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男性及其性接触者的泌尿生殖系统衣原体感染

[Urogenital chlamydial infection in men and their sexual contacts].

作者信息

Strauss J, Burkacká M

机构信息

Institut hygieny a epidemiologie, Praha.

出版信息

Cas Lek Cesk. 1990 Mar 16;129(11):343-9.

PMID:2340559
Abstract

Cultivation and serological tests for Chlamydia trachomatis were made in a total of 39 male patients (24 married, 11 single, 3 divorced, 1 widower) and their female partners (9 extra-marital, 12 wives) on average 35 years old in both groups. Apart from the clinical diagnosis of non-specific urethritis found in all male patients, 11 patients suffered from other infections (5 from balanitis, 4 from prostatitis, 1 from prepuce infection, 1 from herpetic infection) and subjective disorders. Side by side with clinical diagnosis of cervicitis or in combination with urethritis found in 16 female sexual partners, two of them suffered also from vulvovaginitis, 2 from adnexitis, 1 from candidosis, 1 had dysuric difficulties and 1 female patient was found sterile. 11 women had no subjective problems. The cultivation-tinction technique used in 25 men (14 married, 11 single) and 14 female sexual partners respectively (8 marital and 6 extramarital), positive Chlamydia trachomatics was isolated 21 times (84%) and 9 times (64.3%) respectively. The immunofluorescence technique using monoclonal antibodies applied to 39 men (24 married, 15 single) and 21 female sexual partners respectively, (i. e. 12 marital and 9 extramarital) gave positive results in 29 cases (74.4%) and 16 persons (76.2%) respectively. One patient was homosexual with a positive finding in the urethra and rectum, and, in addition, he was found to have BWR positive with Candida albicans and group B streptococci, however, his serological HIV was negative. The immunoenzymatic test (EIA) showed borderline titres as being positive in men in 28.2% cases and women in 26.3% and high levels (1:128+) in 41.0% in male patients and 21.1 percent in female patients respectively.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

对总共39名男性患者(24名已婚、11名单身、3名离婚、1名鳏夫)及其女性伴侣(9名婚外伴侣、12名妻子)进行了沙眼衣原体培养和血清学检测,两组患者平均年龄均为35岁。所有男性患者均有非特异性尿道炎的临床诊断,11名患者患有其他感染(5名患有龟头炎、4名患有前列腺炎、1名患有包皮感染、1名患有疱疹感染)以及主观不适。16名女性性伴侣中,有宫颈炎的临床诊断,或合并尿道炎,其中2名还患有外阴阴道炎,2名患有附件炎,1名患有念珠菌病,1名有排尿困难,1名女性患者被发现不育。11名女性无主观问题。分别对25名男性(14名已婚、11名单身)和14名女性性伴侣(8名婚内伴侣和6名婚外伴侣)采用培养染色技术,沙眼衣原体阳性分离率分别为21次(84%)和9次(64.3%)。分别对39名男性(24名已婚、15名单身)和21名女性性伴侣(即12名婚内伴侣和9名婚外伴侣)应用单克隆抗体免疫荧光技术,阳性结果分别为29例(74.4%)和16人(76.2%)。1名患者为同性恋,尿道和直肠检测结果为阳性,此外,还发现他白色念珠菌和B组链球菌BWR检测呈阳性,但其血清学HIV检测为阴性。免疫酶试验(EIA)显示,男性患者临界滴度阳性率为28.2%,女性为26.3%,高滴度(1:128+)男性患者为41.0%,女性患者为21.1%。(摘要截选至250词)

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