Document 0522 DOCN M9480522 TI Paromomycin for cryptosporidiosis in AIDS: a prospective, double-blind trial. DT 9410 AU White AC Jr; Chappell CL; Hayat CS; Kimball KT; Flanigan TP; Goodgame RW; Dept. of Medicine, Baylor College of Medicine, Houston, TX 77030. SO J Infect Dis. 1994 Aug;170(2):419-24. Unique Identifier : AIDSLINE MED/94308611 AB To test the effects of paromomycin, 10 patients with AIDS and cryptosporidiosis were randomized to paromomycin or placebo in a double-blind trial. After 14 days, patients were switched to the other treatment for 14 additional days. Measures included the number and character of each stool and weekly 24-h stool specimens for weight and oocyst excretion. During the paromomycin treatment phase, oocyst excretion decreased from 314 x 10(6) to 109 x 10(6)24 h (P < .02). Oocyst excretion increased for the 4 patients initially on placebo compared to a median decrease of 128 x 10(6)/24 h for the 6 initially treated with drug (P < .02). Stool frequency also decreased more in those treated with drug (3.6 fewer vs. 1.25 fewer/24 h, P < .05). Trends favored drug over placebo for stool weight, stool character, and Karnofsky score. Paromomycin treatment resulted in improvement in both clinical and parasitologic parameters in cryptosporidiosis in AIDS. DE Adult AIDS-Related Opportunistic Infections/*DRUG THERAPY Cryptosporidiosis/*DRUG THERAPY Diarrhea/DRUG THERAPY Double-Blind Method Feces/PARASITOLOGY Human Longitudinal Studies Parasite Egg Count Paromomycin/*THERAPEUTIC USE Prospective Studies Support, Non-U.S. Gov't CLINICAL TRIAL JOURNAL ARTICLE RANDOMIZED CONTROLLED TRIAL SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).