Further Progress in Venereology

Update on Gonorrhea

“…Additionally, resistance to azithromycin was shown in 0.3% of cases 2 . This follows a trend observed since gonorrhea became resistant to sulphonamides, first reported in 1944 4 …”

Treatment before Diagnosis in Venereology

“…The method fails as a practical proposition, however, in the matter of cost. If 1,000 treatments have to be given to prevent ten attacks of gonorrhoea it is scarcely economical (Willcox, 1953); but the scheme merits some consideration in certain circumstances when infection rates in troops or in particular ports are exceptionally high, as a temporary measure while other means are being used to control the focus of infection. Apart from such circumstances, the uncertainty of the prevention of syphilis does not encourage the use of oral penicillin as a good prophylactic method.…”

“…In countries where prostitutes are registered and regularly examined, and therefore fear admission to hospital in case they are found to have venereal disease, many women are now seeking regular injections of penicillin. The venereologist at Izmir, Turkey, told me that he was convinced that the striking decline of syphilis in that town was due to the weekly private treatment he had given to the prostitutes (Willcox, 1951). Stokes and others (1944) mention a number of workers who give chemoprophylaxis to prostitutes, sometimes successfully with bismuth.…”

Streptomycin Resistant Gonorrhoea

“…The readiness with which many organisms develop resistance to streptomycin is well recognized; Willcox (1953) ventured to predict that "should streptomycin be widely used for gonorrhoea it is possible that its efficiency may decline".…”