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. 1983 Jun;59(3):172–175. doi: 10.1136/sti.59.3.172

Cefuroxime, thiamphenicol, spectinomycin, and penicillin G in uncomplicated infections due to penicillinase-producing strains of Neisseria gonorrhoeae.

T E Tupasi, L B Crisologo, C A Torres, O V Calubiran, I de Jesus
PMCID: PMC1046169  PMID: 6221775

Abstract

The use of cefuroxime and thiamphenicol in uncomplicated gonococcal infection was studied in 562 women confined to a clinic to preclude reinfection before cultural confirmation of cure. Cefuroxime was as effective as spectinomycin in the treatment of infections due to penicillinase-producing strains of Neisseria gonorrhoeae (PPNG) and was significantly more effective than 4.8 units of aqueous procaine penicillin G with probenecid among non-penicillinase-producing (non-PPNG) strains. Thiamphenicol was highly effective against PPNG, but the failure rate in infections with non-PPNG was high and appeared to be related to the minimum inhibitory concentrations of thiamphenicol. This rate was not, however, significantly higher than that for PPNG strains. Thiamphenicol might therefore be used as an alternative for infections due to PPNG strains. If, however, thiamphenicol is used widely, selection of more resistant strains and thus an increasing proportion of failures may be expected.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barry A. L., Thornsberry C., Jones R. N., Fuchs P. C., Gavan T. L., Gerlach E. H. Cefuroxime, an in vitro Comparison with Six Other Cephalosporins. Proc R Soc Med. 1977;70(Suppl 9):63–71. [PMC free article] [PubMed] [Google Scholar]
  2. Berg S. W., Kilpatrick M. E., Harrison W. O., McCutchan J. A. Cefoxitin as a single-dose treatment for urethritis caused by penicillinase-producing Neisseria gonorrhoeae. N Engl J Med. 1979 Sep 6;301(10):509–511. doi: 10.1056/NEJM197909063011001. [DOI] [PubMed] [Google Scholar]
  3. Biddle J. W., Swenson J. M., Thornsberry C. Disc agar diffusion antimicrobial susceptibility tests with beta-lactamase producing Neisseria gonorrhoeae. J Antibiot (Tokyo) 1978 Apr;31(4):352–358. doi: 10.7164/antibiotics.31.352. [DOI] [PubMed] [Google Scholar]
  4. Jaffe H. W., Biddle J. W., Thornsberry C., Johnson R. E., Kaufman R. E., Reynolds G. H., Wiesner P. J. National gonorrhea therapy monitoring study: in vitro antibiotic susceptibility and its correlation with treatment results. N Engl J Med. 1976 Jan 1;294(1):5–9. doi: 10.1056/NEJM197601012940102. [DOI] [PubMed] [Google Scholar]
  5. Johnson D. W., Kvale P. A., Afable V. L., Stewart S. D., Halverson C. W., Holmes K. K. Single-dose antibiotic treatment of asymptomatic gonorrhea in hospitalized women. N Engl J Med. 1970 Jul 2;283(1):1–6. doi: 10.1056/NEJM197007022830101. [DOI] [PubMed] [Google Scholar]
  6. Keiser G., Buchegger U. Hematological side effects of chloramphenicol and thiamphenicol. Helv Med Acta. 1973 Oct;37(4):265–279. [PubMed] [Google Scholar]
  7. Percival A., Rowlands J., Corkill J. E., Alergant C. D., Arya O. P., Rees E., Annels E. H. Penicillinase-producing Gonococci in Liverpool. Lancet. 1976 Dec 25;2(8000):1379–1382. doi: 10.1016/s0140-6736(76)91919-x. [DOI] [PubMed] [Google Scholar]
  8. Price J. D., Fluker J. L. Dose response evaluation of cefuroxime in the treatment of gonorrhœa in male and female patients. Proc R Soc Med. 1977;70(Suppl 9):125–127. [PMC free article] [PubMed] [Google Scholar]
  9. Siboulet A. Results of the minute treatment of gonorrhoea in 26,339 cases. Postgrad Med J. 1972 Jan;48(Suppl):65–70. [PubMed] [Google Scholar]
  10. Siegel M. S., Thornsberry C., Biddle J. W., O'Mara P. R., Perine P. L., Wiesner P. J. Penicillinase-producing Neisseria gonorrhoeae: results of surveillance in the United States. J Infect Dis. 1978 Feb;137(2):170–175. doi: 10.1093/infdis/137.2.170. [DOI] [PubMed] [Google Scholar]
  11. Thornsberry C., Biddle J. W., Perine P. L., Siegel M. In vitroSusceptibility of β-Lactamase Positive and β-Lactamase Negative Strains ofNeisseria gonorrhœœto Cefuroxime. Proc R Soc Med. 1977;70(Suppl 9):122–124. [PMC free article] [PubMed] [Google Scholar]
  12. Tupasi T. E., Calubiran O. V., Torres C. A. Single oral dose of cefaclor for the treatment of infections with penicillinase-producing strains of Neisseria gonorrhoeae. Br J Vener Dis. 1982 Jun;58(3):176–179. doi: 10.1136/sti.58.3.176. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Yunis A. A., Manyan D. R., Arimura G. K. Comparative effect of chloramphenicol and thiamphenicol on DNA and mitochondrial protein synthesis in mammalian cells. J Lab Clin Med. 1973 May;81(5):713–718. [PubMed] [Google Scholar]

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