RESUMO
To determine the prevalence of Chlamydia trachomatis cervical infection in an urban adolescent population, 100 sexually active female adolescents were screened with endocervical cultures for Chlamydia, in addition to bacterial cultures, Gram stains, wet mounts, and Papanicolau smears. C. trachomatis was isolated from 22% of these patients. Neisseria gonorrhoeae was isolated from only 3% of this population. No historical or clinical features were specific to those with positive chlamydial cultures, although cervical inflammations was noted more frequently. Treatment with tetracycline or erythromycin produced bacteriologic cure in 95% of culture-positive patients.
Assuntos
Infecções por Chlamydia/epidemiologia , Chlamydia trachomatis/isolamento & purificação , Doenças do Colo do Útero/epidemiologia , Adolescente , Infecções por Chlamydia/diagnóstico , Feminino , Humanos , Programas de Rastreamento , Ohio , Doenças do Colo do Útero/diagnóstico , Doenças do Colo do Útero/microbiologiaAssuntos
Coqueluche , Adulto , Antibacterianos/uso terapêutico , Bordetella pertussis/isolamento & purificação , Criança , Pré-Escolar , Imunofluorescência , Humanos , Lactente , Vacina contra Coqueluche , Estados Unidos , Vacinação , Coqueluche/diagnóstico , Coqueluche/tratamento farmacológico , Coqueluche/epidemiologia , Coqueluche/prevenção & controle , Coqueluche/transmissãoAssuntos
Vacina contra Rubéola , Adolescente , Criança , Pré-Escolar , Feminino , Febre/etiologia , Humanos , Injeções Subcutâneas , Artropatias/etiologia , Masculino , Sarampo/imunologia , Sarampo/prevenção & controle , Vacina contra Sarampo/administração & dosagem , Vacina contra Sarampo/efeitos adversos , Dor/etiologia , Rubéola (Sarampo Alemão)/imunologia , Rubéola (Sarampo Alemão)/prevenção & controle , Vacina contra Rubéola/administração & dosagem , Vacina contra Rubéola/efeitos adversosRESUMO
Twenty-three infants less than six weeks of age with fever of 100.4 degrees F, or higher and no evidence of bacterial infection were seen at the Cincinnati General Hospital from July to December, 1971. Seventeen of these were admitted to the hospital; 15 were treated with penicillin and kanamycin for possible sepsis. Viral isolation was attempted on 21 of these infants, and ECHO viruses were isolated from 14 (66.7 per cent), compared to three (14.3 per cent) of 21 controls. Eleven of the 14 ECHO viruses isolated were type 4, and the other 3 were types 6, 11, and 25 respectively. Acute and convalescent serum was obtained from 11 of the 21 infants; seven had a fourfold rise in antibody to ECHO virus type 4. Most of the children had fever with irritability, six of the 23 had a fine maculopapular rash, and three had aseptic meningitis. This study suggests that ECHO viruses may be a significant cause of febrile illness in young infants during the summer and fall and may account for illnesses which lead to hospitalization as possible sepsis.