岐阜市民病院における最近8年間の尿道炎患者の臨床的観察

Abstract

1977年から1984年までの8年間に経験した尿道炎患者について, 臨床的観察を行った.1)尿道炎新患数は徐々に増加し, 8年間で約2.5倍の増加がみられた.1981年を除いて, NGU(非淋菌性尿道炎)がGU(淋菌性尿道炎)よりも若干多くみられた.2)陰部ヘルペスと尖形コンジローマの増加傾向が認められた.3) GU, NGUとも20, 30歳代に最も多くみられた.4) GU, NGUとも特殊浴場からの感染が最も多かった.5)潜伏期間はGUでは1週間以内が60%以上と最も多く, 全例が1ヵ月以内であった.NGUでも1週間以内が最も多かったが, GUより潜伏期間の長い傾向がみられた.6) GUに対して, 1979年以前では主にPCGの投与が, 1980年以降ではMINOあるいはDOXYとSPCMの併用投与が最も多く行なわれ, 治癒成績はそれぞれ94%, 99%であった.7) NGUに対して, 1979年以前にはMINOあるいはDOXYは7例(10%)に投与されたにすぎなかったが, 1980年以降では152例(89%)に投与され, その成績はそれぞれ43%, 97%の治癒率であった

Clinical observations were made on patients with urethritis, syphilis, chancroid, genital herpes and venereal warts for the last eight years at Gifu City Hospital. The patients with urethritis, genital herpes and venereal warts tended to increase yearly, and the number of the cases with urethritis increased about 2.5 times in the eight years. Slightly more patients had nongonococcal urethritis than gonococcal urethritis excluding 1981. Of the patients with gonococcal urethritis seen between 1977 and 1979, 58% were treated with benzylpenicillin intramuscularly, and 43% of the patients seen between 1980 and 1984 were treated with a concomitant therapy of spectinomycin intramuscularly and minocycline or doxycycline orally. The cure rate for each treatment was 94% and 97%, respectively. Of the patients with nongonococcal urethritis seen between 1980 and 1984, 89% were treated with minocycline or doxycycline orally, and the cure rate was 97%. On the other hand, the cure rate was 43% for the treatment between 1977 and 1979, only 10% of whom had received treatment with minocycline or doxycycline.