小倉診療所（徳島市）における男子尿道炎の治療成績

I reviewed on 112 patients with gonococcal urethritis and 292 patients with chlamydial urethritis consulted on the Ogura Shinryosho Clinic in Tokushima between April, 2000 and March, 2005. Intravenous injection of 1g Ceftriaxone sodium for one day and 400mg Cefpodoxime proxetil for seven days were administered to the case which the gonococcal infection was suspected from examining in an interview and a urinalysis. Four hundred mg Gatifloxacin hydrate or 400 mg Clarithromycin for seven days was administered to the patient whom non-gonococcal infection was suspected. After confirmed diagnosis, I administered 200 mg Minocycline hydrochloride for more seven days. Seven to fourteen days after the medication, I evaluated the effectiveness by the polymerase chain reaction method using the semen specimen material that was able to inspect the presence of the male accessory gland infections at the same time. The recovery rate of the gonococcal urethritis was 91.8%, and chlamydial urethritis was 64.1%. Two patients of 112 （1.8%） in the gonococcal urethritis, and 94 patients of 292 （32.2%） in chlamydial urethritis were withdrawn on the way of treatment. The recovery rate and the treatment completion rate of chlamydial urethritis were low because symptoms of chlamydial urethritis were mild or none.

四国医学雑誌 : http://www.med.tokushima-u.ac.jp/article/0012780.html