Evidence Table 22. Results of randomized controlled trials included in meta-analysis comparing penicillin with other antibiotics1

Author, Year Identifier 2 Results 3 : Percentage Cure or Improved (number / total)Discontinuation Due To Major Adverse Events (no. of events)Minor Adverse Events (no. of events)Additional Comments / Data
Axelsson 1970
70286389
Penicillin V:82.8% (29/35)
Lincomycin: 84.6% (33/39)
None Penicillin V: nausea (2), stool (1)
Lincomycin: loose bowel movement (27)
At day 5 and day 10, all arms showed radiograph improvement.
von Sydow 1984
85114999
Erythromycin:97.9% (46/47)
Penicillin V:90.9% (40/44)
Erythromycin: epigastric pain & vomiting(1)
Penicillin V: urticaria (1)
Mostly GI-related
Erythromycin: (18), some epigastric pain
Penicillin V: (9)
Lindbaek 1996a
96343743
Amoxicillin: 88.6% (39/44)
Penicillin V: 82.1% (32/39)
12 patients discontinued tx; 3 had severe GI events & withdrew, 6 placebo cases were given amoxicillin & 1 was given penicillin V. 2 amoxicillin cases were given doxycycline.More than half in tx had adverse events, mainly diarrhea.Mean duration of sinusitis:
Amoxicillin: 9 days
Penicillin: 11 days
Placebo: 17 days
Mean(95% CI) reduction of clinical severity scores:
Amoxicillin: 5.5 (4.9, 6.0)
Penicillin V: 5.4 (5.0, 5.8)
Placebo: 3.4 (2.8, 4.0
Haye 1996
97151573
Outcome at 10-12 days
Azithromycin: 97.3% (214/220)
Penicillin V: 94.9% (205/216)
NoneMostly GI-related (diarrhea, nausea, abdominal pain), some skin-related, & loss of appetite -
Azithromycin: (89)
Penicillin V: (112)
1

Except folate inhibitors.

2

MEDLINE or unique identifying number assigned by EPC. Only first author cited.

3

Clinical or global evaluation.

Abbreviations: GI - gastrointestinal; tx - treatment; CI - confidence interval.

From: Evidence Tables

Cover of Diagnosis and Treatment of Acute Bacterial Rhinosinusitis
Diagnosis and Treatment of Acute Bacterial Rhinosinusitis.
Evidence Reports/Technology Assessments, No. 9.
Lau J, Zucker D, Engels EA, et al.

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.