The British journal of venereal diseases
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Letter Comparative Study
Comparison of amoxycillin and procaine penicillin in the treatment of uncomplicated gonorrhoea.
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Biography Historical Article
A reappraisal of non-specific genital infection with reference to the work of the late Dr E. Weston Hurst.
It is easy to overlook work that is before its time, especially if it has been done in the recent past. In his animal experimental work with Chlamydia spp, the late Dr E. Weston Hurst found that although he was able to effect a clinical cure in his intraperitoneally infected mice, he was unable to eradicate their infections. As his work appears to have relevance to today's growing problems concerning genital infections associated with chlamydiae, it should not fall into obscurity.
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Of 107 women investigated for frequency of micturition and dysuria, 21 had gonorrhoea, 14 chlamydial urethritis, eight an Escherichia coli urinary tract infection, 18 candidosis, 12 trichomoniasis, and four asymptomatic genital herpes. No organisms were isolated from 30 patients. Eighty nine women referred themselves and 18 were referred by the family practitioner. These findings suggest that Chlamydia trachomatis is frequently associated with the urethral syndrome among patients attending sexually transmitted disease clinics.
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Comparative Study
Comparison of anal and rectal swabs in the diagnosis of anorectal gonorrhoea in women.
Among 228 women with gonorrhoea (confirmed by culture), swabs taken blindly from the anal canal gave positive results in 26.3% and those taken from the rectum under direct vision in 27.6%. Swabs from both sites gave positive results in 23.2% of patients, from the anal canal alone in 3.1%, and from the rectum alone in 4.4%. Thus, culuture of anal canal swabs seems to give as reliable results as rectal swabs when proctoscopy cannot be carried out.