Table 2

Probability of treatment failure for various therapeutic regimens stratified by syphilis stage and HIV status (if data on HIV-uninfected subjects were reported). Studies that fulfilled entry criteria and reported failures for each regimen with a sample size of >10 people for that regimen are included

StageRegimenStudyTotal N (HIV+)Failures (HIV+)% Probability of failure HIV+ (95%CI)Total N (HIV-)Failures (HIV-)% Probability of failure HIV- (95% CI)p Value
EarlyBPG X 1Riedner (2005)278766.9 (2.6 to 14.4)7833.8 (0.8 to 10.8)0.3
Ghanem (2007)3031412.9 (3.6 to 29.8)15142.6 (0.7 to 6.6)0.03
Ghanem (2008)32491122.4 (11.7 to 36.6)
CPG+P X 17dWarwick (2008)3310511.0 (0.3 to 5.4)
Doxy X 14dKofoed (2006)291516.7 (0.2 to 31.9)
Azithro X 1Riedner (2005)278444.8 (1.3 to 11.7)7900 (0 to 4.6)0.1
Late latentBPG X3Dowell (1992)1013430.8 (9.1 to 61.4)
Malone (1995)1619421.1 (6.1 to 45.6)
Ghanem (2007)30931819.4 (11.9 to 28.9)1417.1 (0.2 to 33.8)0.5
Ghanem (2008)321033231.1 (22.3 to 40.9)
Cef X10-14 dosesDowell (1992)1036925.0 (12.1 to 42.2)
NeurosyphilisAPG X 10-14dGordon (1994)1311327.3 (6.0 to 61.0)
Ghanem (2008)32361027.8 (14.2 to 45.2)
  • APG, aqueous penicillin 18–24 million units intravenously daily; Azithro, azithromycin 2 g; BPG, benzathine penicillin G 2.4 million units given intramuscularly; Cef, ceftriaxone 1–2 g intramuscularly or intravenously; CPG, procaine penicillin 2.4 million units intramuscularly; d, days; Doxy, doxycycline 100 mg orally twice a day; m, months; N, number; P, probenecid 500 mg orally four times daily; –, no data available for HIV-uninfected subjects.