[Incidence and the results of treatment of beta-lactamase-positive gonorrhea with spectinomycin (trobicin)]. 1990

U Wójtowicz, and T Napiórkowska, and A Stapiński, and G Przedpełska
Z Instytutu Wenerologii AM w Warszawie.

Beta-lactamase-positive gonorrhoea was rather sporadic in Poland. In spring 1988 a marked rise was observed in the proportion of therapeutic failures in the treatment of gonorrhoea with procaine penicillin (4.8 million u) with probenecid among patient treated in the outpatient clinic of the Venereology Institute in Warsaw. The cause was infection with beta-lactamase producing gonococci. Up to June 1989 beta-lactamase production ability was tested in gonococci cultured from 415 patients (363 men and 52 women) with positive results in 73 cases (61 men and 11 women) that is in 18%. Most (85%) patients were treated with spectinomycin (2 g intramuscularly in men and 4 g in women in one dose) with cure in all cases. Treatment with tetracycline (2 g daily for 7 days) given to 12 patients failed in 2 cases. These results, if confirmed in other parts of the country, will cause the necessity of revision of the presently accepted indications for gonorrhoea treatment with penicillin with probenecid as the basic method.

UI MeSH Term Description Entries
D008297 Male Males
D009344 Neisseria gonorrhoeae A species of gram-negative, aerobic bacteria primarily found in purulent venereal discharges. It is the causative agent of GONORRHEA. Diplococcus gonorrhoeae,Gonococcus,Gonococcus neisseri,Merismopedia gonorrhoeae,Micrococcus der gonorrhoe,Micrococcus gonococcus,Micrococcus gonorrhoeae
D010402 Penicillin G Procaine Semisynthetic antibiotic prepared by combining penicillin G with PROCAINE. Benzylpenicillin Procaine,Jenacillin,Procaine Penicillin,G Procaine, Penicillin,Penicillin, Procaine,Procaine, Benzylpenicillin,Procaine, Penicillin G
D010403 Penicillin Resistance Nonsusceptibility of an organism to the action of penicillins. Penicillin Resistances,Resistance, Penicillin,Resistances, Penicillin
D010405 Penicillinase A beta-lactamase preferentially cleaving penicillins. (Dorland, 28th ed) EC 3.5.2.-. beta-Lactamase I,AER-I beta-Lactamase,Benzylpenicillinase,Carbenicillinase,Exopenicillinase,beta Lactamase III,beta Lactamase RP4,gamma-Penicillinase,AER I beta Lactamase,Lactamase RP4, beta,beta Lactamase I,beta-Lactamase, AER-I,gamma Penicillinase
D011044 Poland A country in central Europe, east of Germany. The capital is Warsaw. Polish People's Republic,Republic of Poland
D005260 Female Females
D006069 Gonorrhea Acute infectious disease characterized by primary invasion of the urogenital tract. The etiologic agent, NEISSERIA GONORRHOEAE, was isolated by Neisser in 1879. Neisseria gonorrhoeae Infection
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000198 Spectinomycin An antibiotic produced by Streptomyces spectabilis. It is active against gram-negative bacteria and used for the treatment of GONORRHEA. Actinospectacin,Adspec,Ferkel Spectam,Kempi,Prospec,Salmosan-T,Spectam,Spectinomycin Dihydrochloride, Anhydrous,Spectinomycin Dihydrochloride, Pentahydrate,Spectinomycin Hydrochloride,Stanilo,Trobicin,Salmosan T,Spectam, Ferkel

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