Michael O. Duncan

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Of 103 strains of Haemophilus ducreyi isolated in Johannesburg, 96 produced beta-lactamase and were resistant to penicillin and ampicillin. Most strains showed resistance to tetracycline, sulfisoxazole, and sulfamethoxazole. All isolates were susceptible to rifampin, erythromycin, and cefoxitin, moderately susceptible to trimethoprim-sulfamethoxazole (1:19)(More)
Ulcerative balanoposthitis associated with non-syphilitic spirochaetal infection was found in 41 (12%) of 344 consecutive men with genital ulcer disease in two clinics in South Africa. All patients with non-syphilitic spirochaetal infection were uncircumcised. Non-syphilitic treponemes were seen in only two of 60 uncircumcised men who had urethritis without(More)
On the subcontinent sexually transmitted diseases present considerable diagnostic and therapeutic problems. With the recognition of vast numbers of non-gonococcal and chancroid infections, penicillin therapy is no longer adequate. This article outlines an approach to the management of urethritis and genital ulcer disease, giving suitable guidelines for the(More)
Recent studies undertaken in southern Africa and elsewhere indicate that many short or single dose treatments are available to treat chancroid. Erythromycin 500 mg three times a day for five days, ciprofloxacin 500 mg, sulphamethopyrazine 800 mg and trimethoprim 1000 mg or sulphametrole 3200 mg and trimethoprim 640 mg as single oral doses, or ceftriaxone(More)
The extended role of the nurse has received much attention recently. A training programme for nurses who are to provide primary health care is offered at Baragwanath Hospital, Johannesburg. This article describes the training of nurses who care for adult patients. Fifty-one nurses had successfully completed their training by January 1980, and four clinics(More)
One hundred and thirty seven patients presenting with genital ulcerations from which Haemophilus ducreyi was isolated were treated with erythromycin stearate 500 mg every six hours for seven days. Of these, 91 (66%) had associated inguinal lymphadenopathy. Only two of the 100 patients who returned after one week showed no clinical improvement. Despite(More)
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