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急性淋菌性尿道炎:单剂量利福平治疗

Acute gonococcal urethritis: treatment with a single dose of rifampicin.

作者信息

Belli L, Ambrona M S, Gennaro E A, Isola E H, González Rescigno G R

出版信息

J Int Med Res. 1983;11(1):32-7. doi: 10.1177/030006058301100107.

DOI:10.1177/030006058301100107
PMID:6832464
Abstract

A total of 103 patients with acute gonococcal urethritis were treated with a single 1,200 mg dose of rifampicin. A 91 . 3% cure rate was obtained, as proved by the negative bacteriological controls effected on the 7th and 14th days after the initiation of therapy. Three pharyngeal infections and one ano-rectal infection responded successfully to the treatment. No signs of drug intolerance were detected with the stated dose. Reactivity to the VDRL test was not impaired during the duration of the study and three reactive cases were discovered. In previous studies of gonorrhoea we had observed a significant discrepancy between urine cultures and the urethral smears and, in view of this, it was decided to adopt the latter alone as a routine procedure. The proposed dose does not originate resistance to rifampicin in either the Hansen or Koch bacilli.

摘要

103例急性淋菌性尿道炎患者接受了单次1200毫克利福平治疗。治疗开始后第7天和第14天进行的细菌学阴性对照证明,治愈率为91.3%。3例咽部感染和1例肛门直肠感染对治疗反应良好。在规定剂量下未检测到药物不耐受迹象。在研究期间,VDRL试验的反应性未受损害,发现了3例反应性病例。在之前的淋病研究中,我们观察到尿液培养和尿道涂片之间存在显著差异,鉴于此,决定仅采用尿道涂片作为常规程序。建议的剂量不会使汉森氏杆菌或结核杆菌对利福平产生耐药性。

相似文献

1
Acute gonococcal urethritis: treatment with a single dose of rifampicin.急性淋菌性尿道炎:单剂量利福平治疗
J Int Med Res. 1983;11(1):32-7. doi: 10.1177/030006058301100107.
2
[Rifampicin in the therapy of gonorrheal urethritis in men].[利福平在男性淋病性尿道炎治疗中的应用]
Antibiotiki. 1976 Mar;21(3):270-2.
3
Rifampicin-erythromycin combination for the treatment of gonococcal urethritis in men.利福平-红霉素联合用药治疗男性淋菌性尿道炎
Southeast Asian J Trop Med Public Health. 1984 Sep;15(3):360-3.
4
[Therapeutic effect of rifampicin on gonococcal urethritis].利福平对淋菌性尿道炎的治疗作用
Jpn J Antibiot. 1970 Dec;23(5):464-7.
5
The combination of rifampicin-erythromycin in the treatment of gonococcal urethritis in men.利福平-红霉素联合治疗男性淋菌性尿道炎
J Med Assoc Thai. 1985 Nov;68(11):579-82.
6
[Rifampicin therapy of gonococcal urethritis in men].[男性淋菌性尿道炎的利福平治疗]
Vestn Dermatol Venerol. 1976 Oct(10):86-8.
7
[In vitro sensitivity of Neisseria gonorrhoeae to 10 antibiotics and response of gonococcal urethritis to rifampicin].[淋病奈瑟菌对10种抗生素的体外敏感性及淋菌性尿道炎对利福平的反应]
G Ital Dermatol Venereol. 1988 Oct;123(10):505-7.
8
A 'single dose' treatment of gonococcal urethritis with rifampicin.利福平对淋菌性尿道炎的“单剂量”治疗。
Br J Vener Dis. 1971 Jun;47(3):188-9. doi: 10.1136/sti.47.3.188.
9
[Treatment of acute male gonococcal urethritis with a single dose of rifampicin].[单剂量利福平治疗男性急性淋菌性尿道炎]
Rev Med Chil. 1972 Sep;100(9):1068-70.
10
Two gram single dose amoxycillin in treatment of gonococcal and other urethritides.
Med J Zambia. 1975 Aug-Sep;9(4):102-4.

引用本文的文献

1
Use of rifampin in nonstaphylococcal, nonmycobacterial disease.利福平在非葡萄球菌、非分枝杆菌疾病中的应用。
Antimicrob Agents Chemother. 1993 Jan;37(1):1-7. doi: 10.1128/AAC.37.1.1.