In vitro activity of several antimicrobial agents against Neisseria gonorrhoeae and comparison of cost of treatment

Cent Afr J Med. 1995 Mar;41(3):83-6.

Abstract

During a cross sectional study on the prevalence and incidence of gonorrhoea, Neisseria gonorrhoeae was isolated from 185 people aged between 16 and 60 years. In vitro activity of six antimicrobial antibacterial agents, penicillin, erythromycin, tetracycline, cotrimoxazole, ceftriaxone and norfloxacin on the isolated N. gonorrhoeae were carried out. The results obtained showed that, of all 111 isolates, 48 (43.2 pc) were penicillinase producing N. gonorrhoeae (PPNG) and 63 (56.8 pc) were non PPNGs. Over 90 pc of both PPNG and non PPNG isolates were sensitive to tetracyline and erythromycin. Seventy five pc of the PPNG and 45 pc non-PPNG were not sensitive to two units of penicillin. Both PPNG and non-PPNG were less sensitive to cotrimoxazole 25 micrograms. Norfloxacin and ceftriaxone were over 70 pc effective but were extremely expensive for most people who got infected.

MeSH terms

  • Adolescent
  • Adult
  • Anti-Bacterial Agents / economics
  • Anti-Bacterial Agents / pharmacology*
  • Cross-Sectional Studies
  • Decision Trees
  • Drug Costs
  • Female
  • Gonorrhea / drug therapy
  • Gonorrhea / epidemiology
  • Gonorrhea / microbiology*
  • Humans
  • Male
  • Microbial Sensitivity Tests
  • Middle Aged
  • Neisseria gonorrhoeae / drug effects*
  • Neisseria gonorrhoeae / enzymology
  • Penicillinase / biosynthesis*
  • Prevalence
  • Zimbabwe / epidemiology

Substances

  • Anti-Bacterial Agents
  • Penicillinase