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BACK TO THE 1989 IDSA REVIEWS, SPECIAL SUPPLEMENT
Included in that Supplement
are these articles about syphilis and spirochetes in general






The above full text scanned in
report is associated with this abstract:
Rev Infect
Dis. 1989 Sep-Oct;11 Suppl 6:S1511-7.Links
Treatment of syphilis: current
recommendations, alternatives, and continuing problems.
Department of Medicine,
Johns Hopkins University School of Medicine, Baltimore, Maryland.
Benzathine penicillin
continues to be the cornerstone of recommended therapy for syphilis. Recent
increases in the syphilis rates in the United States and concerns about the
adequacy of currently recommended therapy for syphilis in patients with
concomitant human immunodeficiency virus infection have stimulated reappraisal
of alternatives to currently recommended therapy. Desirable features of
antimicrobial agents for syphilotherapy include long serum half-life, good
penetration into the central nervous system, and ease of administration.
Benzathine penicillin provides prolonged treponemicidal levels of penicillin G
in serum but does not reliably produce adequate levels of penicillin in the
central nervous system. Tetracycline requires multiple daily dosing, has
relatively frequent adverse effects, and has unproven efficacy for central
nervous system involvement. Erythromycin, which may be less active than
tetracycline for syphilis therapy, has similar shortcomings. Recent
evaluations of ceftriaxone for early syphilis therapy are promising; however,
the optimal dose and duration of therapy are unknown. No currently
recommended therapy for syphilis is clearly optimal for reliable, cost-effective
therapy. Careful reappraisal of currently available syphilotherapy and
alternatives is needed. PMID: 2682964 [PubMed - indexed for MEDLINE]






The above full text scanned in
report is associated with this abstract:
Rev Infect
Dis. 1989 Sep-Oct;11 Suppl 6:S1511-7.Links
Treatment of syphilis: current
recommendations, alternatives, and continuing problems.
Department of Medicine,
Johns Hopkins University School of Medicine, Baltimore, Maryland.
Benzathine penicillin
continues to be the cornerstone of recommended therapy for syphilis. Recent
increases in the syphilis rates in the United States and concerns about the
adequacy of currently recommended therapy for syphilis in patients with
concomitant human immunodeficiency virus infection have stimulated reappraisal
of alternatives to currently recommended therapy. Desirable features of
antimicrobial agents for syphilotherapy include long serum half-life, good
penetration into the central nervous system, and ease of administration.
Benzathine penicillin provides prolonged treponemicidal levels of penicillin G
in serum but does not reliably produce adequate levels of penicillin in the
central nervous system. Tetracycline requires multiple daily dosing, has
relatively frequent adverse effects, and has unproven efficacy for central
nervous system involvement. Erythromycin, which may be less active than
tetracycline for syphilis therapy, has similar shortcomings. Recent
evaluations of ceftriaxone for early syphilis therapy are promising; however,
the optimal dose and duration of therapy are unknown. No currently
recommended therapy for syphilis is clearly optimal for reliable, cost-effective
therapy. Careful reappraisal of currently available syphilotherapy and
alternatives is needed. PMID: 2682964 [PubMed - indexed for MEDLINE]
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