Evans B A
Br J Vener Dis. 1978 Apr;54(2):107-11. doi: 10.1136/sti.54.2.107.
In a comparative trial minocycline was the best oral tetracycline compound for twice-daily administration in the treatment of non-specific urethritis. A review six months later showed that 29% of patients had needed further treatment, 35% of these more than one month after initial treatment and 12% between three and six months later. The history revealed no evidence of predisposition to non-specific urethritis among patients in whom relapse occurred. Multiple relapses were in the groups of patients who relapsed earliest. These cases proved more resistant to subsequent treatment, but all patients were eventually cured. The records of female contacts showed that 29% were symptomatic, 44% had an abnormal appearance of the cervix, but only 11% had inflammatory changes detected on cytological smear. A previous report was confirmed that there was no apparent benefit from the empirical treatment of contacts; possible reasons for this are given.
在一项对比试验中,米诺环素是治疗非特异性尿道炎时每日服用两次的最佳口服四环素类化合物。6个月后的一项综述显示,29%的患者需要进一步治疗,其中35%在初始治疗后1个月以上需要进一步治疗,12%在3至6个月后需要进一步治疗。病史显示,复发患者中没有非特异性尿道炎易患倾向的证据。多次复发发生在最早复发的患者组中。这些病例对后续治疗更具抗性,但所有患者最终均被治愈。女性接触者的记录显示,29%有症状,44%宫颈外观异常,但细胞学涂片检查仅11%有炎症改变。先前的一份报告得到证实,即对接触者进行经验性治疗没有明显益处,并给出了可能的原因。