Response of HIV-infected patients with syphilis to therapy with penicillin or intravenous ceftriaxone.

Abstract:

BACKGROUND:Ceftriaxone is commonly used as an alternative antibiotic drug in treating syphilis but clinical data on its efficacy are limited. OBJECTIVE:To evaluate the response of HIV-infected patients with active syphilis to treatment with penicillin or ceftriaxone. - METHODS:A retrospective study involving 24 consecutive patients with a positive Veneral Disease Research Laboratory test (VDRL) and at least one specific treponemal test. 12 patients were treated with different regimens of high-dose penicillin G for at least 2 weeks. Another 12 patients were treated with ceftriaxone 1-2g per day intravenously for 10-21 days. - RESULTS:After a median follow up of 18,3 months all patients of the penicillin-treated group and 11 of 12 ceftriaxone-treated patients showed a ≥ 4-fold decline in VDRL-titers; 91% of them already within 6 months after therapy. - CONCLUSION:Our serological data demonstrate a comparable efficacy of currently recommened penicillin and ceftriaxone treatment regimens for active syphilis in HIV-infected patients.

journal_name

Eur J Med Res

authors

Spornraft-Ragaller P,Abraham S,Lueck C,Meurer M

doi

10.1186/2047-783x-16-2-47

subject

Has Abstract

pub_date

2011-02-24 00:00:00

pages

47-51

issue

2

eissn

0949-2321

issn

2047-783X

journal_volume

16

pub_type

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