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A randomized controlled trial comparing amoxicillin and azithromycin for the treatment of Chlamydia trachomatis in
G F Jacobson1, A M Autry, R S Kirby
1Department of Obstetrics and Gynecology at University of Wisconsin Medical School-Milwaukee Clinical Campus, Wisconsin 53233, USA.
Objective:
Our goal was to compare the efficacy of azithromycin with that of amoxicillin for the treatment of Chlamydia trachomatis infection during pregnancy.
Study Design:
A randomized controlled trial of pregnant women with cervical C trachomatis infection receiving care at two inner-city, university-based prenatal clinics. Pregnant women were randomly assigned to receive either oral amoxicillin, 500 mg, three times daily for 7 days, or oral azithromycin, 1 g, in a single dose. Partners were referred for treatment. Tests of cure were scheduled 4 weeks after initiation of treatment. Statistical analysis was performed by using the Student t test and chi2 analysis.
Results:
One hundred twenty-nine pregnant women were enrolled, and 110 (85%) completed the protocol. There was similar treatment efficacy between amoxicillin and azithromycin (58% vs 64%, respectively,P =.56). In the amoxicillin group 3 women (5.5%) were intolerant, compared with 6 (10.9%) in the azithromycin group (P =.31).
Conclusion:
Amoxicillin and azithromycin are equally efficacious in the treatment of cervical C trachomatis during pregnancy.