Comparative Efficacy of Amoxicillin vs. Azithromycin in the Treatment of Community-Acquired Pneumonia

Authors

  • Saleh Saadat Afridi
  • Abdul Moiz Bhatti
  • Fahad Aman Khan
  • Said Malook
  • Imran Khan
  • Salman Khan

Keywords:

Amoxicillin, azithromycin, Pediatric Pneumonia, Community-acquired pneumonia

Abstract

Background: Globally, community-acquired pneumonia (CAP) ranks high among the leading causes of death and disability. Antibiotics should be started as soon as possible. Although there is a growing availability of different pharmacological alternatives for CAP, there is sometimes insufficient information to directly compare the effectiveness of these treatments.

Objective: The primary goal of this research is to compare the effectiveness of azithromycin and amoxicillin in treating pneumonia in children.

Materials and Methods: In all, 152 individuals were found to be suffering from pneumonia. The patients were split into two categories. Six days of amoxicillin at 50 mg/kg/day, split into three doses, is administered to patients in group I. The dosage of azithromycin for patients in group II is 10 mg/kg on day one, followed by 5 mg/kg daily for four days. On days 2, 4, and 6, we looked for signs of improvement in overall health, such as a drop in temperature, less respiratory symptoms, and no longer feeling sick.

Results: There were majority males in both groups. Mean age of the cases in group I was 5.13±4.19 years and in group II mean age was 6.9±4.12 years.In terms of clinical improvement rates by Day 6, 92.1% for amoxicillin and 85.5% for azithromycin (p = 0.51) and radiographic recovery rates by Day 6, 68 (89.5%) for amoxicillin and 64 (84.1%) for azithromycin (p = 0.40), no statistically significant differences were found.

Conclusion: We found no statistically significant differences between amoxicillin and azithromycin in terms of clinical outcomes, microbiological eradication, or side effects; therefore, both antibiotics are safe and effective in treating pediatric community-acquired pneumonia

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Published

2025-07-19

How to Cite

1.
Afridi SS, Bhatti AM, Khan FA, Malook S, Khan I, Khan S. Comparative Efficacy of Amoxicillin vs. Azithromycin in the Treatment of Community-Acquired Pneumonia. J Neonatal Surg [Internet]. 2025Jul.19 [cited 2025Sep.20];13(1):469-74. Available from: https://www.jneonatalsurg.com/index.php/jns/article/view/8429

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