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. 1984 Apr;60(2):95–98. doi: 10.1136/sti.60.2.95

Treatment of acute gonococcal urethritis in men with simultaneous infection with Chlamydia trachomatis.

P A Csángó, A Salveson, T Gundersen, G Jagars, O Bjerk
PMCID: PMC1046444  PMID: 6367888

Abstract

Each of 201 men with symptoms and signs of acute urethritis was randomly assigned to one of two treatment regimens: ampicillin (2g) plus probenecid (1g), or sulphamethoxazole-trimethoprim (SMX-TMP) (sulphamethoxazole 1600 mg plus trimethoprim 320 mg) four tablets twice daily for two days. Before treatment Neisseria gonorrhoeae was isolated from 162 patients, while coexistent Chlamydia trachomatis was recovered from 42 (26%) men. After treatment N gonorrhoeae persisted in 11 (14.3%) of the 77 patients treated with ampicillin and probenecid and in three (3.5%) of the 85 treated with SMX-TMP (p less than 0.05), while C trachomatis persisted in four (16%) of the 25 men treated with SMX-TMP and in all 17 patients treated with ampicillin and probenecid. SMX-TMP was thus more effective than ampicillin in treating acute gonorrhoea in men and in eradicating concurrent C trachomatis infection.

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Selected References

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

  1. Arya O. P., Pearson C. H., Rao S. K., Blowers R. Treatment of gonorrhoea with trimethoprim-sulphamethoxazole in Uganda. Br J Vener Dis. 1970 Jun;46(3):214–216. doi: 10.1136/sti.46.3.214. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Austin T. W., Brooks G. F., Bethel M., Roberts F. L., Turck M., Holmes K. K. Gonorrhea. Trimethoprim-sulfamethoxazole in the treatment of gonococcal urethritis: clinical and laboratory correlates. J Infect Dis. 1973 Nov;128(Suppl):666–p. doi: 10.1093/infdis/128.supplement_3.s666. [DOI] [PubMed] [Google Scholar]
  3. Csángó P. A. Chlamydia trachomatis from men with non-gonococcal urethritis. Simplified procedure for cultivation and isolation in replicating McCoy cell culture. Acta Pathol Microbiol Scand B. 1978 Aug;86(4):257–259. doi: 10.1111/j.1699-0463.1978.tb00041.x. [DOI] [PubMed] [Google Scholar]
  4. Gundersen T., Odegaard K., Gjessing H. C. Treatment of gonorrhoea by one oral dose of ampicillin and probenecid combined. Br J Vener Dis. 1969 Sep;45(3):235–237. doi: 10.1136/sti.45.3.235. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Hammerschlag M. R. Activity of trimethoprim-sulfamethoxazole against Chlamydia trachomatis in vitro. Rev Infect Dis. 1982 Mar-Apr;4(2):500–505. doi: 10.1093/clinids/4.2.500. [DOI] [PubMed] [Google Scholar]
  6. Jaffe H. W., Biddle J. W., Johnson S. R., Wiesner P. J. Infections due to penicillinase-producing Neisseria gonorrhoeae in the United States: 1976-1980. J Infect Dis. 1981 Aug;144(2):191–197. doi: 10.1093/infdis/144.2.191. [DOI] [PubMed] [Google Scholar]
  7. Johannisson G., Sernryd A., Lycke E. Susceptibility of Chlamydia trachomatis to antibiotics in vitro and in vivo. Sex Transm Dis. 1979 Apr-Jun;6(2):50–57. doi: 10.1097/00007435-197904000-00002. [DOI] [PubMed] [Google Scholar]
  8. Mahony J. D., McCann J. S., Harris J. R. Comparison of trimethoprim-sulphamethoxazole and penicillin in the treatment of gonorrhoea. Br J Vener Dis. 1973 Dec;49(6):517–520. doi: 10.1136/sti.49.6.517. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Odegaard K., Solberg O., Lind J., Myhre G., Nyland B. Lincomycin in selective medium for the isolation of Neisseria gonorrhoeae. Acta Pathol Microbiol Scand B. 1975 Jun;83(3):301–304. doi: 10.1111/j.1699-0463.1975.tb00106.x. [DOI] [PubMed] [Google Scholar]
  10. Oriel J. D., Reeve P., Thomas B. J., Nicol C. S. Infection with Chlamydia group A in men with urethritis due to Neisseria gonorrhoeae. J Infect Dis. 1975 Apr;131(4):376–382. doi: 10.1093/infdis/131.4.376. [DOI] [PubMed] [Google Scholar]
  11. Oriel J. D., Ridgway G. L., Reeve P., Beckingham D. C., Owen J. The lack of effect of ampicillin plus probenecid given for genital infections with Neisseria gonorrhoeae on associated infections with Chlamydia trachomatis. J Infect Dis. 1976 May;133(5):568–571. doi: 10.1093/infdis/133.5.568. [DOI] [PubMed] [Google Scholar]
  12. Ripa K. T., Mårdh P. A. Cultivation of Chlamydia trachomatis in cycloheximide-treated mccoy cells. J Clin Microbiol. 1977 Oct;6(4):328–331. doi: 10.1128/jcm.6.4.328-331.1977. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Ripa K. T., Svensson L., Mårdh P. A., Weström L. Chlamydia trachomatis cervicitis in gynecologic outpatients. Obstet Gynecol. 1978 Dec;52(6):698–702. [PubMed] [Google Scholar]
  14. Sattler F. R., Ruskin J. Therapy of gonorrhea. Comparison of trimethoprim-sulfamethoxazole and ampicillin. JAMA. 1978 Nov 17;240(21):2267–2270. doi: 10.1001/jama.240.21.2267. [DOI] [PubMed] [Google Scholar]
  15. Svindland H. B. Treatment of gonorrhoea with sulphamethoxazole-trimethoprim. Lack of effect on concomitant syphilis. Br J Vener Dis. 1973 Feb;49(1):50–53. doi: 10.1136/sti.49.1.50. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Taylor-Robinson D., Thomas B. J. The rôle of Chlamydia trachomatis in genital-tract and associated diseases. J Clin Pathol. 1980 Mar;33(3):205–233. doi: 10.1136/jcp.33.3.205. [DOI] [PMC free article] [PubMed] [Google Scholar]

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