Segreti J
Section of Infectious Diseases, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois 60612.
Am J Med. 1991 Dec 30;91(6A):24S-26S. doi: 10.1016/0002-9343(91)90305-h.
The fluoroquinolones represent a new therapeutic alternative for the treatment of many sexually transmitted diseases, especially those caused by Neisseria gonorrhoeae, Chlamydia trachomatis, Mycoplasma hominis, and Urea-plasma urealyticum. In vitro studies have demonstrated the 90% minimal inhibitory concentrations (MIC90s) of temafloxacin for these pathogens to be less than 0.03 micrograms/mL for N. gonorrhoeae; 0.25 micrograms/mL for C. trachomatis; 0.125-2 micrograms/mL for M. hominis; and 4 micrograms/mL for U. urealyticum. These concentrations are equal to or less than those achievable in plasma following a 400-mg temafloxacin oral dose given twice daily. Based on temafloxacin's antimicrobial activity and pharmacokinetic profile, it appears to be an excellent agent for the treatment of patients with gonococcal or nongonococcal urethritis and/or cervicitis.
氟喹诺酮类药物是治疗多种性传播疾病的一种新的治疗选择,尤其是由淋病奈瑟菌、沙眼衣原体、人型支原体和解脲脲原体引起的疾病。体外研究表明,替马沙星对这些病原体的90%最低抑菌浓度(MIC90s):对淋病奈瑟菌小于0.03微克/毫升;对沙眼衣原体为0.25微克/毫升;对人型支原体为0.125 - 2微克/毫升;对解脲脲原体为4微克/毫升。这些浓度等于或低于每日两次口服400毫克替马沙星后血浆中可达到的浓度。基于替马沙星的抗菌活性和药代动力学特征,它似乎是治疗淋菌性或非淋菌性尿道炎和/或宫颈炎患者的理想药物。