Shams -ur- Rehman, Amir Khan, Aman ullah, Khalid Akhter


Background: Gonorrhoea is a purulent inflammation of mucus membrane of the genital tract and
is a highly contagious sexually transmitted disease (STD) caused by the bacterium Neisseria
gonorrhoae. Both men and women can be infected through a variety of sexual contact behaviours
including vaginal, anal or oral intercourses. This comparative study was carried out in New Gulail
Polyclinic Jeddah, KSA from Jan 2003 to March 2004 to find the clinical efficacy of
ciprofloxacin, ceftriaxone and spectinomycin, the three commonly used drugs, in the treatment of
gonorrhoea. Methods: A total number of 300 patients suffering from gonorrhoea were included in
this study. They were randomly divided into 3 groups of 100 patients each. Group-A patients were
given Tablet Ciprofloxacin 500 mg, Group-B patients Injection Ceftriaxone 500 mg, and Group-C
patients were put on Injection Spectinomycin 2 gm, all in stat dosage. On the 5th day following the
treatment, all patients were re-examined and their clinical and laboratory findings were recorded
and analysed. Results: On the 5th day following treatment the Group-A (n=100) showed 9 (9%)
partial response and 11 (11%) cases showed no response to Ciprofloxacin. In the Group-B
(n=100), 4 (4%) patients showed partial response and 6 (6%) patients showed no response to
Ceftriaxone. In Group-C, out of 100 patients, 4 (4%) cases reported with partial response and 2
(2%) patients showed no response to Spectinomycin. The efficacy of these anti-microbial agents
was the same in both the genders. Conclusion: Anti-microbial susceptibility of N. gonorrrhoeae
to various antibiotics is gradually decreasing. In order to ensure full cure, all gonorrhoea patients
should be followed-up after a single dosage of any antibiotic. Further research should continue for
newer, effective, and preferably oral medication for the treatment of gonorrhoea.
Keywords: Neisseria gonorrhoeae, sexually transmitted infection, STD, Sexually Transmitted
Disease, Gonorrhoea

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