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. 2016 Feb 4;42(2):30–36. doi: 10.14745/ccdr.v42i02a02

Table 2. Summarized results for single and multiple doses of benzathine penicillin G for early syphilis in HIV co-infected persons from observational studies.

Author BP-G
doses1
Serological response2 at 12 months HIV association with serological response
Response p value Response p value
Cousins (39) 2012 1 dose 78.9% (95% CI 68.0-89.8) p > 0.05 N/A
3 doses 64.1% (95% CI 45.0-73.2) N/A
Knaute (40) 2012 1 dose 100% HIV-negative (reference)
3 doses 100% CD4 ≥500 HR 1.27 (95% CI 0.79-2.04)
CD4 < 500 HR 0.83 (95% CI 0.60-1.14)
p = 0.332
p = 0.241
Tittes (41) 2013 1 dose 88% No correlation between viral suppression and outcome – data not shown p = 0.18
3 doses 97%
Yang (45) 2014 1 dose 66.2% (95% CI 59.6–72.4) p = 0.24 CD4 ≤ 200 (reference)
3 doses 71.8% (95% CI 64.7–78.2) 200 < CD4 ≤ 350 ORADJ 1.05 (95% CI 0.54-2.07)
CD4 > 350 ORADJ 1.51 (95% CI 0.69-3.51)
p = 0.88
p = 0.30
Ganesan (38) 2015 1 dose 92% CD4 (per 100-cell increase) HR 1.07 (95% CI 1.01-1.12) p = 0.02
≥2 doses 92%

Abbreviations: BP-G, benzathine penicillin G; CD4, cluster of differentiation; CI, confidence interval; HIV, human immunodeficiency virus; HR; higher rate; ORADJ, odds ration adjusted.
1 Dose = 2.4 million units BP-G IM in a single dose
2 Proportion of subjects who exhibited response to therapy defined as a ≥4-fold decline in nontreponemal titre