
HANSENIASE
LEPROSTATICOS
LEPROSTATICOS
ACEDAPSONA
ENSAIOS CLINICOS
ANALISE CUSTO-BENEFICIO
DAPSONA
RIFAMPINA
FATORES DE RISCO
Location:BR191.1; 08489/s


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Id:11644
Author:Mujagic, Hamza; Chabner, Bruce A; Mujagic, Zlata
Title:Mechanisms of action and potential therapeutic uses of thalidomide ..-
Source:s.l; s.n; 2002. 12 p. tab.
Descriptors:TALIDOMIDA
TALIDOMIDA
TALIDOMIDA
ENSAIOS CLINICOS
MIELOMA MULTIPLO
MIELOMA MULTIPLO
NEOPLASIAS
NEOPLASIAS
DEFEITOS DO TUBO NEURAL
DEFEITOS DO TUBO NEURAL
SENSIBILIDADE E ESPECIFICIDADE
RELAÇAO ESTRUTURA-ATIVIDADE
RESULTADO DE TRATAMENTO
Location:BR191.1; 08505/s


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Id:11290
Author:Nath, Indira
Title:A vaccine for leprosy ..-
Source:s.l; s.n; 1998. 3 p. ilus, tab.
Descriptors:VACINAS BACTERIANAS
ENSAIOS CLINICOS
REAÇOES CRUZADAS
INDIA
HANSENIASE
MYCOBACTERIUM
VACINAÇAO
Location:BR191.1; 07229/s


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Id:11028
Author:Talwar, G. P
Title:An Immunotherapeutic vaccine for multibacillary leprosy ..-
Source:s.l; s.n; 1999. 21 p. ilus, graf.
Descriptors:VACINA BCG
VACINAS BACTERIANAS
VACINAS BACTERIANAS
ENSAIOS CLINICOS
HANSENIASE
MYCOBACTERIUM LEPRAE
TUBERCULOSE
Limits:ANIMAL
Location:BR191.1; 07460/s


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Id:10331
Author:Jayaraman, K. S
Title:Charges fly over rival lleprosy vaccines ..-
Source:s.l; s.n; 1994. 1 p. ilus.
Descriptors:VACINAS BACTERIANAS
ENSAIOS CLINICOS
INDIA
HANSENIASE
HANSENIASE
MYCOBACTERIUM
MYCOBACTERIUM
Location:BR191.1; 07182/s


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Id:10210
Author:Cohen, Jon
Title:Vaccines get a new twist ..-
Source:s.l; s.n; 1994. 3 p. ilus, tab.
Descriptors:ENSAIOS CLINICOS
HEPATITE B
HERPES GENITAL
IMUNOTERAPIA ATIVA
LEISHMANIOSE
HANSENIASE
TUBERCULOSE
Location:BR191.1; 06911/s


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Id:10153
Author:Ebrahim, G. J
Title:Elimination of leprosy as a public health problem (Editorial) ..-
Source:s.l; s.n; 1997. 2 p. .
Descriptors:ENSAIOS CLINICOS
CONTROLE DE DOENÇAS TRANSMISSIVEIS
SURTOS DE DOENÇAS
INCIDENCIA
LEPROSTATICOS
HANSENIASE
HANSENIASE
SAUDE MUNDIAL
ORGANIZAÇAO MUNDIAL DA SAUDE
Location:BR191.1; 07126/s


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Id:10115
Author:Jain, Sanjiv; Sehgal, Virendra N
Title:Multidrug therapeutic challenges in leprosy ..-
Source:s.l; s.n; 1997. 4 p. tab.
Descriptors:ENSAIOS CLINICOS
ESQUEMA DE MEDICAÇAO
QUIMIOTERAPIA COMBINADA
INDIA
LEPROSTATICOS
LEPROSTATICOS
HANSENIASE
HANSENIASE
HANSENIASE
PROGNOSTICO
RECIDIVA
RESULTADO DE TRATAMENTO
Location:BR191.1; 07056/s


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Id:9915
Author:Pattyn, S. R
Title:Future trends in the treatment of leprosy ..-
Source:s.l; s.n; 1994. 4 p. tab.
Descriptors:HANSENIASE
HANSENIASE
HANSENIASE
LEPROSTATICOS
LEPROSTATICOS
QUIMIOTERAPIA COMBINADA
ESTUDOS LONGITUDINAIS
RECIDIVA
FATORES DE TEMPO
RESULTADO DE TRATAMENTO
ENSAIOS CLINICOS
Location:BR191.1; 06876/s


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Id:9377
Author:Deo, M. G
Title:Leprosy vaccines (Correspondence) ..-
Source:s.l; s.n; 1992. 2 p. .
Descriptors:VACINAS BACTERIANAS
ENSAIOS CLINICOS
ÉTICA MÉDICA
HANSENIASE
MYCOBACTERIUM LEPRAE
Location:BR191.1; 06423/s


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Id:9345
Author:Arain, Ghazala Moihyuddin
Title:BCG vaccination ..-
Source:s.l; s.n; 1991. 2 p. .
Descriptors:VACINA BCG
ENSAIOS CLINICOS
HANSENIASE
TUBERCULOSE PULMONAR
VACINAÇAO
Location:BR191.1; 06456/s


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Id:394
Author:Romero, Arturo; Brenes Ibarra, Abelardo; Fallas, Marcial.
Title:Estudio clinico de la lepra lepromatosa en Costa Rica.
Source:In: Congreso Internacional de la Lepra, 5.Congreso Internacional de la Lepra, 5/Memoria. Havana, Asociacion Internacional de Lepra, 1948. p.1281-5.
Conference:Present in: Congreso Internacional de la Lepra, 5, Havana, 3-11 abr. 1948.
Descriptors:HANSENIASE LEPROMATOSA
ENSAIOS CLINICOS
COSTA RICA
Limits:RELATO DE CASO
ESTUDO COMPARATIVO
Location:BR191.1; WC335.3, C76m



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