Treatment of acute gonococcal urethritis in men with simultaneous infection with Chlamydia trachomatis.

P A Csángó, A Salveson, T Gundersen, G Jagars, O Bjerk
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引用次数: 14

Abstract

Each of 201 men with symptoms and signs of acute urethritis was randomly assigned to one of two treatment regimens: ampicillin (2g) plus probenecid (1g), or sulphamethoxazole-trimethoprim (SMX-TMP) (sulphamethoxazole 1600 mg plus trimethoprim 320 mg) four tablets twice daily for two days. Before treatment Neisseria gonorrhoeae was isolated from 162 patients, while coexistent Chlamydia trachomatis was recovered from 42 (26%) men. After treatment N gonorrhoeae persisted in 11 (14.3%) of the 77 patients treated with ampicillin and probenecid and in three (3.5%) of the 85 treated with SMX-TMP (p less than 0.05), while C trachomatis persisted in four (16%) of the 25 men treated with SMX-TMP and in all 17 patients treated with ampicillin and probenecid. SMX-TMP was thus more effective than ampicillin in treating acute gonorrhoea in men and in eradicating concurrent C trachomatis infection.

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沙眼衣原体并发急性淋球菌性尿道炎的治疗。
201名有急性尿道炎症状和体征的男性被随机分配到两种治疗方案中的一种:氨苄西林(2g)加probenecid (1g),或磺胺甲恶唑-甲氧苄啶(SMX-TMP)(磺胺甲恶唑1600毫克加甲氧苄啶320毫克),4片,每天2次,持续2天。治疗前从162例患者中分离出淋病奈瑟菌,同时从42例(26%)男性患者中分离出共存的沙眼衣原体。治疗后,77名接受氨苄西林和丙烯酸酯治疗的患者中有11名(14.3%)感染淋病奈菌,85名接受SMX-TMP治疗的患者中有3名(3.5%)感染淋病奈菌(p < 0.05), 25名接受SMX-TMP治疗的男性中有4名(16%)感染沙眼奈菌,所有17名接受氨苄西林和丙烯酸酯治疗的患者中有4名(16%)感染沙眼奈菌。因此,SMX-TMP在治疗男性急性淋病和根除沙眼原体感染方面比氨苄西林更有效。
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