Role of cephalosporins in gonorrhoea and other sexually transmitted diseases.

Abstract:

:Cephalosporins have a role in the treatment of gonorrhoea, and especially infections caused by strains that are penicillin-resistant, either because they produce plasmid-mediated beta-lactamase or they have chromosomally mediated diminished permeability or modified penicillin-binding proteins. Although none of the oral or Group I agents are useful, most of the Group II, III and IV agents are, and especially cefuroxime, cefotaxime, ceftriaxone and cefoxitin. In addition to uncomplicated urethral, cervical or rectal infections, appropriate regimens are also effective for the treatment of pharyngeal infections, disseminated infections and gonococcal ophthalmia. The cephalosporins have no clear role in the treatment of syphilis, granuloma inguinale, Mycoplasma or chlamydial infections or bacterial vaginosis, but ceftriaxone may be effective in chancroid, and cefoxitin in combination with an antichlamydial agent (such as a tetracycline) might be used for the treatment of pelvic inflammatory disease.

journal_name

Drugs

journal_title

Drugs

authors

Phillips I

doi

10.2165/00003495-198700342-00013

subject

Has Abstract

pub_date

1987-01-01 00:00:00

pages

164-79

eissn

0012-6667

issn

1179-1950

journal_volume

34 Suppl 2

pub_type

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