ABSTRACT
Two hundred nineteen neonates with gonococcal ophthalmia neonatorum, including 40 infected with penicillinase-producing strains, were treated as outpatients with a single intramuscular injection of 100 mg of kanamycin and hourly ocular irrigation with saline. Neisseria gonorrhoeae was isolated from three (1.4%) of the 212 babies attending for follow-up, and post-gonococcal conjunctivitis developed in 22 (10.4%) of those who returned for follow-up.
Subject(s)
Gonorrhea/drug therapy , Kanamycin/therapeutic use , Ophthalmia Neonatorum/drug therapy , Saline Solution, Hypertonic/administration & dosage , Sodium Chloride/administration & dosage , Ambulatory Care , Female , Gonorrhea/microbiology , Humans , Infant, Newborn , Kanamycin/administration & dosage , Male , Neisseria gonorrhoeae/isolation & purification , Ophthalmia Neonatorum/microbiology , Therapeutic IrrigationABSTRACT
Seventy-five men with gonococcal urethritis were treated with a single oral dose of thiamphenicol, and 88 men with this infection were treated with two 1.5-g oral doses of lymecycline taken 12 hr apart. Of the 75 subjects treated with thiamphenicol, 72 (96%) were cured, as compared with 80 (91%) treated with lymecycline. Sixty subjects (37%) were infected with penicillinase-producing Neisseria gonorrhoeae. In this group, 28 (97%) of 29 subjects treated with thiamphenicol were cured, as compared with 29 (94%) of 31 subjects treated with lymecycline. Patient compliance with the two-dose regimen was excellent, and no adverse effects occurred with either drug. Lymecycline may therefore be an effective alternative to thiamphenicol in those countries where strains of N. gonorrhoeae remain sensitive to the tetracyclines.
