A Cost Analysis of Gyrase A Testing and Targeted Ciprofloxacin Therapy Versus Recommended 2-Drug Therapy for Neisseria gonorrhoeae Infection.

Author: Allan-BlitzLao-Tzu, HemarajataPeera, HumphriesRomney M, KlausnerJeffrey D, SeguraEddy R, WynnAdriane

Paper Details 
Original Abstract of the Article :
BACKGROUND: Novel approaches to combating drug-resistant Neisseria gonorrhoeae infections are urgently needed. Targeted therapy with ciprofloxacin has been made possible by a rapid assay for genotyping the gyrase A (gyrA) gene; a nonmutated gene reliably predicts susceptibility to ciprofloxacin. ME...See full text at original site
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引用元:
https://pubmed.ncbi.nlm.nih.gov/29329176

データ提供:米国国立医学図書館(NLM)

The Battle Against Drug-Resistant Gonorrhea: A Cost Analysis

The threat of drug-resistant gonorrhea, a sexually transmitted infection, looms like a desert storm, threatening to disrupt our efforts to control this challenging disease. This study investigates the potential of targeted therapy with ciprofloxacin, an antibiotic, to combat this emerging threat. The researchers analyzed the costs of two treatment approaches: using a rapid assay to genotype the gyrA gene, which predicts ciprofloxacin susceptibility, and administering targeted therapy with ciprofloxacin, versus using the standard two-drug therapy (ceftriaxone and azithromycin). They compared the costs of these approaches using data collected over a 13-month period from patients diagnosed with gonorrhea at UCLA. The study found that the cost of gyrA genotyping and targeted therapy varied depending on the prevalence of ciprofloxacin-resistant or genotype-indeterminate infections and the frequency of testing. The study concluded that the direct costs of gyrA genotyping and targeted therapy depended on the prevalence of ciprofloxacin-resistant or genotype-indeterminate infections and testing frequency. The study also found that in certain scenarios, the cost of gyrA genotyping and targeted therapy was less than that of the standard two-drug therapy.

A Cost-Effective Approach to Combatting Resistance

This study suggests that targeted therapy with ciprofloxacin, guided by gyrA genotyping, could be a cost-effective approach to combatting drug-resistant gonorrhea. This strategy could help conserve the effectiveness of ciprofloxacin and prevent the emergence of further resistance, a vital consideration in the ongoing fight against this challenging infection. The study provides valuable insights into the economic considerations of treating drug-resistant infections.

Navigating the Shifting Sands of Resistance

This study highlights the importance of adapting our approach to treating infections as we face the ongoing challenge of drug resistance. The study underscores the need for careful consideration of cost-effectiveness and the potential benefits of targeted therapy, while staying vigilant in monitoring the emergence of new resistance patterns. This study serves as a reminder of the need for ongoing research and innovation to stay ahead of the ever-evolving landscape of infectious diseases.

Dr.Camel's Conclusion

The desert of drug resistance is a constant threat, and we must be vigilant in our fight against it. This research highlights the importance of innovation and cost-effectiveness in our approach to combatting this challenge. By using the right tools and strategies, we can navigate the shifting sands of resistance and protect our health.

Date :
  1. Date Completed 2019-01-28
  2. Date Revised 2019-11-28
Further Info :

Pubmed ID

29329176

DOI: Digital Object Identifier

NIHMS1046996

Related Literature

SNS
PICO Info
in preparation
Languages

English

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