Kosmowski A, Weise W, Zimmermann B, Fischer R, Baumann D
Zentralbl Gynakol. 1981;103(9):473-9.
Gonorrhoea was detected in 7.3 per cent of 423 patients with gynaecological inflammations. Positive findings were recorded from 8.5 per cent of 248 patients with adnexitis and 6.9 per cent of 130 patients with fluor. However, gonorrhoea incidence among 31 patients with pointed condyloma was as low as 3.2 per cent. These findings were found to differ drastically from the data so far obtained from the common approach of microscopic diagnosis by which hardly any positive detection of gonococci had been recordable from gynaecological out-patients over the years. The present considerable rise in positive findings has resulted only from the use of a modified transport medium, according to Stuart, which proved to be highly applicable to gynaecological practice. With the authors' patients, the new approach showed the presence of gonorrhoea in one of 14 patients with inflammatory gynaecological processes. Against the background of the present epidemiological situation, verification of gonococci from cultures should be made an integral component of gynaecological routine checks.
在423例妇科炎症患者中，淋病检出率为7.3%。248例附件炎患者中阳性检出率为8.5%，130例宫颈炎患者中阳性检出率为6.9%。然而，31例尖锐湿疣患者中淋病发病率低至3.2%。这些发现与多年来通过常规显微镜诊断方法从妇科门诊患者中几乎无法记录到任何淋病球菌阳性检测结果的数据有很大差异。根据斯图尔特的说法，目前阳性检出率的显著上升仅仅是因为使用了一种改良的运送培养基，事实证明这种培养基非常适用于妇科实践。在作者的患者中，新方法显示14例有炎症性妇科疾病的患者中有1例存在淋病。在当前的流行病学形势下，对培养物中的淋病球菌进行检测应成为妇科常规检查的一个组成部分。
