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2000份标本沙眼衣原体分离培养的结果(作者译)

[Results of attempted isolation of Chlamydia trachomatis in 2,000 specimens (author's transl)].

作者信息

Ardoin P, Pradier T, Edlinger E

出版信息

Sem Hop. 1982 Jun 17;58(24):1477-9.

PMID:6287614
Abstract

Chlamydia trachomatis was isolated in cultured L cell lines. 29.5% of 1115 specimens from the male urethra were positive; specimens included 13 samples of semen, with 7 positive results. 39.9% of 771 specimens from the female genital tract were positive. In this group, 46 samples (with 17 positive results) were either biopsy specimens from the Fallopian tubes or their adhesions, or samples from culdocentesis. The remaining samples came from cervical swabs. The difference in the prevalence of positive results between male and female patients is statistically significant and may result from a better sampling technique in women. Isolation of chlamydia in pelvic specimens and in 19 out of 49 pharyngeal samples from neonates illustrates the main complications of chlamydial infection: sterility may result from salpingitis and neonatal pneumonia from contamination during birth. Among 57 specimens from the conjunctiva, 26 were positive. Isolation of chlamydia is the best diagnostic procedure in chlamydial infection: the serotypes of isolated strains should be determined.

摘要

沙眼衣原体是在培养的L细胞系中分离出来的。1115份男性尿道标本中有29.5%呈阳性;标本包括13份精液样本,其中7份结果为阳性。771份女性生殖道标本中有39.9%呈阳性。在该组中,46份样本(17份结果为阳性)要么是输卵管活检标本及其粘连组织,要么是后穹窿穿刺样本。其余样本来自宫颈拭子。男性和女性患者阳性结果患病率的差异具有统计学意义,这可能是由于女性的采样技术更好。在盆腔标本以及49份新生儿咽拭子样本中的19份中分离出衣原体,这说明了衣原体感染的主要并发症:输卵管炎可能导致不育,出生时的感染可能导致新生儿肺炎。在57份结膜标本中,26份呈阳性。分离衣原体是衣原体感染的最佳诊断方法:应确定分离菌株的血清型。

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