Wang H, Wang J, Liu Y
Department of Dermatology, Peking Union Medical College Hospital, Beijing.
Zhonghua Yi Xue Za Zhi. 1997 Feb;77(2):91-3.
To investigate the value of polymerase chain reaction (PCR) for follow-up patients infected by Chlamydia trachomatis.
Follow-up specimens were collected from 30 patients. Chlamydia trachomatis positive were detected by PCR and direct fluorescence assay test (DFA) in the 30 patients before therapy. 15 patients were treated with minocycline (100 mg twice daily) for 10 days, and 15 patients were treated with 1.0 g of azithromycine as a single oral dose.
After 1-2 weeks of antimicrobial therapy, all patients had negative DFA for Chlamydia trachomatis, but 9 had positive Chlamydia trachomatis DNA as detected by PCR.
The 9 specimens were not confirmed to livae viable organisms of Chlamydia trachomatis. The debris of nonviable Chlamydia trachomatis DNA was excluded from urinogenital tract at about one month.
探讨聚合酶链反应(PCR)在沙眼衣原体感染患者随访中的价值。
收集30例患者的随访标本。对这30例患者治疗前的标本采用PCR和直接荧光抗体检测试验(DFA)检测沙眼衣原体阳性情况。15例患者口服米诺环素(100mg,每日2次),疗程10天;15例患者单次口服阿奇霉素1.0g。
抗菌治疗1 - 2周后,所有患者DFA检测沙眼衣原体均为阴性,但PCR检测有9例沙眼衣原体DNA阳性。
这9份标本未证实存在活的沙眼衣原体。沙眼衣原体非存活DNA碎片约在1个月时从泌尿生殖道清除。