Safety, acceptability, and tolerability of 3 topical microbicides among heterosexual Kenyan men.
Safety, acceptability, and tolerability of 3 topical microbicides among heterosexual Kenyan men.
复制标题
异性恋肯尼亚男性中 3 种局部杀菌剂的安全性、可接受性和耐受性。
DOI:
10.1097/qai.0b013e31802f852b
复制
发表时间:
2007
期刊:
影响因子:
--
通讯作者:
Holmes,KingK
中科院分区:
文献类型:
--
作者:
Bukusi,ElizabethA;Steele,Matthew;Cohen,CraigR;Nguti,Rosemary;Maingi,CharityW;Thomas,KatherineK;Holmes,KingK
Objectives:To compare the acceptability, tolerability, and safety of 3 topical microbicide formulations (62% ethyl alcohol in emollient gel and 0.1% and 0.4% benzalkonium chloride on a sanitary wipe) for use on male genitalia.Design:This triple-randomized crossover study among men attending a sexually transmitted disease (STD) clinic in Nairobi, Kenya assigned individuals without clinical evidence of an STD to apply products to the penis in a predetermined random order, each for a 2-week period with a 1-week washout period between each product. Men recorded side effects and were examined for adverse events.Results:Of 39 participants, 33 (84%) completed 6 clinic visits plus 3 home visits by community health workers. Participants reported use of 62% ethanol gel and 0.1% and 0.4% benzalkonium on 99%, 99%, and 96% of daily scheduled applications; 99%, 98%, and 97% of preintercourse applications, and 99%, 94%, and 98% of postintercourse applications. All participants said they would recommend all 3 products to a friend; 72% preferred the 62% ethanol gel, 17% the 0.1% benzalkonium, and 11% the 0.4% benzalkonium. One person developed objective signs of a genital ulcer after 14 days of 0.4% benzalkonium wipe use.Conclusions:Two of the 3 topical microbicides had minimal reported adverse effects, and no adverse effects were observed during use of the ethanol gel, which was preferred by most men.