minocycline and Sexually-Transmitted-Diseases--Bacterial

We studied 181 patients diagnosed with male urethritis at Oogaki Municipal Hospital from April 2002 to March 2004. Twenty-two out of 92 patients diagnosed with gonococcal urethritis (GU) and 52 out of 89 patients diagnosed with non-gonococcal urethritis (NGU) were positive for Chlamidia trichomatis by polymerase chain reaction (PCR). Most patients of male urethritis were in their twenties. Of GU patients, 39 (67%) were infected from commercial sex workers (CSWs). Of NGU patients, 12 (30%) were infected from CSWs, 24 (40%) from girl friends and 4 (10%) from their Twenty-eight (48%) out of GU patients were infected through oral sex. spouse. Eighty-three GU patients were treated with SPCM (2 g, one shot). Fifty-five patients could be evaluated for the efficacy of treatment. Elimination rate of Neisseria gonorrhoeae was 100% and 14 out of 18 patients with persisting urethritis had C. trichomatis. Eighty-two NGU patients were treated with minocycline, tosufloxacin, levofloxacin, gatiflixacin or clarithromycine. Sixty-six patients could be evaluated for the efficacy of treatment. Forty-one patients were diagnosed with non-gonococcal chlamydial urethritis (NGCU) and 25 patients were diagnosed with non-gonococcal, non-chlamydial urethritis (NGNCU). The clinical curative rate of NGCU and NGNCU was 93% (38/41) and 80% (20/25), respectively.

Topics: Adolescent; Adult; Anti-Bacterial Agents; Chlamydia Infections; Fluoroquinolones; Gonorrhea; Hospitals, Municipal; Humans; Japan; Levofloxacin; Male; Middle Aged; Minocycline; Naphthyridines; Ofloxacin; Sexual Partners; Sexually Transmitted Diseases, Bacterial; Spectinomycin; Urethritis

We detected the minimal inhibitory concentrations (MIC) and minimal bacteriocidal concentrations (MBC) of 19 kinds of antibiotics against urogenital chlamydia trachomatis (CT) from sexually transmitted disease (STD) patients. The results were as follows: (1) The mean MICs of tetracycline, doxycycline, minocycline, erythromycin, josamycin, medimycin, lomexacin and ofloxacin were lower than 0.08 microgram/ml. Clindamycin was lightly inhibitant to CT. Steptomycin, cephaloradine, chloramiphonic, metronidazole, ciprofloxacin, sulfamethaxazole and trimethoprim showed no activitis to urogenital CT. (2) The values of the MICs and MBCs of the standard strains were among those of the isolated ones. Another the differences in drug susceptibility of different serovars were observed. (3) The MIC detected method is also discussed.

Topics: Cervix Uteri; Chlamydia Infections; Chlamydia trachomatis; Doxycycline; Erythromycin; Female; Humans; Leucomycins; Microbial Sensitivity Tests; Minocycline; Sexually Transmitted Diseases, Bacterial; Tetracyclines; Urethra