MMRS Page 114
These mixed infections are discovered when patients are treated only with a penicillin family antibiotic and don't get better. Penicillins treat the gonorrhea, but are ineffective against Chlamydia trachomatis. Remember that Chlamydia trachomatis has no peptidoglycan layer, which is the target for penicillin.
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Microbiology - Chlamydiae (Mixed Urethritis Treatment)
Mobeen Syed, MD - 2019-01-21 19:31:09
Good discussion. |
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Microbiology - Chlamydiae (Mixed Urethritis Treatment)
Mobeen Syed, MD - 2018-09-28 15:03:01
Therefore, all patients diagnosed with urethritis are empirically treated with antibiotics to cover Neisseria gonorrhoeae, Chlamydia trachomatis, and Ureaplasma urealyticum. A commonly used treatment regimen involves a single dose of intramuscular ceftriaxone (a third-generation cephalosporin that is extremely effective against Neisseria gonorrhoeae) followed by a 7-day course of oral doxycycline or 1 oral dose of azithromycin (which covers both Chlamydia trachomatis and Ureaplasma urealyticum). |