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Prevalence and treatment of Chlamydia trachomatis, Ureaplasma urealyticum, and Mycoplasma hominis in patients with non-gonococcal urethritis.
Jpn J Infect Dis. 2004 Feb; 57(1):17-20.JJ

Abstract

The aim of present study was to evaluate the occurrence of Chlamydia trachomatis, Mycoplasma hominis, and Ureaplasma urealyticum in non-gonococcal urethritis (NGU) and to determine the bacterial resistance to six antibiotics in order to determine the most suitable treatment strategy. A total of 50 patients were enrolled into the study. Urethral samples were taken with a dacron swab placed into urethra 2 - 3 cm in males, and vaginal samples were taken from the endocervical region in women. The patient samples that did not grow Neisseria gonorrhoeae were accepted as NGU. Direct immunofluorescence technique was used for the investigation of C. trachomatis. Mycoplasma IST was used for the isolation of M. hominis and U. urealyticum. U. urealyticum was isolated from 24 patients. Thirteen of them had only U. urealyticum, and the rest had mixed pathogen organisms (7 U. urealyticum + M. hominis; 3 U. urealyticum + C. trachomatis, and 1 U. urealyticum + M. hominis + C. trachomatis). C. trachomatis was detected in 12 patients. While 8 patients had C. trachomatis only, the rest had a mixture of the pathogen organisms listed above. Partner examinations could be performed for only 22 patients' partners. In the evaluation of antibiotic susceptibility, higher resistance was obtained against ofloxacin in U. urealyticum, and against erythromycin with M. hominis. Our results indicated that doxycycline or ofloxacin should be the first choice when empirical treatment is necessary.

Authors+Show Affiliations

Department of Infectious Diseases and Clinical Microbiology, University of Kirikkale Faculty of Medicine, Kirikkale, Turkey. mmbasar@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

14985631

Citation

Kilic, Dilek, et al. "Prevalence and Treatment of Chlamydia Trachomatis, Ureaplasma Urealyticum, and Mycoplasma Hominis in Patients With Non-gonococcal Urethritis." Japanese Journal of Infectious Diseases, vol. 57, no. 1, 2004, pp. 17-20.
Kilic D, Basar MM, Kaygusuz S, et al. Prevalence and treatment of Chlamydia trachomatis, Ureaplasma urealyticum, and Mycoplasma hominis in patients with non-gonococcal urethritis. Jpn J Infect Dis. 2004;57(1):17-20.
Kilic, D., Basar, M. M., Kaygusuz, S., Yilmaz, E., Basar, H., & Batislam, E. (2004). Prevalence and treatment of Chlamydia trachomatis, Ureaplasma urealyticum, and Mycoplasma hominis in patients with non-gonococcal urethritis. Japanese Journal of Infectious Diseases, 57(1), 17-20.
Kilic D, et al. Prevalence and Treatment of Chlamydia Trachomatis, Ureaplasma Urealyticum, and Mycoplasma Hominis in Patients With Non-gonococcal Urethritis. Jpn J Infect Dis. 2004;57(1):17-20. PubMed PMID: 14985631.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and treatment of Chlamydia trachomatis, Ureaplasma urealyticum, and Mycoplasma hominis in patients with non-gonococcal urethritis. AU - Kilic,Dilek, AU - Basar,M Murada, AU - Kaygusuz,Sedat, AU - Yilmaz,Erdal, AU - Basar,Halil, AU - Batislam,Ertan, PY - 2004/2/27/pubmed PY - 2004/6/21/medline PY - 2004/2/27/entrez SP - 17 EP - 20 JF - Japanese journal of infectious diseases JO - Jpn. J. Infect. Dis. VL - 57 IS - 1 N2 - The aim of present study was to evaluate the occurrence of Chlamydia trachomatis, Mycoplasma hominis, and Ureaplasma urealyticum in non-gonococcal urethritis (NGU) and to determine the bacterial resistance to six antibiotics in order to determine the most suitable treatment strategy. A total of 50 patients were enrolled into the study. Urethral samples were taken with a dacron swab placed into urethra 2 - 3 cm in males, and vaginal samples were taken from the endocervical region in women. The patient samples that did not grow Neisseria gonorrhoeae were accepted as NGU. Direct immunofluorescence technique was used for the investigation of C. trachomatis. Mycoplasma IST was used for the isolation of M. hominis and U. urealyticum. U. urealyticum was isolated from 24 patients. Thirteen of them had only U. urealyticum, and the rest had mixed pathogen organisms (7 U. urealyticum + M. hominis; 3 U. urealyticum + C. trachomatis, and 1 U. urealyticum + M. hominis + C. trachomatis). C. trachomatis was detected in 12 patients. While 8 patients had C. trachomatis only, the rest had a mixture of the pathogen organisms listed above. Partner examinations could be performed for only 22 patients' partners. In the evaluation of antibiotic susceptibility, higher resistance was obtained against ofloxacin in U. urealyticum, and against erythromycin with M. hominis. Our results indicated that doxycycline or ofloxacin should be the first choice when empirical treatment is necessary. SN - 1344-6304 UR - https://www.unboundmedicine.com/medline/citation/14985631/Prevalence_and_treatment_of_Chlamydia_trachomatis_Ureaplasma_urealyticum_and_Mycoplasma_hominis_in_patients_with_non_gonococcal_urethritis_ L2 - http://www0.nih.go.jp/JJID/57/17.html DB - PRIME DP - Unbound Medicine ER -