Leyh F
Hautarzt. 1977 Mar;28(3):145-7.
In order to get some more information about the kind of treatment of syphilis in the F.R.G. a study among the 1578 practising dermatologists (without members of hospital staff) by means of questionaires was made. 1164 (79%) answered the inquiry. The study shows that nearly 50% of the answering dermatologists treat syphilis by several series of penicillin applications. On the other side, only one third of the respective dermatologists performs treatment by one series, giving penicillin from 15 to 21 Mega units. The study shows that the kind of therapy is rather age-dependend insofar as the older dermatologists prefer the multiple therapy series scheme, whereas the younger dermatologists are inclined to use the single series scheme. Furthermore geographical differences could be shown, e.g. most of the Bavarian dermatologists use the single series scheme. The kind of penicillin, way of application and the time intervals were rather uniform related to regions and schemes of therapy. Tetracycline and Erythromycin are used in case of penicillin allergy. In the opinion of less than 50% of dermatologists additional redications are necessary, whereby the younger ones prefere corticosteroides, the older ones potassium iodide. The benefits of uniformly performed therapy of syphilis by the single series scheme are discussed.
为了获取更多关于德意志联邦共和国梅毒治疗方法的信息,我们通过问卷调查对1578名执业皮肤科医生(不包括医院工作人员)进行了一项研究。1164人(79%)回复了调查。研究表明,近50%回复的皮肤科医生通过多次应用青霉素来治疗梅毒。另一方面,相应的皮肤科医生中只有三分之一采用单次治疗方案,给予15至21百万单位的青霉素。研究表明,治疗方式在很大程度上取决于年龄,年长的皮肤科医生更喜欢多次治疗方案,而年轻的皮肤科医生倾向于使用单次治疗方案。此外,还发现了地域差异,例如大多数巴伐利亚皮肤科医生使用单次治疗方案。青霉素的种类、应用方式和时间间隔在不同地区和治疗方案中相当一致。对于青霉素过敏的情况,会使用四环素和红霉素。不到50%的皮肤科医生认为需要额外的治疗措施,其中年轻医生更喜欢使用皮质类固醇,年长医生更喜欢使用碘化钾。文中还讨论了单次治疗方案统一进行梅毒治疗的益处。