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Pharmaceutisch Weekblad

, Volume 9, Supplement 1, pp S82–S86 | Cite as

Quinolones in the treatment of gonorrhoea and Chlamydia trachomatis infections

  • E. Stolz
  • J. H. T. Wagenvoort
  • A. H. van der Willigen
Article

Abstract

The results of two therapeutic trials in female patients with uncomplicated urogenital gonorrhoea (A) and in male patients with uncomplicated urethral gonorrhoea (B) treated with either 200 mg and 400 mg enoxacin orally, of one therapeutic trial in male patients with uncomplicated urogenital gonorrhoea treated with either 250 mg or 500 mg ciprofloxacin orally (C) and of one therapeutic trial in male patients with non-gonococcal urethritis (NGU) treated with ciprofloxacin 1 g daily during seven days (D) are presented and compared with the results of other investigators. The cure rate in study A was 100% (n=40) in the 400 mg group and 95.7% (n=46) in the 200 mg group. The cure rate in study B was 92% (n=78) in the 400 mg group and 90% (n=77) in the 200 mg group. In both studies no antichlamydial effect of enoxacin was observed. The cure rates in study C were 100% with 250 and 500 mg. An antichlamydial effect seemed to be present. In studies A, B and C side effects were minor and rare and were mainly nausea and headache. In study D (100 patients suffering from NGU) disappearance ofChlamydia trachomatis andUreaplasma urealyticum one day after the end of treatment was observed in 29 of 32 (91 %) and 28 of 32 (88%) cases, respectively. Pyuria disappeared in 44% and 74% of the patients showed clinical cure. However, two weeks after the end of treatmentChlamydia trachomatis andUreaplasma urealyticum were observed in respectively six and eight cases. In 30% pyuria was still absent. Side effects were only minor. In conclusion, ciprofloxacin can be considered a drug of choice in uncomplicated urethral gonorrhoea. It may also be of value in NGU and in mixed gonococcal and chlamydial infections.

Key words

Chlamydia trachomatis Ciprofloxacin Enoxacin Neisseria gonorrhoea Quinolones Side effects Ureaplasma urealyticum Urethritis 

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Copyright information

© Bohn, Scheltema & Holkema 1987

Authors and Affiliations

  • E. Stolz
    • 1
  • J. H. T. Wagenvoort
    • 2
  • A. H. van der Willigen
    • 1
  1. 1.Department of Dermatology and VenereologyUniversity Hospital Rotterdam-DijkzigtGD RotterdamThe Netherlands
  2. 2.Department of Clinical and Antimicrobial TherapyUniversity Hospital Rotterdam-DijkzigtGD RotterdamThe Netherlands

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