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苄星青霉素G治疗梅毒

Benzathine penicillin G in the treatment of syphilis.

作者信息

SMITH C A, KAMP M, OLANSKY S, PRICE E V

出版信息

Bull World Health Organ. 1956;15(6):1087-96.

PMID:13404473
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2538177/
Abstract

Post-treatment observation of two years' duration has confirmed preliminary data which indicated that a single injection of 2.5 million units of benzathine penicillin G, in early infectious syphilis, produces results equal, if not superior, to those obtained with schedules employing 4.8 million units of procaine penicillin and aluminium monostearate.Preliminary data suggest that a single injection of 2.4 or 2.5 million units of benzathine penicillin G may be inadequate for the treatment of asymptomatic neurosyphilis.Delayed reactions do not appear to be induced by the long-sustained blood-levels following the administration of benzathine penicillin G.Repeated injections of PAM increase the risk of reaction to treatment.

摘要

为期两年的治疗后观察证实了初步数据,这些数据表明,在早期传染性梅毒中,单次注射250万单位苄星青霉素G所产生的效果即便不优于、也等同于使用480万单位普鲁卡因青霉素和单硬脂酸铝的治疗方案所取得的效果。初步数据表明,单次注射240万或250万单位苄星青霉素G可能不足以治疗无症状神经梅毒。苄星青霉素G给药后血液中长时间维持的药物水平似乎不会引发延迟反应。重复注射普鲁卡因青霉素铝会增加治疗反应的风险。

相似文献

1
Benzathine penicillin G in the treatment of syphilis.苄星青霉素G治疗梅毒
Bull World Health Organ. 1956;15(6):1087-96.
2
Treatment of early infectious syphilis with N,N'-dibenzylethylenediamine dipenicillin G; a second report.用N,N'-二苄基乙二胺二青霉素G治疗早期感染性梅毒;第二篇报告。
Bull World Health Organ. 1954;10(4):619-26.
3
An analysis of the results of the treatment of yaws with a single injection of procaine penicillin with 2% aluminium monostearate.用单次注射含2%单硬脂酸铝的普鲁卡因青霉素治疗雅司病的结果分析。
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4
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Bull World Health Organ. 1954;10(4):579-617.
6
Single-dose azithromycin versus penicillin G benzathine for the treatment of early syphilis.单剂量阿奇霉素与苄星青霉素G治疗早期梅毒的比较
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N Engl J Med. 1997 Jul 31;337(5):307-14. doi: 10.1056/NEJM199707313370504.

引用本文的文献

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Is Single-Dose Benzathine Penicillin G Adequate for Late Latent Syphilis?单剂量苄星青霉素G对晚期潜伏梅毒是否足够?
Sex Transm Dis. 2025 Aug 1;52(8):441-442. doi: 10.1097/OLQ.0000000000002161. Epub 2025 Mar 14.
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Expanding Horizons in Syphilis Treatment: Challenges, Advances, and Opportunities for Alternative Antibiotics.梅毒治疗的拓展视野:挑战、进展及替代抗生素的机遇
Curr HIV/AIDS Rep. 2025 Mar 13;22(1):22. doi: 10.1007/s11904-025-00725-4.
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Development of New Strategies for Malaria Chemoprophylaxis: From Monoclonal Antibodies to Long-Acting Injectable Drugs.疟疾化学预防新策略的发展:从单克隆抗体到长效注射药物
Trop Med Infect Dis. 2022 Apr 7;7(4):58. doi: 10.3390/tropicalmed7040058.
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Treponema pallidum putative novel drug target identification and validation: rethinking syphilis therapeutics with plant-derived terpenoids.梅毒螺旋体潜在新药物靶点的鉴定与验证:用植物源萜类化合物重新思考梅毒治疗方法
OMICS. 2015 Feb;19(2):104-14. doi: 10.1089/omi.2014.0154.
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Treatment of syphilis: a systematic review.梅毒的治疗:一项系统评价。
JAMA. 2014 Nov 12;312(18):1905-17. doi: 10.1001/jama.2014.13259.
6
Safety of benzathine penicillin for preventing congenital syphilis: a systematic review.苄星青霉素预防先天性梅毒的安全性:系统评价。
PLoS One. 2013;8(2):e56463. doi: 10.1371/journal.pone.0056463. Epub 2013 Feb 21.
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REVIEW: Neurosyphilis: A historical perspective and review.综述:神经梅毒:历史视角与综述。
CNS Neurosci Ther. 2010 Oct;16(5):e157-68. doi: 10.1111/j.1755-5949.2010.00183.x. Epub 2010 Jul 8.
8
Reevaluation of reactions to penicillin in venereal disease clinic patients.性病门诊患者青霉素反应的重新评估。
Public Health Rep (1896). 1961 Mar;76(3):189-198.
9
[Syphilis treatment. German and international guidelines--a comparison].
Hautarzt. 2005 Feb;56(2):141-50. doi: 10.1007/s00105-004-0870-9.
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INFLUENCE OF PENICILLIN ALLERGIC REACTIONS ON VENEREAL DISEASE CONTROL PROGRAMMES.青霉素过敏反应对性病控制项目的影响。
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本文引用的文献

1
Penicillin treatment of asymptomatic central nervous system syphilis. II. Results of therapy as measured by laboratory findings.
AMA Arch Derm. 1956 Oct;74(4):367-77. doi: 10.1001/archderm.1956.01550100035007.
2
Treatment of early infectious syphilis with N,N'-dibenzylethylenediamine dipenicillin G; a second report.用N,N'-二苄基乙二胺二青霉素G治疗早期感染性梅毒;第二篇报告。
Bull World Health Organ. 1954;10(4):619-26.
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Anaphylactic reactions from bicillin; report of two cases.
Am J Syph Gonorrhea Vener Dis. 1954 Mar;38(2):143-4.
4
Treatment of early infectious syphilis with N,N'dibenzylethylenediamine dipenicillin G.
Am J Syph Gonorrhea Vener Dis. 1954 Mar;38(2):136-42.