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Sulfadiazine

Drugs and Chemicals · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 5 min read

One of the short-acting sulfonamides used in combination with pyrimethamine to treat toxoplasmosis in patients with acquired immunodeficiency syndrome and in newborns with congenital infections.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (1,024 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

One of the short-acting sulfonamides used in combination with pyrimethamine to treat toxoplasmosis in patients with acquired immunodeficiency syndrome and in newborns with congenital infections.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Sulphadiazine; Zinc Sulfadiazine; Sulfadiazine, Zinc; Sulfazin; Sulfazine.

Where it fits in the MeSH classification

Broader topics
Benzenesulfonamides; Sulfanilamides
Narrower topics
Silver Sulfadiazine

Related concepts

  • Sulfonamides
  • Pyrimethamine

Research landscape

PubMed indexes 4,308 records tagged with the MeSH heading “Sulfadiazine” (counts retrieved 2026-10-31). 560 of them (13.0%) were published from 2020 onward, and the busiest period so far is through 1999 with 2,609 records.

Reviews account for 216 records (5.0%) and meta-analyses for 24. Randomized controlled trials number 230 (5.3%) as a share of all records on the topic.

PubMed records by publication periodthrough 1999: 2,609 records; 2000-2009: 513 records; 2010-2019: 626 records; 2020 onward: 560 records2,609through 19995132000-20096262010-20195602020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19992,609
2000-2009513
2010-2019626
2020 onward560
Share of records by publication typeReviews: 5.0 percent; Meta-analyses: 0.6 percent; Randomized controlled trials: 5.3 percentReviews5.0% (216)Meta-analyses0.6% (24)Randomized controlled trials5.3% (230)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 4,308 PubMed records
TypeRecordsShare
Reviews2165.0%
Meta-analyses240.6%
Randomized controlled trials2305.3%

Method: PubMed query "Sulfadiazine"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in drugs and chemicals

Studies of a chemical or drug can answer very different questions: what it is and how it behaves in cells and animals, how the body handles it, and whether it changes outcomes in people. Laboratory and animal findings often do not carry over to patients, and observational studies of exposures are confounded by who uses a substance and why. Nothing on this page is a recommendation to use, avoid, start or stop any substance or medicine; talk to a qualified clinician or pharmacist about your own situation. Check the dose, the species, the comparison group and whether a patient-relevant outcome was measured.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Dynamics of soil bacterial communities in response to repeated application of manure containing sulfadiazine
Ding GC, Radl V, Schloter-Hai B, Jechalke S, Heuer H, Smalla K, et al.
2014Research article
Design not recorded in structured metadata
85cc by
PMID 24671113 · DOI · PMC3966856
Evaluation of Sulfadiazine Degradation in Three Newly Isolated Pure Bacterial Cultures
Mulla SI, Sun Q, Hu A, Wang Y, Ashfaq M, Eqani SA, et al.
2016Research article
Design not recorded in structured metadata
42cc by
PMID 27755578 · DOI · PMC5068754
Delivery of silver sulfadiazine and adipose derived stem cells using fibrin hydrogel improves infected burn wound regeneration
Banerjee J, Seetharaman S, Wrice NL, Christy RJ, Natesan S
2019Research article
Design not recorded in structured metadata
41cc0
PMID 31194776 · DOI · PMC6563979
Comparative pharmacokinetics of trimethoprim-sulfadiazine and trimethoprim-sulfamethoxazole in dogs
Ekstrand C, Löwgren M, Erkas M, Devreese M, De Baere S, Vo-Thanh J, et al.
2026Research article
Design not recorded in structured metadata
1cc by
PMID 42243796 · DOI · PMC13248313

Dynamics of soil bacterial communities in response to repeated application of manure containing sulfadiazine [1]

Research article Ding GC, Radl V, Schloter-Hai B, Jechalke S, Heuer H, Smalla K, et al. · · 2014 · cited 85 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Large amounts of manure have been applied to arable soils as fertilizer worldwide.
Closing excerpt
Numerous taxa, known to harbor also human pathogens, such as Devosia, Shinella, Stenotrophomonas, Clostridium, Peptostreptococcus, Leifsonia, Gemmatimonas, were enriched in the soil when SDZ was present while the abundance of bacteria which typically contribute to high soil quality belonging to the genera Pseudomonas and Lysobacter, Hydrogenophaga, and Adhaeribacter decreased in response to the repeated application of manure and SDZ.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (270 words)

Large amounts of manure have been applied to arable soils as fertilizer worldwide. Manure is often contaminated with veterinary antibiotics which enter the soil together with antibiotic resistant bacteria. However, little information is available regarding the main responders of bacterial communities in soil affected by repeated inputs of antibiotics via manure. In this study, a microcosm experiment was performed with two concentrations of the antibiotic sulfadiazine (SDZ) which were applied together with manure at three different time points over a period of 133 days. Samples were taken 3 and 60 days after each manure application. The effects of SDZ on soil bacterial communities were explored by barcoded pyrosequencing of 16S rRNA gene fragments amplified from total community DNA. Samples with high concentration of SDZ were analyzed on day 193 only. Repeated inputs of SDZ, especially at a high concentration, caused pronounced changes in bacterial community compositions. By comparison with the initial soil, we could observe an increase of the disturbance and a decrease of the stability of soil bacterial communities as a result of SDZ manure application compared to the manure treatment without SDZ. The number of taxa significantly affected by the presence of SDZ increased with the times of manure application and was highest during the treatment with high SDZ-concentration. Numerous taxa, known to harbor also human pathogens, such as Devosia, Shinella, Stenotrophomonas, Clostridium, Peptostreptococcus, Leifsonia, Gemmatimonas, were enriched in the soil when SDZ was present while the abundance of bacteria which typically contribute to high soil quality belonging to the genera Pseudomonas and Lysobacter, Hydrogenophaga, and Adhaeribacter decreased in response to the repeated application of manure and SDZ.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 24671113 · DOI · PMC3966856

Evaluation of Sulfadiazine Degradation in Three Newly Isolated Pure Bacterial Cultures [2]

Research article Mulla SI, Sun Q, Hu A, Wang Y, Ashfaq M, Eqani SA, et al. · · 2016 · cited 42 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
This study is aimed to assess the biodegradation of sulfadiazine (SDZ) and characterization of heavy metal resistance in three pure bacterial cultures and also their chemotactic response towards 2-aminopyrimidine.
Closing excerpt
The results of this study advanced our understanding about the microbial degradation of SDZ, which would be useful towards the future SDZ removal in the environment.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (204 words)

This study is aimed to assess the biodegradation of sulfadiazine (SDZ) and characterization of heavy metal resistance in three pure bacterial cultures and also their chemotactic response towards 2-aminopyrimidine. The bacterial cultures were isolated from pig manure, activated sludge and sediment samples, by enrichment technique on SDZ (6 mg L-1). Based on the 16S rRNA gene sequence analysis, the microorganisms were identified within the genera of Paracoccus, Methylobacterium and Kribbella, which were further designated as SDZ-PM2-BSH30, SDZ-W2-SJ40 and SDZ-3S-SCL47. The three identified pure bacterial strains degraded up to 50.0, 55.2 and 60.0% of SDZ (5 mg L-1), respectively within 290 h. On the basis of quadrupole time-of-flight mass spectrometry and high performance liquid chromatography, 2-aminopyrimidine and 4-hydroxy-2-aminopyrimidine were identified as the main intermediates of SDZ biodegradation. These bacteria were also able to degrade the metabolite, 2-aminopyrimidine, of the SDZ. Furthermore, SDZ-PM2-BSH30, SDZ-W2-SJ40 and SDZ-3S-SCL47 also showed resistance to various heavy metals like copper, cadmium, chromium, cobalt, lead, nickel and zinc. Additionally, all three bacteria exhibited positive chemotaxis towards 2-aminopyrimidine based on the drop plate method and capillary assay. The results of this study advanced our understanding about the microbial degradation of SDZ, which would be useful towards the future SDZ removal in the environment.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 27755578 · DOI · PMC5068754

Delivery of silver sulfadiazine and adipose derived stem cells using fibrin hydrogel improves infected burn wound regeneration [3]

Research article Banerjee J, Seetharaman S, Wrice NL, Christy RJ, Natesan S · · 2019 · cited 41 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Infection control is necessary for improved burn wound regeneration.
Closing excerpt
This work demonstrates that the sequential treatment of infected burn wounds with SSD-CSM-FPEG followed by ASC-FPEG reduces bacterial infection as well as promotes neo-vascularization with improved matrix remodeling.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (223 words)

Infection control is necessary for improved burn wound regeneration. In this study contact burn wounds were induced on the dorsum of the rats and were infected with Pseudomonas aeruginosa (107cfu/ml of saline) and left overnight (12-14 hours) to establish the infection. After 12 hours, the wounds were treated with PEGylated fibrin hydrogel containing 50 mgs of silver sulfadiazine (SSD) loaded chitosan microsphere (SSD-CSM-FPEG). On day 9, SSD-CSM-FPEG treated burn wounds further received adipose derived stem cell (5×104 ASCs cells/ml) embedded in PEGylated fibrin hydrogel. Wounds were assessed for the healing outcomes such as neovascularization, granulation tissue formation, wound closure and collagen maturation. Analysis of bacterial load in the burn wound biopsies, demonstrated that SSD-CSM-FPEG significantly reduced bacterial infection, while overt infection was still observed in the untreated groups on day 14. Sequential treatment of infected wounds with SSD-CSM-FPEG followed by ASC-FPEGs (SSD-CSM-ASC-FPEG) significantly reduced bacterial colonization (9 log reduction) and pro-inflammatory cytokine (TNF-α) expression. A significant increase in neovascularization markers; NG2 and vWF was also observed. Histological analysis indicated the wounds treated with SSD-CSM-ASC-FPEG increased amount of dermal collagen matrix deposition, a thicker granulation tissue on day 21 and more mature collagen on day 28. This work demonstrates that the sequential treatment of infected burn wounds with SSD-CSM-FPEG followed by ASC-FPEG reduces bacterial infection as well as promotes neo-vascularization with improved matrix remodeling.

Abstract reproduced from the open-access article under the recorded cc0 licence; © the authors. PMID 31194776 · DOI · PMC6563979

Comparative pharmacokinetics of trimethoprim-sulfadiazine and trimethoprim-sulfamethoxazole in dogs [4]

Research article Ekstrand C, Löwgren M, Erkas M, Devreese M, De Baere S, Vo-Thanh J, et al. · · 2026 · cited 1 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
BackgroundPotentiated sulphonamides, combining trimethoprim (TMP) with a sulphonamide such as sulfadiazine (SDZ) or sulfamethoxazole (SMX), are widely used in canine medicine.
Closing excerpt
These findings provide clinically relevant pharmacokinetic data to support rational and species-specific use of potentiated sulphonamides in dogs.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (327 words)

BackgroundPotentiated sulphonamides, combining trimethoprim (TMP) with a sulphonamide such as sulfadiazine (SDZ) or sulfamethoxazole (SMX), are widely used in canine medicine. The standard 1:5 dose ratio was initially designed to achieve a plasma concentration ratio of approximately 1:19 in humans, considered optimal for antibacterial synergy. However, species differences in pharmacokinetics may influence whether this ratio is achieved and maintained in dogs. Updated pharmacokinetic data based on modern analytical techniques and unbound (active) drug concentrations are lacking. This study aimed to characterise and compare the pharmacokinetics and plasma protein binding of TMP/SDZ and TMP/SMX in dogs.MethodsBeagle dogs were administered TMP/SDZ or TMP/SMX intravenously and orally in a crossover design. In addition, TMP was administered orally alone once. Plasma concentrations of TMP, SDZ and SMX were quantified using ultra-high performance liquid chromatography coupled to tandem mass spectrometry (UHPLC-MS/MS). Population pharmacokinetic analysis was performed using nonlinear mixed-effects modelling. Protein binding was determined by ultrafiltration, and free fractions were estimated using linear mixed-effects models.ResultsOral bioavailability was high for all compounds (93-97%). TMP exhibited substantially higher clearance (0.44 L/h/kg) and a shorter elimination half-life (4.2 h) than SDZ (0.05 L/h/kg; 7.6 h) and SMX (0.026 L/h/kg; 12.6 h). TMP also showed a markedly larger apparent volume of distribution (2.67 L/kg) compared to the sulphonamides (approximately 0.5 L/kg). Protein binding differed between compounds, with population mean free fractions of 0.50 for SDZ, 0.33 for SMX, and 0.43 for TMP. Following both intravenous and oral administration, the free sulphonamide-to-TMP concentration ratios were only close to the proposed 1:19 ratio during the first hours after dosing. Thereafter, the ratios progressively increased due to the more rapid elimination of TMP.ConclusionsTMP/SDZ and TMP/SMX display distinct pharmacokinetic profiles in dogs, particularly with respect to clearance, half-life and protein binding. The commonly used 1:5 dose ratio does not maintain a stable 1:19 free concentration ratio over a 12 h dosing interval. These findings provide clinically relevant pharmacokinetic data to support rational and species-specific use of potentiated sulphonamides in dogs.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42243796 · DOI · PMC13248313

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Efficacy of antiseptic-impregnated central venous catheters in preventing catheter-related bloodstream infection: a meta-analysis [5]
    Veenstra DL, Saint S, Saha S, Lumley T, Sullivan SD · JAMA · 1999 · cited 335 times (Europe PMC)
  • Research article The side effects of silver sulfadiazine [6]
    Fuller FW · J Burn Care Res · 2009 · cited 124 times (Europe PMC)
  • Research article Infection and the chronic wound: a focus on silver [7]
    Warriner R, Burrell R · Adv Skin Wound Care · 2005 · cited 113 times (Europe PMC)
  • Research article Optimal treatment of partial thickness burns in children: a systematic review [8]
    Vloemans AF, Hermans MH, van der Wal MB, Liebregts J, Middelkoop E · Burns · 2014 · cited 76 times (Europe PMC)
  • Research article The role of silver sulphadiazine in the conservative treatment of partial thickness burn wounds: A systematic review [9]
    Heyneman A, Hoeksema H, Vandekerckhove D, Pirayesh A, Monstrey S · Burns · 2016 · cited 68 times (Europe PMC)
  • Research article How safe is silver in wound care? [10]
    Lansdown AB, Williams A · J Wound Care · 2004 · cited 67 times (Europe PMC)

References

  1. Ding GC, Radl V, Schloter-Hai B, Jechalke S, Heuer H, Smalla K, et al.. Dynamics of soil bacterial communities in response to repeated application of manure containing sulfadiazine. . 2014. PMID 24671113 · DOI · PMC3966856
  2. Mulla SI, Sun Q, Hu A, Wang Y, Ashfaq M, Eqani SA, et al.. Evaluation of Sulfadiazine Degradation in Three Newly Isolated Pure Bacterial Cultures. . 2016. PMID 27755578 · DOI · PMC5068754
  3. Banerjee J, Seetharaman S, Wrice NL, Christy RJ, Natesan S. Delivery of silver sulfadiazine and adipose derived stem cells using fibrin hydrogel improves infected burn wound regeneration. . 2019. PMID 31194776 · DOI · PMC6563979
  4. Ekstrand C, Löwgren M, Erkas M, Devreese M, De Baere S, Vo-Thanh J, et al.. Comparative pharmacokinetics of trimethoprim-sulfadiazine and trimethoprim-sulfamethoxazole in dogs. . 2026. PMID 42243796 · DOI · PMC13248313
  5. Veenstra DL, Saint S, Saha S, Lumley T, Sullivan SD. Efficacy of antiseptic-impregnated central venous catheters in preventing catheter-related bloodstream infection: a meta-analysis. JAMA. 1999. PMID 9918482 · DOI
  6. Fuller FW. The side effects of silver sulfadiazine. J Burn Care Res. 2009. PMID 19349889 · DOI
  7. Warriner R, Burrell R. Infection and the chronic wound: a focus on silver. Adv Skin Wound Care. 2005. PMID 16220035 · DOI
  8. Vloemans AF, Hermans MH, van der Wal MB, Liebregts J, Middelkoop E. Optimal treatment of partial thickness burns in children: a systematic review. Burns. 2014. PMID 24290852 · DOI
  9. Heyneman A, Hoeksema H, Vandekerckhove D, Pirayesh A, Monstrey S. The role of silver sulphadiazine in the conservative treatment of partial thickness burn wounds: A systematic review. Burns. 2016. PMID 27126813 · DOI
  10. Lansdown AB, Williams A. How safe is silver in wound care?. J Wound Care. 2004. PMID 15114822 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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At a glance

4,308
PubMed records on this heading
13%
published since 2020
216
review articles
230
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

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