Review
Copyright ©2014 Baishideng Publishing Group Inc.
World J Gastrointest Pathophysiol. Nov 15, 2014; 5(4): 550-559
Published online Nov 15, 2014. doi: 10.4291/wjgp.v5.i4.550
Table 1 Antibiotic therapy in inflammatory bowel diseases
Ref.YearAntibioticsDurationResult
Crohn’s disease-primary therapy
Ursing et al[53]1982Metronidazole 800 mg/d16 wkNo difference from sulfasalazine
Sutherland et al[54]1991Metronidazole 10 or 20 mg/kg16 wkSuperior to placebo (↓ CDAI), no difference in remission
Colombel et al[55]1999Ciprofloxacin 500 mg 2 × d6 wkNo difference from mesalamine
Arnold et al[56]2002Ciprofloxacin 500 mg 2 × d6 moSuperior to placebo (CDAI)
Prantera et al[57]1996Ciprofloxacin 500 mg 2 × d + metronidazole 250 mg 4 × d12 wkNo difference from prednisolone
Greenbloom et al[58]1998Ciprofloxacin 500 mg 2 × d + metronidazole 250 mg 3 × d10 wkUncontrolled, 68% remission
Leiper et al[59]2000Clarithromycin 250 mg 2 × d4 wkUncontrolled, 64% response, 48% remission
Steinhart et al[60]2002Ciprofloxacin 500 mg 2 × d + metronidazole 250 mg 3 × d8 wkNo improvement over budesonide alone (33% vs 38% remission)
Crohn’s disease-prevention of postsurgical relapse
Rutgeerts et al[61]1995Metronidazole 20 mg/kg12 wk↓ clinical relapse 1 yr vs placebo
Rutgeerts et al[62]2005Ornidazole 1 g/d52 wk↓ severe endoscopic relapse vs placebo
Ulcerative colitis-primary therapy
Turunen et al[63]1999Cipro 500 mg 2 × d6 moSuperior to placebo
Mantzaris et al[64]1997Cipro 500 mg 2 × d6 moNo benefit vs placebo
Casellas et al[65]1998Amoxicillin 1 g/ Clavulanic acid 250 mg5 d↓ mucosal IL-8 and eicosanoids vs placebo
Turner et al[66]2014metronidazole, amoxicillin, doxycycline (Paediatrics)Remission (46.6%)
Pouchitis
Shen et al[67]2001Metronidazole 20 mg/kg or Cipro 500 mg 2 × d6 moBoth effective, Cipro > metronidazole
Gionchetti et al[68]2000Cipro 500 mg 2 × d and Rifaximin 1 g 2 × d5 d89% response, 33% remission, uncontrolled