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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
1990-12-11
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pubmed:abstractText |
Between 25% and 50% of children in African countries are exposed to Neisseria gonorrhoeae at birth and are at risk of developing gonococcal ophthalmia neonatorum. The problem is aggravated by the emergence of penicillinase-producing strains of N. gonorrhoeae (PPNG). Twenty-one children (9 boys, 12 girls, mean age 13 days) presenting with gonococcal conjunctivitis were identified during a 47-month period. Nineteen children received a single im injection of 100 mg/kg cefotaxime (maximum dose 1 g) without topical antibiotic therapy. One neonate with concurrent otitis media was treated with cefotaxime for five days and a 17-month old girl received two im injections because of the severity of her symptoms. Eight patients (38%) had received previous antibiotic therapy (penicillin im and/or tetracycline eye ointment). Twelve isolates of N. gonorrhoeae were found to be PPNG strains. At three to seven day follow-up examination all 21 patients were clinically cured without residual eye damage. Cefotaxime offers an effective first line treatment for gonococcal ophthalmia neonatorum in areas where there is a high prevalence of PPNG strains. The advantages of a single-dose treatment over multidose regimens in terms of compliance and cost are discussed.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0305-7453
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
26 Suppl A
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
23-7
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:2228841-Cefotaxime,
pubmed-meshheading:2228841-Child,
pubmed-meshheading:2228841-Child, Preschool,
pubmed-meshheading:2228841-Female,
pubmed-meshheading:2228841-Humans,
pubmed-meshheading:2228841-Infant,
pubmed-meshheading:2228841-Infant, Newborn,
pubmed-meshheading:2228841-Injections, Intramuscular,
pubmed-meshheading:2228841-Male,
pubmed-meshheading:2228841-Ophthalmia Neonatorum
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pubmed:year |
1990
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pubmed:articleTitle |
Treatment of gonococcal conjunctivitis with a single intramuscular injection of cefotaxime.
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pubmed:affiliation |
Department of Paediatrics, Centre Hospitalier de Kigali, Rwanda.
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pubmed:publicationType |
Journal Article,
Clinical Trial
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