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[非淋菌性尿道炎的临床观察]

[Clinical observation of non-gonococcal urethritis].

作者信息

Murakami S, Igarashi T, Takahara M, Yamanishi T, Otani K, Yoshizawa H, Hashizume S

出版信息

Hinyokika Kiyo. 1985 Nov;31(11):1965-9.

PMID:4091138
Abstract

Sixty-one male urethritis cases, 28 gonococcal urethritis and 33 nongonococcal urethritis (NGU), were out-patients at the Department of Urology, Asahi General Hospital, during the 4 months, Oct. 1, 1984-Jan. 31, 1985. Thirteen of the 33 NGU patients (39.4%) were infected with C. trachomatis (CT). The efficacy of Doxycycline and the route of infection was studied in the cases of CT-positive CT-negative-NGU. CT infection from prostitutes was not so frequent as in the other pathogen infection of NGU. The efficacy of Doxycycline (100 mg b.i.d. for 2 weeks) against CT infection was excellent in the disappearance of subjective complaints and that of white blood cells in the urethral discharge in the CT positive-NGU group (13/13), in comparison with CT negative-NGU group (7/18). The efficacy of Doxycycline against CT was also confirmed from the follow-up study by the isolation of CT and by detection of CT antigen from urethral swabs using FITC conjugated monoclonal antibody against CT antigen.

摘要

1984年10月1日至1985年1月31日的4个月期间,61例男性尿道炎患者,其中28例为淋菌性尿道炎,33例为非淋菌性尿道炎(NGU),均为朝日综合医院泌尿外科门诊患者。33例NGU患者中有13例(39.4%)感染沙眼衣原体(CT)。对CT阳性和CT阴性的NGU病例研究了强力霉素的疗效及感染途径。CT感染来自妓女的情况不像NGU的其他病原体感染那样常见。与CT阴性的NGU组(7/18)相比,CT阳性的NGU组(13/13)中,强力霉素(100mg,每日2次,共2周)对CT感染在主观症状消失及尿道分泌物白细胞消失方面疗效极佳。通过CT分离及使用抗CT抗原的异硫氰酸荧光素结合单克隆抗体从尿道拭子检测CT抗原的随访研究也证实了强力霉素对CT的疗效。

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