Doxycycline and Sitafloxacin Combination Therapy for Treating Highly Resistant Mycoplasma genitalium

Emerg Infect Dis. 2020 Aug;26(8):1870-1874. doi: 10.3201/eid2608.191806.

Abstract

Antimicrobial-resistant Mycoplasma genitalium is becoming increasingly common and creating major treatment challenges. We present early data on combination therapy with doxycycline and sitafloxacin to treat highly resistant M. genitalium. We found the regimen was well tolerated and cured 11/12 infections that had failed prior regimens with moxifloxacin and pristinamycin.

Keywords: AMR; Mycoplasma genitalium; antimicrobial resistance; doxycycline; dual-class resistance; macrolide resistance; multidrug resistance; quinolone resistance; sexually transmitted infections; sitafloxacin.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / therapeutic use
  • Doxycycline / therapeutic use
  • Drug Resistance, Bacterial
  • Fluoroquinolones
  • Humans
  • Macrolides
  • Mycoplasma Infections* / drug therapy
  • Mycoplasma genitalium*

Substances

  • Anti-Bacterial Agents
  • Fluoroquinolones
  • Macrolides
  • sitafloxacin
  • Doxycycline