Asunto(s)
Antibacterianos/uso terapéutico , Enfermedades de Transmisión Sexual , Adulto , Autoevaluación Diagnóstica , Humanos , Masculino , Pruebas de Sensibilidad Microbiana , Enfermedades de Transmisión Sexual/microbiología , Enfermedades de Transmisión Sexual/prevención & control , Evaluación de Síntomas/métodos , Uretritis/diagnóstico , Uretritis/tratamiento farmacológico , Uretritis/microbiología , Uretritis/fisiopatologíaRESUMEN
Reactive arthritis, also known as Reiter syndrome, is a spondyloarthropathy that typically follows a urogenital or gastrointestinal infection, and is characterized by conjunctivitis, urethritis, and arthritis. The frequency of reactive arthritis in the United States is estimated at 3.5 to 5 patients per 100,000. Physician assistants (PAs) can manage the condition; therefore, they should be familiar with the disease's signs and symptoms, diagnostic criteria, and treatment regimens. Without proper management, reactive arthritis can progress to a chronic destructive arthritis. Prompt recognition of the condition is key to early intervention and a better patient outcome with fewer complications.
Asunto(s)
Antiinflamatorios no Esteroideos/uso terapéutico , Antirreumáticos/uso terapéutico , Artritis Reactiva/diagnóstico , Artritis Reactiva/tratamiento farmacológico , Glucocorticoides/uso terapéutico , Artritis Reactiva/etiología , Artritis Reactiva/fisiopatología , Conjuntivitis/fisiopatología , Gastroenteritis/complicaciones , Humanos , Inyecciones Intraarticulares , Infecciones del Sistema Genital/complicaciones , Infecciones del Sistema Respiratorio/complicaciones , Uretritis/fisiopatología , Infecciones Urinarias/complicacionesRESUMEN
Several treatment failures and widespread antimicrobial resistance to ciprofloxacin have been documented, subsequent to its initial recommendation in 1989 as a single dose alternative therapy for gonorrhoea. Still, it continues to be part of various treatment schedules in National STD control guidelines including India. This prompted us to study the current status of this drug in the treatment of gonorrhoea. Thirty-five male patients with gonococcal urethritis were included in the study. The susceptibility to penicillin, tetracycline, ciprofloxacin and ceftriaxone was determined by Kirby-Bauer disc diffusion method and minimum inhibitory concentration (MIC) of ciprofloxacin by agar plate dilution method. The clinical and bacteriological response was assessed on day 5 after treatment with single dose ciprofloxacin, 500 mg. The sensitivity pattern of Neisseria gonorrhoeae was observed to be: ceftriaxone 100%, azithromycin 100%, tetracycline 65.7%, penicillin 40% and ciprofloxacin 5.7% by disc diffusion method. The MIC for ciprofloxacin was below 0.06 microg/mL (sensitive) in one (2.5%) isolate only. On the fifth day a large number of treatment failures (88.5%) were seen with ciprofloxacin while none was noted one week after re-treatment with ceftriaxone. The location of endemic quinolone-resistant N. gonorrhoeae (QRNG) in New Delhi has increased alarmingly, resulting in an extremely high proportion of therapeutic failures, and thus requiring appropriate alterations in the presently recommended treatment regimens.
Asunto(s)
Antiinfecciosos/uso terapéutico , Ciprofloxacina/uso terapéutico , Gonorrea/tratamiento farmacológico , Neisseria gonorrhoeae/efectos de los fármacos , Uretritis/tratamiento farmacológico , Antiinfecciosos/farmacología , Ciprofloxacina/farmacología , Gonorrea/fisiopatología , Humanos , Incidencia , Masculino , Pruebas de Sensibilidad Microbiana , Manejo de Especímenes , Uretritis/microbiología , Uretritis/fisiopatologíaRESUMEN
Trabajo retrospectivo de revisión de 40 Historias Clínicas con diagnóstico de Uretritis, cuyo exámen bacteriológico identificó Neisseria Gonorrhoae en 76,3, otras bacterias como Estafilococos Albus, Estreptococo en 23,7. En 55,3 fueron tratados con PenicilinaProcáinica en dósis de 4,8 U.I. con resultados óptimops, el segundo antibiótico utilizado en 10,5, también con buenos resultados fué la tetraciclina en dósis de 2 gr/d. por siete días, en 10,5 se utilizaron otros antibióticos como ser Eritromicina, Gentamicina. El Estudio de contactos, y localización de los mismos no se efectuo en ninguno de los casos.
Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Adulto , Persona de Mediana Edad , Uretritis/etiología , Uretritis/fisiopatología , Uretritis/epidemiología , Gentamicinas/administración & dosificación , Gentamicinas/uso terapéutico , Técnicas de Laboratorio Clínico , Exudados y Transudados/fisiología , Diagnóstico Clínico , Infecciones Estreptocócicas/complicaciones , Infecciones Estreptocócicas/fisiopatología , Infecciones Estreptocócicas/tratamiento farmacológico , Infecciones Estreptocócicas/terapia , Penicilina G Procaína/uso terapéutico , Registros Médicos/clasificación , Registros Médicos/estadística & datos numéricosRESUMEN
Two groups of patients with chronic urethral electrothermal stimulation [correction of electrothermoureterostimulation] were singled out. Group 1 (50 patients) received traditional treatment plus urethral electrothermal stimulation [correction of electrthermoureterostimulation] while group II only traditional treatment. The ejaculate in these groups receiving different treatment revealed significant qualitative and quantitative differences. Treatment including urethral electrostimulation [correction of electroureterostimulation] stimulates the mucosa and surrounding tissues of the urinary canal, prostatic part of the urethra [correction of ureter] and prostate, increase of its blood flow. This favoured resolution of the inflammatory process, opens the obstructed ducts of the urethral [correction of ureteral] process and alveoli of the prostate.