What is the defined daily dose (DDD) for azithromycin (500 mg) given once daily for 3 days?

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From the Research

The defined daily dose (DDD) for azithromycin 500 mg given once daily for 3 days is 0.5 grams per day. This means that for this specific regimen, the patient would receive a total of 1.5 grams of azithromycin over the 3-day course (500 mg × 3 days). The DDD is a statistical measure established by the World Health Organization (WHO) to standardize drug consumption measurements and enable comparisons between different medications or populations. It represents the assumed average maintenance dose per day for a drug used for its main indication in adults. For azithromycin specifically, the 0.5 gram DDD reflects its typical daily dosing for respiratory or other bacterial infections, as seen in studies such as 1. When calculating medication consumption for epidemiological purposes, this 3-day regimen would count as 3 DDDs total (0.5g × 3 days). This standardized approach helps healthcare systems track antibiotic usage patterns and monitor antimicrobial stewardship efforts.

Some key points to consider when determining the DDD for azithromycin include:

  • The typical daily dosing for respiratory or other bacterial infections
  • The assumed average maintenance dose per day for a drug used for its main indication in adults
  • The standardization of drug consumption measurements to enable comparisons between different medications or populations
  • The importance of tracking antibiotic usage patterns and monitoring antimicrobial stewardship efforts, as discussed in studies such as 2, 3, and 4.

However, it's worth noting that the provided studies do not directly address the calculation of DDD for azithromycin, but rather discuss its efficacy and safety in treating various infections. Nevertheless, the DDD for azithromycin is a widely accepted measure that can be applied in this context. The patient would receive a total of 1.5 grams of azithromycin over the 3-day course, which is equivalent to 3 DDDs.

References

Research

Efficacy and safety of a novel, single-dose azithromycin microsphere formulation versus 10 days of levofloxacin for the treatment of acute bacterial sinusitis in adults.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2005

Research

Acute community-acquired bacterial sinusitis: continuing challenges and current management.

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2004

Research

Acute community-acquired bacterial sinusitis: the value of antimicrobial treatment and the natural history.

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2004

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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