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  • 机译 梅毒螺旋体免疫原的结构基因克隆和重组螺旋体表面蛋白P2(P2星)的表征。
    摘要:A genomic library consisting of partially digested 10 to 20 kilobase pair fragments of Treponema pallidum deoxyribonucleic acid (DNA) was constructed using bacteriophage lambda EMBL-3 as the vector. Positive clones expressing T pallidum antigens were detected with sera from experimentally infected rabbits. Treponemal proteins ranging in molecular weight from 37,000 daltons to 120,000 daltons were identified by sodium dodecyl sulphate-polyacrylamide gel electrophoresis and immunoblotting of phage lysate proteins. One recombinant phage was examined further and contained an insert encoding a prominent treponemal 37,000 dalton protein. The recombinant protein was not recognised by antiserum directed against a fibronectin binding treponemal adhesion that contained the same electrophoretic mobility. Neither did antibody to the recombinant 37,000 dalton protein react with any treponemal proteins purified by fibronectin affinity chromatography. The recombinant protein in Escherichia coli lysates was labelled P2 (P2 star) to differentiate it from the comigrating adhesin protein called P2. Native P2 protein was present on T pallidum surfaces as shown by radioimmunoprecipitation assays with extrinsically labelled organisms. A cross reactive molecule like P2 was not synthesised by the avirulent spirochaete, T phagedenis biotype Reiter, which indicated that P2 is a protein specific to virulent T pallidum organisms. Finally, only sera of patients with primary syphilis possessed appreciable concentrations of antibody to recombinant P2 protein.
  • 机译 染色体介导的对青霉素的内在抗性,在悉尼分离出的产生淋球菌的淋病奈瑟氏球菌菌株:用Augmentin治疗的指南。
    摘要:Single dose Augmentin treatment fails to cure an appreciable proportion of patients infected with penicillinase producing Neisseria gonorrhoeae (PPNG) strains in parts of the world where high levels of chromosomally mediated intrinsic resistance are also present in gonococci. The levels of intrinsic resistance to penicillin of 31 PPNG strains isolated in Sydney were assessed by obtaining beta lactamase negative variants of these strains and measuring the minimum inhibitory concentration of penicillin by agar plate dilution techniques. The levels of intrinsic resistance found in these imported PPNG strains were higher than those recorded for local isolates of non-PPNG strains, which indicates that caution should be exercised in the use of single dose Augmentin treatment of infections with PPNG strains in Sydney.
  • 机译 单剂量哌拉西林治疗男性单纯性淋球菌性尿道炎。
    摘要:A single intramuscular dose of piperacillin 2 g, with probenecid 1 g orally, was used to treat 82 men with uncomplicated gonococcal urethritis due to penicillinase producing strains of Neisseria gonorrhoeae (PPNG) or non-PPNG. All 49 patients infected with non-PPNG strains were cured, as opposed to only 25 (76%) of 33 patients infected with PPNG strains, giving an overall success rate of 90%. No serious side effects of treatment were observed. Post gonococcal urethritis (PGU) occurred in 18% of the patients treated. Antibiotic susceptibility tests showed that 44 (96%) of the 46 non-PPNG strains tested had MICs of piperacillin of 2 mg/l or less and 26 (76%) of the 34 PPNG strains had MICs of 32 mg/l or more. This regimen is not recommended for use as first line treatment in areas where there is a high incidence of infection with PPNG strains. It is, however, highly effective against non-PPNG strains.
  • 机译 冈比亚生殖器溃疡的病因学。
    摘要:The aetiology of genital ulceration was studied in 104 unselected patients (94 men, 10 women) attending a sexually transmitted disease (STD) clinic in the Gambia. Chancroid was diagnosed in 54 (52%), syphilis in 23 (22%), lymphogranuloma venereum (LGV) in seven (7%), and herpes in six (6%). In 28 (27%) patients no diagnosis was reached. Ten (10%) patients were found to have both chancroid and syphilis, three (3%) had both LGV and syphilis, and one (1%) had both herpes and syphilis. Trimethoprim 160 mg and sulphamethoxazole 800 mg twice daily for one week was found to be effective in the treatment of chancroid. This regimen with a single intramuscular injection of benzathine penicillin 2.4 MIU is recommended for the treatment of genital ulcers in Gambian health centres without laboratory facilities.
  • 机译 局部麻醉加局部麻醉药(利多卡因和丙胺卡因,EMLA),用于烧灼尖锐湿疣。
    摘要:Removal of genital warts by thermocautery was performed in 108 patients (57 men and 51 women) under topical anaesthesia with a local anaesthetic cream, lidocaine and prilocaine (EMLA). Most men had warts in the preputial cavity, most women had warts situated on the mucous membranes of the vulva, and warts at multiple sites were common. About 1 ml of cream per lesion was applied to the warts for 20 to 105 minutes before the operation. Plastic film (Glad, Union Carbide) was applied over the cream when natural occlusion, such as under the prepuce or on the introitus, was not present. Local pallor was seen in 30% of the patients, redness in 53%, and oedema in 15%, but did not cause any discomfort and were clinically insignificant. Analgesia was sufficient in 96% of the men and in 40% of the women. Additional local infiltration was given to 60% of the women, but was not as painful as injections generally are in the genital area. The analgesic efficacy on women may be further improved by optimising the application time on the genital mucosa.
  • 机译 怀孕,婴儿死亡和痛苦:非洲梅毒和淋病的遗产。
    摘要:Africa in the 1980s appears to be facing problems associated with syphilis and gonorrhoea during pregnancy similar in severity and magnitude to those faced by the western world in the early 1900s. From a review of published reports, the prevalence of syphilis seroreactivity in pregnant women in many parts of Africa is at least 10%. Assuming this level of seroreactivity, we estimate that 5% to 8% of all pregnancies surviving past 12 weeks will have an adverse outcome caused by syphilis, such as spontaneous abortion, perinatal or infant death, or a living infant with syphilis. Our findings on gonorrhoea during pregnancy are almost as startling. The prevalence of gonorrhoea in pregnant women in many parts of Africa is at least 10% and it approaches 20% in some areas. The incidence of gonococcal ophthalmia neonatorum in neonates appears to be between 2% and 4%. We recommend commitment of health resources to initiatives to prevent and control sexually transmitted disease in Africa and additional research into the cost effectiveness of different prevention and control approaches.
  • 机译 索马里摩加迪沙育龄妇女的梅毒:血清学调查。
    摘要:In Mogadishu, Somalia 223 women of childbearing age, including prostitutes, were tested for serum markers for syphilis by the Venereal Disease Research Laboratory (VDRL) test and the Treponema pallidum haemagglutination assay (TPHA). Sera reactive in either of these tests were tested for IgM antibodies by solid phase haemadsorption assay (SPHA). Three per cent of sera from 67 pregnant women and none of those from 71 educated women gave positive results that were confirmed with the TPHA. In contrast, 58% of sera from 85 prostitutes were confirmed as being positive, 26% of which were SPHA positive, which indicated active syphilis. The proportion of TPHA positive sera increased with age among the prostitutes. As venereal syphilis is highly prevalent in prostitutes in Mogadishu, a strategy of intervention based on screening followed by treatment seems to be indispensable.
  • 机译 索马里摩加迪沙各个人群的性传播病毒感染。
    摘要:The prevalence of serum antibodies to human immunodeficiency virus (HIV), herpes simplex virus (HSV), and cytomegalovirus (CMV) and of hepatitis B virus (HBV) markers was investigated in different population groups, including prostitutes, in Mogadishu, Somalia. Hepatitis B surface antigen (HBsAg) was detected in 37% of pregnant women, 4% of neonates, 22% of educated women, and 20% of prostitutes. No significant difference between the groups was observed for HBV. In contrast to figures reported from South East Asia, the prevalence of hepatitis Be antigen (HBeAg) was 18% in prostitutes and only 3% in all other HBsAg positive subjects. The prevalence of antibodies to HSV (100%) and CMV (90%) was very high, but antibodies against HIV were not detected in any of 471 sera. As the routes of transmission for HBV and HIV infections are considered to be similar, HIV will probably spread rapidly in Somalia once this virus has been introduced into the country.
  • 机译 急性梅毒横型脊髓炎:脑膜血管性梅毒的异常表现。
    摘要:A case of meningovascular syphilis presenting with the rare spinal cord manifestations is reported. The angiographic, computed tomographic, and magnetic resonance images of the subsequent cerebrovascular lesions are shown. The presentation, evolution, and treatment of this unusual form of vascular syphilis are discussed.
  • 机译 继发性梅毒患者的模仿尖角棘皮瘤的尖锐湿疣。
    • 作者:S N ThamC T Lee
    • 刊名:The British Journal of Venereal Diseases
    • 2017年第5期
    摘要:A 31 year old man with a condyloma latum simulating a keratoacanthoma at the umbilicus is reported. The umbilicus should be included in the list of known sites of predilection for condylomata lata.
  • 机译 皮肤隐球菌感染表现为外阴病变。
    摘要:A woman aged 60, who had been immunosuppressed since receiving a renal transplant 17 years before, developed a painless ulcerated lesion on her right labia majora. Cryptococcus neoformans was demonstrated by culture and biopsy of the lesion. This is the first reported case of a genital skin lesion caused by C neoformans.
  • 机译 使用载玻片乳胶凝集试验快速诊断阴道念珠菌病。
    摘要:
  • 机译 性活跃妇女泌尿系统症状的病因学。
    摘要:
  • 机译 性传播疾病
    • 作者:R S Pattman
    • 刊名:The British Journal of Venereal Diseases
    • 2017年第5期
    摘要:
  • 机译 所谓“其他”性传播疾病的重要性。
    • 作者:R R Willcox
    • 刊名:The British Journal of Venereal Diseases
    • 2014年第4期
    摘要:(1) Some data are presented concerning the frequency and potential morbidity of sexually-transmitted organisms other than T. pallidum or N. gonorrhoeae. (2) Most of the diseases with which these organisms are associated are more prevalent than syphilis and some, at least in one sex, are as common as gonorrhoea. A number appear to carry considerable morbidity, which in the case of Type II herpes virus--if it is responsible for cervical cancer--may ultimately cause more fatalities than syphilis. (3) It is concluded: (a) that, if syphilis and gonorrhoea were reduced to the point of representing no public health concern, many other sexually-transmitted conditions would still remain to pose significant problems: and (b) that health education and other methods of prevention should, where possible, be designed to take into consideration the epidemiological implications of the other organisms listed.
  • 机译 酶联免疫吸附测定(ELISA)在梅毒血清学诊断中的应用。
    摘要:The enzyme-linked immunosorbent assay (ELISA) technique, using an ultrasonicate of Treponema pallidum as antigen, has been evaluated as a serological test for syphilis. It is concluded that the test is simple, reliable, and relatively quick and that its sensitivity in all stages of syphilis is equal to the FTAABS test. Because its specificity is probably also high, ELISA might be used in future as a first-line screening test for the serodiagnosis of syphilis.
  • 机译 在Groupamatic设备上对梅毒进行絮凝测试的自动化。
    摘要:A flocculation reaction employing a cardiolipid antigen was used for syphilis screening on Groupamatic equipment in parallel with conventional screening reactions: Kolmer CF, RPCF, Kahn, Kline, and RPR. The positive samples were confirmed by FTA-200, FTA-ABS, TPI, and in some cases by TPHA. There were 5,212 known samples which had already been tested by all methods and of which 1,648 were positive, and 58,636 screened samples including 65 positives. Half of the samples in the first series were taken without anticoagulant; the remainder were collected in potassium EDTA. The percentage of false positives with the Groupamatic was about 1-4 per cent. The percentage of false negatives among positve (greater than or equal+) samples varied from 0-18 to 1-3 per cent.; on the other hand the sensitivity was less good for samples giving doubtful and/or dissociated reactions in conventional screening reactions. The specificity and sensitivity of this technique are acceptable for a blood transfusion centre. The reproducibility is excellent and the automatic reading of results accurate. Additional advantages are rapidity (340 samples processed per hour); simultaneous performance of eleven other immunohaematological reactions; no contamination between samples; automatic reading, interpretation, and print-out of results; and saving of time because samples are not filed sequentially and are automatically identified when the results are obtained. Although the importance of syphilis in blood transfusion seems small, estimates of the risk are difficult and further investigations are planned.
  • 机译 通过白细胞迁移抑制试验测定,感染了苍白螺旋体的兔子的细胞反应。
    • 作者:V WicherK Wicher
    • 刊名:The British Journal of Venereal Diseases
    • 2014年第4期
    摘要:Leucocyte migration in agarose was used to examine cell response in 48 rabbits infected with the Nichols strain of T. pallidum for 1 week to 16 months. The response of the peripheral leucocytes to T. pallidum antigen (TpAg), 3 and 15 mug/ml., Reiter antigen (RAg) 6 mug./ml., and VDRL reagent 1:500 was examined. The cells in the presence of RAg, TpAg--3 mug./ml.--and the VDRL reagent demonstrated a biphasic response; in the early stage of infection (until the 4th week) stimulation of leucocyte migration and in the later stage of disease inhibition of leucocyte migration was observed. The higher concentration of TpAg--15 mug./ml.--caused only inhibition of leucocyte migration. The leucocyte response in vitro could not be confirmed by intradermal skin tests with 5 x 10(7) heat-killed T. pallidum. No correlation between the cell response and the treponemal antibodies was observed.
  • 机译 新鲜分离的淋病奈瑟氏球菌菌株对青霉素的抗性水平分布。新型敏感性测定的应用。
    摘要:A novel diffusion zone method of quantitative assay of the antibiotic sensitivity of bacterial strains was tested on freshly isolated gonococci. Smoothly variable estimates of the minimum inhibitory concentration of penicillin for these strains was obtained with sufficient accuracy and precision (coefficient of variation c. 10 per cent.) by means of a simple graphical analysis and without replication. Such estimates were free from the chief sources of error associated with the commonly applied 'incorporation' and 'diffusion' methods. The method revealed that 816 isolates of gonococci obtained in the Bristol area during a 6-month period fell into a large 'sensitive' group (MIC c. 0.02 unit per ml.) and three smaller more resistant groups, and that this pattern occurred in three widely spaced centres within the area. It is suggested that the method is capable of revealing details of distribution that may be masked by the usual techniques and that it is of wide applicability.
  • 机译 淋病奈瑟菌的新殖民地类型。
    • 作者:K ChanG M Wiseman
    • 刊名:The British Journal of Venereal Diseases
    • 2014年第4期
    摘要:A new variant of Neisseria gonorrhoeae, designated Type 1(1), is described. Colonies of the new type resemble those of Types 1 and 2 in physical characteristics but are granular with a slightly crenated edge and are a deeper gold in colour. The virulence of Type 1(1) in the chick embryo is in keeping with that of Types 1 and 2 but is significantly different from Types 3, 4, and 5. Type 1(1) could be maintained in the laboratory for 6 months, provided that daily selective subcultures were performed. In the absence of this, Type 1(1) reverted to Type 5. It was also possible to preserve the stability of Type 1(1) for long periods by immersion in liquid nitrogen. Pili have been demonstrated on the new type.

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