Occurrence of Ureaplasma urealyticus and Mycoplasma hominis in non-gonococcal urethritis before and after treatment in a double-blind trial of ofloxacin versus erythromycin.
The efficacy of ofloxacin, a new quinolone derivate, was tested against that of erythromycin in a prospective double-blind trial in patients with non-gonococcal urethritis (NGU) with special reference to the occurrence of Mycoplasma hominis and Ureaplasma urealyticum. 188 male NGU patients were randomized to treatment with either ofloxacin 200 mg b.i.d. or erythromycin 500 mg b.i.d. for seven days. Before treatment eight (4.3%) patients, five in the erythromycin group and three in the ofloxacin group, were M. hominis positive. At follow-up day 8 and 15 after start of treatment all five in the erythromycin group and two in the ofloxacin group were still positive. U. urealyticum was recovered in 16 patients (8.5%) before treatment. One patient was still positive in the erythromycin group when examined day 15, whereas all patients were negative in the ofloxacin group at both follow-up controls. Clinically, the efficacy of treatment day 15 was 77.4% in the erythromycin group and 84.3% in the ofloxacin group. The difference was not significant. Side-effects occurred in 38.5% in the erythromycin group and in 21.3% in the ofloxacin group. This difference is significant. Ofloxacin is effective in the treatment of NGU in males and is an alternative to conventional antibiotic treatment.
Møller
B R
BR
Department of Obstetrics and Gynecology, University Hospital, Aarhus, Denmark.
Herrmann
B
B
Ibsen
H H
HH
Halkier-Sørensen
L
L
From
E
E
Mårdh
P A
PA
D004311:Double-Blind Method; D004917:Erythromycin / Q000009:adverse effects / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D009174:Mycoplasma / Q000302:isolation & purification*; D009175:Mycoplasma Infections / Q000188:drug therapy / Q000382:microbiology*; D009180:Mycoplasmatales Infections / Q000188:drug therapy / Q000382:microbiology*; D015242:Ofloxacin / Q000627:therapeutic use*; D011446:Prospective Studies; D014509:Ureaplasma / Q000302:isolation & purification*; D014526:Urethritis / Q000188:drug therapy / Q000382:microbiology*
D004917:Erythromycin; D015242:Ofloxacin