Abstract
Chlamydia trachomatis serovars D-K and Neisseria gonorrhoeae are the major sexually transmitted bacteria worldwide. Genital mycoplasmas, in particular Mycoplasma genitalium, are thought to be important causes of sexually transmitted non-gonococcal, non-chlamydial urethritis and cervicitis, more commonly termed, non-specific genital infection (NSGI). In tropical countries sexually transmitted infections also include lymphogranuloma venereum caused by Chlamydia trachomatis serovars L1, L2 and L3, chancroid caused by Haemophilus ducreyi and granuloma inguinale caused by Calymmatobacterium granulomatis. Epididymo-orchitis in men and pelvic inflammatory disease in women are caused either by sexually transmitted bacteria or by ascending infection with normal rectal and genital flora as a result of sexual activity. The quinolones play an important role in the management of all the above sexually transmitted infections. Syphilis is the only bacterial sexually transmitted disease against which the fluoroquinolones to date have no useful activity.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Robinson AJ, Ridgway GL (2000) Concurrent gonococcal and chlamydial infection. How best to treat. Drugs 59: 801–813
Brunham RC, Embree JE (1992) Sexually transmitted diseases: Current and future dimensions of the problem in the third world. In: A Germain, KK Holmes, P Piot et al (eds): Reproductive tract infections: Global impact and priorities for women’s reproductive health. Plenum, New York, 35–58
Division of STD/HIVPrevention (1996) Sexually Transmitted Disease Surveillance, 1995. U.S. Department of Health and Human Services, Public Health Service. Atlanta: Centers for Disease Control and Prevention
Diagnoses of gonorrhoea reach ten year high. Commun Dis Rep CDR Wkly 2001: 11
Fitzgerald M, Bedford C (1996) National Standards for the management of gonorrhoea. Int J STD AIDS 7: 298–300
Centers for Disease Control Prevention (1989) Sexually transmitted diseases treatment guidelines. MMWR Morb Mortal Wkly Rep 38: 58
Black JR, Long JM, Zwickl BE, Ray BS, Verdan MS, Wetherby S, Hook EWIII, Handsfield HH (1989) Multicenter randomised study of single dose ofloxacin versus amoxicillin-probenecid for the treatment of uncomplicated gonococcal infection. Antimicrob Agents Chemother 33: 167–170
Lassus A, Renkonen OV, Ellmen J (1988) Fleroxacin versus standard therapy in gonococcal urethritis. J Antimicrob Chemother 22 (Suppl. D): 223–225
Hook EWIII, Jones RB, Martin DH, Bolan GA, Mroczkowski TF, Neumann TM, Haag JJ, Echols R (1993) Comparison of ciprofloxacin and ceftriaxone as single-dose therapy for uncomplicated gonorrhoea in women. Antimicrob Agents Chemother 37: 1670–1673
Tegelberg-Stassen MJ, van der Hoek JC, Mooi L, Wagenvoort JH, van Joost T, Michel MF, Stolz E (1986) Treatment of uncomplicated gonococcal urethritis in men with two dosages of ciprofloxacin. Eur J Clin Microbiol 5: 244–246
Echols RM, Heyd A, O’Keefe BJ, Schacht P (1994) Single dose ciprofloxacin for the treatment of uncomplicated gonorrhoea: A worldwide summary. Sex Transm Dis 21: 345–352
Centers for Disease Control Prevention (1998) 1998 Guidelines for treatment of sexually transmitted diseases. MMWR Morb Mortal Wkly Rep 47: RR-1
UK National Guidelines on sexually transmitted infections (1994) Sex Transm Infect 75 (Suppl 1)
Bignell CJ (2001) European guideline for the management of gonorrhoea. list J STD AIDS 12 (Suppl 3): 27–29
Moi H, Morel P, Gianotti B, Barlow D, Phillips I, Jean C (1996) Comparative efficacy of single oral doses of sparfloxacin versus ciprofloxacin in the treatment of acute gonococcal urethritis in men. JAntimicrob Chemother 37 (Suppl A): 115–122
Hook EWUI, McCormack WM, Martin D, Jones RB, Bean K, Mavoli AN (1997) Comparison of single dose oral grepafloxacin with cefixime for treatment of uncomplicated gonorrhoea in men. Antimicrob Agents Chemother 41: 1843–1845
Jones RB, Schwebke J, Thorpe EMJnr Dalu ZA, Leone P, Johnson RB (1998) Randomised trial of trovafloxacin and ofloxacin for single dose therapy of gonorrhoea. Trovafloxacin Study Group. Am JMed 104: 28–32
Jones RN, Deshpande LM, Erwin ME, Barrett MS, Beach ML (2000) Anti-gonococcal activity of gemifloxacin against fluoroquinolone-resistant strains and a comparison of agar dilution and Etest methods. J Antimicrob Chemother 45 (Suppl. S1): 67–70
Ridgway GL (1999) Quinolones in sexually transmitted diseases. Drugs 58 (Suppl. 2): 92–95
National Committee for Clinical Laboratory Standards (1998) Performance standards for antimicrobial susceptibility testing. M100–38. Wayne. PA: National Committee for Clinical Laboratory Standards
Kam KM, Wong PW, Cheung MM, Ho NKY (1996) Detection of quinolone-resistant Neisseria gonorrhoeae. J Clin Micro 34: 1462–1464
Knapp JS, Fox KK, Trees DL, Whittington WL (1997) Fluoroquinolone resistance in Neisseria gonorrhoeae. Emerg Inf Dis 3: 33–39
Tanaka M, Takahashi K, Saika T, Kobayashi I, Ueno T, Kumazawa J (1998) Development of fluoroquinolone resistance and mutations involving Gyr A and Par C proteins among Neisseria gonorrhoeae isolates in Japan. J Urol 159: 2215–2219
Schultz TR, Tapsall JW, White PA (2001) Correlation of in vitro susceptibilities to newer quinolones of naturally occurring quinolone-resistant Neisseria gonorrhoeae strains with changes in GyrA and ParC. Antimicrob Agents Chemother 45: 734–738
Carlyn CJ, Doyle LJ, Knapp CC, Ludwig MD, Washington JA (1995) Activities of three investigational fluoroquinolones (BAY y 3118, DU 6859a, and clinafloxacin) against Neisseria gonorrhoeae with diminished susceptibilities to ciprofloxacin and ofloxacin. Antimicrob Agents Chemother 39: 1606–1608
Gransden WR, Warren CA, Phillips I, Hodges M, Barlow D (1990) Decreased susceptibility of Neisseria gonorrhoeae in the United Kingdom. Lancet 335: 51
Tapsall JW, Schultz TR, Lovett R, Munro R (1992) Failure of 500 mg ciprofloxacin therapy in male urethral gonorrhoea. Med JAust 156: 143
Ringuette L, Trudeau T, Turcotte P, Yeung K, Remis R, Perron L, Le Corre I (1996) Emergence of Neisseria gonorrhoeae strains with decreased susceptibility to ciprofloxacin-Quebec, 1994–1995. Can Commun Dis Rep 22: 121–125
Ng PP, Chan RK, Ling AE (1998) Gonorrhoea treatment failure and ciprofloxacin resistance. Int J STD AIDS 9: 323–325
Gordon SM, Carlyn CJ, Doyle LJ, Knapp CC, Longworth DL, Hall GS, Washington JA (1996) The emergence of Neisseria gonorrhoeae with decreased susceptibility to ciprofloxacin in Cleveland, Ohio: epidemiology and risk factors. Ann Intern Med 125: 465–470
Aplasca de los Reyes MR, Pato-Mesola V, Klausner JD, Manalastas R, Wi T, Tuazon CU, Dellabetta G, Whittington WL, Holmes KK (2001) A randomised trial of ciprofloxacin versus cefixime for treatment of gonorrhoea after rapid emergence of gonococcal ciprofloxacin resistance in the Philippines. Clin Infect Dis 32: 1313–1318
Ivens D, Martin I, Ison C (2000) Neisseria gonorrhoeae in a London sexually transmitted infection clinic not fully sensitive to quinolones: are isolates imported and how effective is ciprofloxacin as a first-line therapy? Int J STD and AIDS 11: 774–776
Knapp JS (1998) Neisseria gonorrhoeae resistant to ciprofloxacin and ofloxacin. Sex Transm Dis 25: 425–426
Kam KM, Lo KK, Chong LY, Au WF, Wong PY, Cheung MM (1999) Correlation between in vitro quinolone susceptibility of Neisseria gonorrhoeae and outcome of treatment of gonococcal urethritis with single dose ofloxacin. Clin Infect Dis 28: 1165–1166
Trees DL, Sandul AL, Neal SW, Higa H, Knapp JS (2001) Molecular epidemiology of Neisseria gonorrhoeae exhibiting decreased susceptibility and resistance to ciprofloxacin in Hawaii, 1991–1999. Sex Transm Dis 28: 309–314
Tapsall JW, Limnos EA, Shultz TR (1998) Continuing evolution of the pattern of quinolone resistance in Neisseria gonorrhoeae isolated in Sydney, Australia. Sex Transm Dis 25: 415–417
Moodley P, Pillay C, Goga R, Kharsany ABM, Sturm AW (2001) Evolution in the trends of antimicrobial resistance in Neisseria gonorrhoeae isolated in Durban over a 5 year period: impact of the introduction of syndromic management. JAntimicrob Chemother 48: 853–859
Tapsall JW (2000) Surveillance of antibiotic resistance in Neisseria gonorrhoeae in the WHO Western Pacific Region, 1998. The WHO Western Pacific Gonococcal Antimicrobial Surveillance Programme. Commun Dis Intell 24: 1–4
GRASP steering group (2001) The Gonococcal Resistance to Antimicrobials Surveillance Programme (GRASP) year 2000 report. London: Public Health Laboratory service
Taylor-Robinson D, Horner PJ (2001) The role of Mycoplasma genitalium in non-gonococcal urethritis. Sex Transm Inf 77: 229–231
Bowie WR, Wang SP, Alexander ER, Floyd J, Forsyth PS, Pollock HM, Lin JS, Buchanan TM, Holmes KK (1977) Etiology of non-gonococcal urethritis. Evidence for Chlamydia trachomatis and Ureaplasma urealyticum. J Clin Invest 59: 735–742
Woolley PD (2000) Anaerobic bacteria and non-gonococcal urethritis. Int J STD AIDS 11: 347–348
Miyashita N, Niki Y, Matsushima T (2001) In vitro and in vivo activities of sitafloxacin against Chlamydia Spp Antimicrob Agents Chemother 45: 3270–3272
Bébéar CM, Renaudin H, Boudjadja A, Bébéar C (1998) In vitro activity of Bay 12–8039, a new fluoroquinolone against mycoplasmas. Antimicrob Agents Chemother 42: 703–704
Hooton TM, Batteiger BE, Judson FM, Spruance SL, Stamm WE (1992) Ofloxacin versus doxycycline for treatment of cervical infection with Chlamydia trachomatis. Antimicrob Agents Chemother 36: 1144–1146
Stary A (2001) European guideline for the management of chlamydial infection. Int J STD and AIDS 12 (Suppl. 3): 30–33
Blomer R, Bruch K, Klose V (1988) Ofloxacin in the treatment of gonococcal and chlamydial urethritis. Clin Ther 10: 263–265
Dreses-Werringloer U, Padubrin I, Jurgens-Saathoff B, Hudson AP, Zeidler H, Kohler L (2000) Persistance of Chlamydia trachomatis is induced by ciprofloxacin and ofloxacin in vitro. Antimicrob Agents Chemother 44: 3288–3297
Phillips I, Dimian C, Barlow D, Moi H, Stolz E, Weidner W, Perea E (1996) A comparative study of two different regimens of sparfloxacin versus doxycycline in the treatment of non-gonococcal urethritis in men. JAntimicrob Chemother 37 (Suppl A): 123–134
McCormack WM, Martin DH, Hook EWIII, Jones RB (1998) Daily oral grepafloxacin versus twice daily oral doxycycline in the treatment of Chlamydia trachomatis endocervical infection. Infect Dis Obstet Gynaecol 6: 109–115
McCormack WM, Dalu ZA, Martin DH, Hook EWIII, Laisi R, Kell P, Pluck ND, Johnson RB (1999) Double-blind comparison of trovafloxacin and doxycycline in the treatment of uncomplicated chlamydial urethritis and cervicitis. Sex Transm Dis 26: 531–536
Dessus-Babus S, Bébéar C, Charron A, Bébéar CM, de Barbeyrac B (1998) Sequencing of gyrase and topoisomerase IV quinolone-resistance determining regions of Chlamydia trachomatis and characterisation of quinolone-resistant mutants obtained in vitro. Antimicrob Agents Chemother 42: 2474–2481
Morrissey I, Salman H, Bakker S, Farrell D, Bébéar CM, Ridgway GL (2002) Serial passage of Chlamydia spp in sub-inhibitory fluoroquinolone concentrations and assessment of resistance development. Submitted JAntimicrob Chemother 49: 757–761
Somani J, Bhullar VB, Workowski KA, Farshy CE, Black CM (2000) Multiple drug-resistant Chlamydia trachomatis associated with clinical treatment failure. J Infect Dis 181: 1421–1427
Rice RJ, Bhullar V, Mitchell SH, Bullard J, Knapp JS (1995) Susceptibilities of Chlamydia trachomatis isolates causing uncomplicated female genital tract infections and pelvic inflammatory disease. Antimicrob Agents Chemother 39: 760–762
Jones RB, Van der Pol B, Johnson RB (1997) Susceptibilities of Chlamydia trachomatis to trovafloxacin. JAntimicrob Chemother 39 (Suppl. B): 63–65
National Guidelines for the Management of Lymphogranuloma venereum: Clinical Effectiveness Group (Association of Genito-urinary medicine Physicians, the Medical Society for the Study of Venereal Disease) (1999) Sex Transm Inf 75 (Suppl. 1): 540–542
Wall RA, Mabey DCW, Bello CSS, Felmingham D (1985) The comparative in vitro activity of twelve 4-quinolone antimicrobials against Haemophilus ducreyi. J Antimicrob Chemother 16: 165–168
Ridgway GL (1995) Quinolones in sexually transmitted diseases: Global experience. Drugs 49 (Suppl. 2): 115–122
Roest RW, van der Meijden WI (2001) European guideline for the management of tropical genito-ulcerative diseases. Int J STD and AIDS 12 (Supp1.3): 78–83
Malonza IM, Tyndall MW, Ndinya-Achola JO, Maclean I, Omar S, MacDonald S, Perriens J, Orle K, Plummer FA, Ronald AR, Mosel S (1999) A randomised double-blind, placebo-controlled trial of single-dose ciprofloxacin versus erythromycin for the treatment of chancroid in Nairobi, Kenya. J Infect Dis 180: 1886–1893
D’ Souza P, Pandho RK, Khanna N, Rattan A, Misra RS (1998) A comparative study of therapeutic response of patients with clinical chancroid to ciprofloxacin, erythromycin and cotrimoxazole. Sex Transm Dis 25: 293–295
Plourde PJ, D’Costa LJ, Agoki E, Ombette J, Ndinya-Achola JO, Slaney LA, Ronald AR, Plummer FA (1992) A randomised, double blind study of the efficacy of fleroxacin versus trimethoprim-sulfamethoxazole in men with culture-proven chancroid. J Infect Dis 165: 949–952
Ramanan C, Sarma PS, Ghorpade A, Das M (1990) Treatment of donovanosis with norfloxacin. Int J Dermatol 29: 298–299
Homer PJ (2001) European guidelines for the management of epididymo-orchitis and syndromic management of acute scrotal swelling. Int J STD and AIDS 12 (Suppl. 3): 88–93
Bevan CD, Johal BJ, Mumtaz G, Ridgway GL, Siddle NC (1995) Clinical, laparoscopie and microbiological findings in acute salpingitis. Report on a United Kingdom cohort. Br J Obstet Gynaecol 102: 407–414
Martens MG, Gordon S, Yarborough DR, Faro S, Binder D, Berkeley A (1993) Multicenter randomised trial of ofloxacin versus cefoxitin and doxycycline in outpatient treatment of pelvic inflammatory disease. South Med J 86: 604–610
Arredondo JL, Diaz V, Gaitan H, Maradiegue E, Oyarzun E, Paz R, Reynal JL, Stamm W, Zambrano D (1997) Oral clindamycin and ciprofloxacin versus intramuscular ceftriaxone and oral doxycycline in the treatment of mild-to-moderate pelvic inflammatory disease in outpatients. Clin Infect Dis 24: 170–178
Walker CK, Workowski KA, Washington AE, Soper D, Sweet RL (1999) Anaerobes in pelvic inflammatory disease: Implications for the Centers for Disease Control and Prevention’s guidelines for the treatment of sexually transmitted diseases. Clin Infect Dis 28 (Suppl. 1): S29–36
Ross JDC (2001) European guideline for the management of pelvic inflammatory disease and perihepatitis. Int J STD and AIDS 12 (Suppl. 3): 84–87
Jick S (1997) Ciprofloxacin safety in a paediatric population. Paediatric Infectious Disease Journal 16: 130–134
Doherty CP, Saha SK, Cutting WA (2000) Typhoid fever, ciprofloxacin and growth in young children. Ann Trop Paediatr 20: 297–303
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2003 Springer Basel AG
About this chapter
Cite this chapter
Wyllie, S.A., Ridgway, G.L. (2003). The quinolones and sexually transmitted infections. In: Ronald, A.R., Low, D.E. (eds) Fluoroquinolone Antibiotics. Milestones in Drug Therapy. Birkhäuser, Basel. https://doi.org/10.1007/978-3-0348-8103-6_7
Download citation
DOI: https://doi.org/10.1007/978-3-0348-8103-6_7
Published:
Publisher Name: Birkhäuser, Basel
Print ISBN: 978-3-0348-9437-1
Online ISBN: 978-3-0348-8103-6
eBook Packages: Springer Book Archive