Susceptibility to antimicrobials of Neisseria gonorrhoeae isolated in Singapore: implications on the need for more effective treatment regimens and control strategies

Br J Vener Dis. 1984 Dec;60(6):374-9. doi: 10.1136/sti.60.6.374.

Abstract

The antimicrobial susceptibility of gonococci isolated in Singapore has been studied over several years. In 1983, the prevalence of penicillinase producing Neisseria gonorrhoeae (PPNG) was 33.5% and 64% of non-PPNG isolates had minimum inhibitory concentrations (MICs) of penicillin of greater than or equal to 0.5 mg/l. After a control programme, the isolation of the gonococcus from prostitutes was reduced and there was improvement in its susceptibility to antimicrobials. The incidence of PPNG strains was stabilised with a change in the treatment regimen. An influx of foreign prostitutes, however, had an unfavourable impact on these variables. Countries in South East Asia have a high prevalence of PPNG and non-PPNG strains that have reduced susceptibility to antimicrobials. In view of increased air travel the problem should be seen from a global perspective. Better treatment regimens and control strategies are urgently needed.

MeSH terms

  • Ampicillin / pharmacology
  • Anti-Bacterial Agents / pharmacology*
  • Female
  • Gonorrhea / drug therapy
  • Gonorrhea / prevention & control
  • Humans
  • Kanamycin / pharmacology
  • Male
  • Microbial Sensitivity Tests
  • Neisseria gonorrhoeae / drug effects*
  • Neisseria gonorrhoeae / enzymology
  • Neisseria gonorrhoeae / isolation & purification
  • Penicillin Resistance
  • Penicillinase / biosynthesis
  • Penicillins / pharmacology
  • Sex Work
  • Singapore
  • Spectinomycin / pharmacology
  • Tetracycline / pharmacology

Substances

  • Anti-Bacterial Agents
  • Penicillins
  • Kanamycin
  • Ampicillin
  • Spectinomycin
  • Penicillinase
  • Tetracycline