A microbiological study of failed penicillin therapy for gonococcal urethritis in Durban
Hoosen, A.A.; Coetzee, K.D.; van den Ende, J.
South African Medical Journal 78(4): 189-191
1990
ISSN/ISBN: 0256-9574 PMID: 2116671 Document Number: 367468
Seventy-five men presenting with persistent urethral discharge after penicillin therapy were investigated for sexually transmitted pathogens during July-September 1987. The major aetiological agent isolated was Neisseria gonorrhoeae (58 patients (77.3%)). Penicillinase-producing N. gonorrhoeae (PPNG) accounted for 58.6% of 58 isolates. Chlamydia trachomatis was detected in 10.7% of patients and Trichomonas vaginalis in 14.7% of patients. When there is a high prevalence of PPNG, the use of penicillin as a first-line agent for therapy should be discontinued in favor of an agent active against PPNG and non-PPNG strains. Furthermore, in view of the relatively high prevalence of T. vaginalis, patients returning with persistent urethral discharge should be investigated and treated for infection with this protozoan.