Sault A J, Podgorny G
JACEP. 1976 Nov;5(11):888-9. doi: 10.1016/s0361-1124(76)80036-6.
One hundred emergency department charts on cases of suspected pelvic inflammatory disease (PID) were reviewed to determine method of diagnosis and treatment. Seventy-three gonococcus smears, 60 gonococcus cultures, and 53 VDRL tests for syphilis were done. Of these, 20 smears, 19 cultures, and 1 VDRL were positive. All 100 patients were treated for gonorrhea with either spectinomycin, tetracycline, ampicillin or penicillin. The author concludes there is no need to procure VDRL tests on all patients with suspected gonorrhea, nor do gonococcus cultures on all patients with suspected PID. Also, since only 39% of patients had a positive gonococcus smear or culture, penicillin may not always be the appropriate treatment.
对100份疑似盆腔炎（PID）病例的急诊科病历进行了回顾，以确定诊断和治疗方法。进行了73次淋病奈瑟菌涂片、60次淋病奈瑟菌培养和53次梅毒VDRL试验。其中，20次涂片、19次培养和1次VDRL呈阳性。所有100名患者均用壮观霉素、四环素、氨苄青霉素或青霉素治疗淋病。作者得出结论，没有必要对所有疑似淋病患者进行VDRL试验，也没有必要对所有疑似PID患者进行淋病奈瑟菌培养。此外，由于只有39%的患者淋病奈瑟菌涂片或培养呈阳性，青霉素可能并不总是合适的治疗方法。
