Table 2.
Compliance with the 2009 Belarusian national gonorrhoea guideline [45] in Minsk (749 patients, 2013–2018) and Mogilev (903 patients, 2010–2019), Belarus
Prescribed antimicrobials | Minsk No. (%, 95 CI) |
Mogilev No. (%, 95 CI) |
---|---|---|
Recommended first-line treatment [45] | ||
CRO 1 g × 1 IM (uncomplicated gonorrhoea) or CRO 1 g × 1 IM or IV every 24 h, 7 days (complicated gonorrhoea)a | 354 (47.3, 43.7–51.0) | 508 (56.3, 53.0–59.6) |
Alternative treatment [45] | ||
CFM 400 mg × 1 orally | 5 (0.7, 0.2–1.6) | 0 |
OFX 400 mg × 1 orally | 26 (3.5, 2.3–5.1) | 123 (13.6, 11.4–16.0) |
Non-compliant treatment | ||
Non-compliant antimicrobials or doses given, generally higher than recommended | 364 (48.6, 45.0–52.3)b | 272 (30.1, 27.1–33.2)c |
No. Number, CI Confidence interval, CRO Ceftriaxone, IM Intramuscularly, IV Intravenously, CFM Cefixime, OFX Ofloxacin
aFrequently, additional antimicrobials were given to treat other non-viral STIs, which had been confirmed or not excluded by appropriate laboratory diagnostics. These included doxycycline, other tetracyclines, different macrolides, fluoroquinolones, oral cephalosporins, penicillins, and nitroimidazoles
bMore than 1 g of ceftriaxone was quite often given; approximately 10% of the patients received benzylpenicillin, about 5% a tetracycline/macrolide regimen, and one (0.1%) patient was given rifampicin
cMore than 1 g of ceftriaxone was somewhat frequently given. A benzylpenicillin regimen was rarely given, and for a few patients, > 400 mg ofloxacin or a tetracycline/macrolide regimen was administered