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PMID: 3924814 Published · ppublish English Clinical Trial Journal Article Randomized Controlled Trial

Augmentin compared with amoxycillin in treating uncomplicated gonorrhoea.

Genitourinary medicine ·Vol. 61 ·No. 3 ·1985-06-00 ·Pages 165-7

Key PR, Azadian BS, Evans BA

Abstract

We studied 220 patients (138 men and 82 women) with uncomplicated gonorrhoea who were entered into a randomised double blind trial and treated with either Augmentin (amoxycillin 3 g and potassium clavulanate 125 mg) or amoxycillin 3 g, with probenecid 1 g by mouth in all cases. Seven (6.5%) of 108 patients treated with Augmentin were still culture positive after treatment, compared with 15 (13.4%) of 112 of those treated with amoxycillin. Penicillinase (beta lactamase) producing strains of Neisseria gonorrhoeae (PPNG) were found in 23 (10.5%) patients, of whom 10 were treated with Augmentin and 13 with amoxycillin. Treatment failed in all 13 patients who received amoxycillin. Augmentin was shown to be an effective treatment for gonorrhoea caused by PPNG strains.

MeSH Terms
Amoxicillin/therapeutic use Clavulanic Acid Clavulanic Acids/therapeutic use Clinical Trials as Topic Double-Blind Method Drug Combinations Female Gonorrhea/drug therapy Humans Male Neisseria gonorrhoeae/drug effects,enzymology Penicillinase/biosynthesis Probenecid/therapeutic use Random Allocation
Chemicals
Clavulanic Acids Drug Combinations Clavulanic Acid Amoxicillin Penicillinase Probenecid
Authors & Affiliations
3 authors, click to expand affiliations / ORCID
Key P R
Azadian B S
Evans B A
References (5)
5 references, click to expand
  1. Spectinomycin-resistant penicillinase-producing Neisseria gonorrhoeae.
    Lancet. 1981 Nov 7;2(8254):1035-7 PMID: 6118488
  2. Emergence of resistance after spectinomycin treatment for gonorrhoea due to beta-lactamase producing strain of Neisseria gonorrhoeae.
    Br Med J (Clin Res Ed). 1982 May 29;284(6329):1604-5 PMID: 6211217
  3. Imported penicillinase producing Neisseria gonorrhoeae becomes endemic in London.
    Br J Vener Dis. 1983 Dec;59(6):364-8 PMID: 6416607
  4. Single dose oral amoxycillin and clavulanic acid in the treatment of gonococcal urethritis in males.
    Med J Malaysia. 1982 Sep;37(3):235-8 PMID: 6757686
  5. Penicillinase-producing Neisseria gonorrhoeae in Great Britain, 1977-81: alarming increase in incidence and recent development of endemic transmission.
    Br Med J (Clin Res Ed). 1982 Jul 31;285(6338):337-40 PMID: 6807472
Article Info
Journal
Genitourinary medicine
Abbr.
Genitourin Med
ISSN
0266-4348
Published
1985-06-00
Pages
165-7
Language
English
Region
England
NLM ID
8503853
PMCID
PMC1011795
Subset
IM
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