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[妇科门诊沙眼衣原体感染的研究——直接标本检测与衣原体IgG抗体]

[A study of Chlamydia trachomatis infection in gynecological outpatients--direct specimen test and chlamydial IgG antibodies].

作者信息

Kobayashi M, Hirakawa O, Tsuneoka H, Hashimoto K

出版信息

Nihon Sanka Fujinka Gakkai Zasshi. 1987 Apr;39(4):525-30.

PMID:3585100
Abstract

Among 226 outpatients, 30(13.3%) harboured Chlamydia trachomatis in the cervix. C. trachomatis was found in 15.1% of the patients with lower genital tract infection, 8.0% of pregnant women, 0.0% of sterile women, 14.3% of patients with pelvic inflammation and 88.9% of sexual partners respectively. The frequency of C.trachomatis infection in those 50 years old or more was 0.0%. One hundred and sixty-six women were also found to have titers of serum antibody to C.trachomatis. Serum IgG antibodies were found in 64 of 166(38.6%). Serum IgG antibodies were positive in 66.7% of the Chlamydia-positive women (20/30 subjects), whereas the positive rate was 31.0% in the Chlamydia-negative women (39/126 cases). In 40.0% of chlamydia positive patients, there was seen a significant rise in the number of paired sera. For C. trachomatis infection treatment with minocycline 100mg p.o. twice a day was effective (100%).

摘要

在226名门诊患者中,30名(13.3%)宫颈中携有沙眼衣原体。沙眼衣原体在患有下生殖道感染的患者中占15.1%,在孕妇中占8.0%,在不孕女性中占0.0%,在盆腔炎患者中占14.3%,在性伴侣中占88.9%。50岁及以上人群中沙眼衣原体感染率为0.0%。还发现166名女性有沙眼衣原体血清抗体滴度。166人中64人(38.6%)检测到血清IgG抗体。沙眼衣原体阳性女性中66.7%(20/30例)血清IgG抗体呈阳性,而沙眼衣原体阴性女性中阳性率为31.0%(39/126例)。在40.0%的衣原体阳性患者中,双份血清数量显著增加。对于沙眼衣原体感染,口服米诺环素100mg,每日两次,疗效显著(100%)。

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