Holland T M, Hussey J, Pattman R S, Sankar K N, Faldon C M
Department of Genitourinary Medicine, Newcastle General Hospital, Westgate Road, Newcastle upon Tyne NE4 6BE, UK.
Int J STD AIDS. 2003 Sep;14(9):630-1. doi: 10.1258/095646203322301103.
The aim of the audit was to assess the need for a microbiological test of cure for gonorrhoea when a sensitive antibiotic has been used. All cases of gonorrhoea attending our clinic in 2001 were reviewed. One hundred and seventy-three cases were diagnosed, 137 men and 36 women. Of the 126 cases where tests of cure were taken, none were positive from an infective site when a sensitive antibiotic was used. Cases of gonorrhoea from year 2000 were then analysed for test of cure. Of 125 tests of cure again none were positive. These results question the need for routine tests of cure which current national guidelines state are usually performed in UK practice. The implications of abandoning a test of cure visit are discussed.
此次审计的目的是评估在使用敏感抗生素治疗淋病时,是否有必要进行淋病治愈的微生物学检测。我们回顾了2001年在我们诊所就诊的所有淋病病例。共诊断出173例,其中男性137例,女性36例。在进行治愈检测的126例病例中,使用敏感抗生素时,感染部位的检测结果均为阴性。然后对2000年的淋病病例进行了治愈检测分析。在125次治愈检测中,结果再次均为阴性。这些结果对目前英国实践中按照国家指南通常进行的常规治愈检测的必要性提出了质疑。本文讨论了取消治愈检测复诊的影响。