12 research outputs found

    Efficacy and safety of tigecycline versus levofloxacin for community-acquired pneumonia.

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    Abstract Background: Tigecycline, an expanded broad-spectrum glycylcycline, exhibits in vitro activity against many common pathogens associated with community-acqui red pneumonia (CAP), as well as penetration into lung tissues that suggests effectiveness in ho spitalized CAP patients. The aim of the present study was to compare the efficacy and safety of intravenous (IV) tigecycline with IV levofloxacin in hospitalized adults with CAP. Methods: In this prospective, double-blin d, non-inferiority phase 3 trial, eligible patients with a clinical diagnosis of CAP supported by radiographic evidence were stratified by Fine Pneumonia Severity Index and randomized to tigecycline or levofloxacin for 7-14 days of therapy. Co-primary efficacy endpoints were clinical response in the clinically evaluable (CE) and clinical modified intent- to-treat (c-mITT) populations at te st-of-cure (Day 10-21 post-therapy). Results: Of the 428 patients who received at least on e dose of study drug, 79% had CAP of mild-moderate severity according to their Fine score. Clinical cure rates for the CE population were 88.9% for tigecycline and 85.3% for levofloxac in. Corresponding c-mITT population rates were 83.7% and 81.5%, respectively. Eradication rates for Streptococcus pneumoniae were 92% for tigecycline and 89% for levofloxac in. Nausea, vomiting, and diarrhoea were the most frequently reported adverse events. Rates of premature disc continuation of study drug or study withdrawal because of any adverse event were similar for both study drugs. Conclusion: These findings suggest that IV tigecycline is non-inferior to IV levofloxacin and is generally well-tolerated in the treatment of hospitalized adults with CAP

    Effect of round goby (Neogobius melanostomus) invasion on blue mussel (Mytilus edulis trossulus) population and winter diet of the long-tailed duck (Clangula hyemalis)

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    The invasive round goby has established a viable population within 9 years of its first introduction to Lithuanian coastal waters (SE Baltic Sea). During its expansion phase, abundances increased 23-fold, which led to the near complete eradication of its main prey, the blue mussel, at < 20 m depth. The round goby population showed a stabilizing trend after blue mussel biomass was depleted; however, their abundance has not declined. The round goby feeds efficiently on newly settled mollusks, causing a severe constraint for blue mussel recovery. Changes in blue mussel availability and size structure induced a dietary shift in wintering long-tailed duck towards fish prey. An energetically dense food source sustains a good body condition in long-tailed ducks, however the change in trophic position (from 3.1 to 4.3 trophic level) suggests the potential for a reduction in their carrying capacity. Results from this study also show that coastal habitats with low and unpredictable population dynamics of blue mussel become less attractive wintering sites for long-tailed duck in the Baltic Sea. We also document a cascading effect of invasive species in the food web
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