Abstract
One hundred and thirty-five gonococcal isolates collected from Los Angeles in 1972 were studied for antibiotic susceptibility to penicillin, ampicillin, carbenicillin, tetracycline, minocycline, doxycycline and spectinomycin. Only 12 percent of the isolates were sensitive to 0.05 μg per ml of penicillin while 35 percent required at least 0.5 μg per ml for inhibition of growth. The results were slightly better with ampicillin and nearly the same with carbenicillin. Nineteen percent of the isolates required at least 1.0 μg per ml of tetracycline for inhibition of growth and the results were similar with either minocycline or doxycycline. Forty-nine percent were sensitive to 2.0 μg per ml spectinomycin, but 37 percent required at least 8.0 μg per ml for inhibition of growth.
In this study nine of eleven isolates resistant to 1.0 μg per ml of tetracycline were also resistant to both penicillin and spectinomycin. Six came from endocervical sites of female patients who contributed only 37 percent of the total number of isolates studied.
Correlation between the agar dilution and disc diffusion methods was satisfactory with penicillin but not with ether tetracycline or spectinomycin.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Duncan W. C., Holder W. R., Roberts D. P., Knox J. M. Treatment of gonorrhea with spectinomycin hydrochloride: comparison with standard penicillin schedules. Antimicrob Agents Chemother. 1972 Mar;1(3):210–214. doi: 10.1128/aac.1.3.210. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Holmes K. K., Johnson D. W., Floyd T. M. Studies of venereal disease. I. Probenecid-procaine penicillin G combination and tetracycline hydrochloride in the treatment of "penicillin-resistant" gonorrhea in men. JAMA. 1967 Nov 6;202(6):461–473. doi: 10.1001/jama.202.6.461. [DOI] [PubMed] [Google Scholar]
- Keys T. F., Halverson C. W., Clarke E. J., Jr Single-dose treatment of gonorrhea with selected antibiotic agents. JAMA. 1969 Nov 3;210(5):857–861. [PubMed] [Google Scholar]
- Knudsen E. T., Rolinson G. N., Sutherland R. Carbenicillin: a new semisynthetic penicillin active against Pseudomonas pyocyanea. Br Med J. 1967 Jul 8;3(5557):75–78. doi: 10.1136/bmj.3.5557.75. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Krook G., Juhlin I. Problems in diagnosis, treatment and control of gonorrheal infections. IV. The correlation between the dose of penicillin, concentration in blood, IC-50-values of gonococci and results of treatment. Acta Derm Venereol. 1965;45(3):242–253. [PubMed] [Google Scholar]
- Kvale P. A., Keys T. F., Johnson D. W., Holmes K. K. Single oral dose ampicillin-probenecid treatment of gnorrhea in the male. JAMA. 1971 Mar 1;215(9):1449–1453. [PubMed] [Google Scholar]
- Lassus A. Doxycycline treatment of gonorrhoea in cases with decreased penicillin susceptibility of gonococci. Chemotherapy. 1970;15(2):125–128. doi: 10.1159/000220675. [DOI] [PubMed] [Google Scholar]
- Martin J. E., Jr, Lester A., Kellogg D. S., Jr, Thayer J. D. In vitro susceptibility of Neisseria gonorrhoeae to nine antimicrobial agents. Appl Microbiol. 1969 Jul;18(1):21–23. doi: 10.1128/am.18.1.21-23.1969. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Martin J. E., Jr, Lester A., Price E. V., Schmale J. D. Comparative study of gonococcal susceptibility to penicillin in the United States, 1955-1969. J Infect Dis. 1970 Nov;122(5):459–461. doi: 10.1093/infdis/122.5.459. [DOI] [PubMed] [Google Scholar]
- Nelson M. Carbenicillin in the treatment of gonorrhea in males. Health Serv Rep. 1972 Oct;87(8):762–764. [PMC free article] [PubMed] [Google Scholar]
- Pedersen A. H., Wiesner P. J., Holmes K. K., Johnson C. J., Turck M. Spectinomycin and penicillin G in the treatment of gonorrhea. A comparative evaluation. JAMA. 1972 Apr 10;220(2):205–208. [PubMed] [Google Scholar]
- Phillips I., Ridley M., Rimmer D., Lynn R. In-vitro activity of twelve antibacterial agents against Neisseria gonorrhoeae. Lancet. 1970 Feb 7;1(7641):263–265. doi: 10.1016/s0140-6736(70)90635-5. [DOI] [PubMed] [Google Scholar]
- REYN A., KORNER B., BENTZON M. W. Effects of penicillin, streptomycin, and tetracycline on N. gonorrhoeae isolated in 1944 and in 1957. Br J Vener Dis. 1958 Dec;34(4):227–239. doi: 10.1136/sti.34.4.227. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Reyn A. Antibiotic sensitivity of gonococcal strains isolated in the South-East Asia and Western Pacific regions in 1961-68. Bull World Health Organ. 1969;40(2):257–262. [PMC free article] [PubMed] [Google Scholar]
- Sparling P. F. Antibiotic resistance in Neisseria gonorrhoeae. Med Clin North Am. 1972 Sep;56(5):1133–1144. doi: 10.1016/s0025-7125(16)32339-2. [DOI] [PubMed] [Google Scholar]