Bradshaw Catriona S, Jensen Jorgen S, Tabrizi Sepehr N, Read Timothy R H, Garland Suzanne M, Hopkins Carol A, Moss Lorna M, Fairley Christopher K
Alfred Hospital, Victoria, Australia.
Emerg Infect Dis. 2006 Jul;12(7):1149-52. doi: 10.3201/eid1207.051558.
We report significant failure rates (28%, 95% confidence interval 15%-45%) after administering 1 g azithromycin to men with Mycoplasma genitalium-positive nongonococcal urethritis. In vitro evidence supported reduced susceptibility of M. genitalium to macrolides. Moxifloxacin administration resulted in rapid symptom resolution and eradication of infection in all cases. These findings have implications for management of urethritis.
我们报告了对患有生殖支原体阳性非淋菌性尿道炎的男性给予1克阿奇霉素后的显著失败率(28%,95%置信区间15%-45%)。体外证据支持生殖支原体对大环内酯类药物的敏感性降低。莫西沙星治疗在所有病例中均导致症状迅速缓解和感染根除。这些发现对尿道炎的管理具有重要意义。