2/2007Treatment of urinary tract infections caused by Chlamydia trachomatis

KATARZYNA LUBOS-BASINSKA (Katedra i Zakład Medycyny Rodzinnej Akademii Medycznej we Wrocławiu; Kierownik: prof. dr hab. med. Andrzej Steciwko)

Background
Treatment of infections caused by Chlamydia trachomatis bacterium very often causes many difficulties for practicing doctors. Medicines belonging to the groups of macrolyds, tetracycline and chinolons are used in treatment.

Material and methods
Cases of 88 patients treated by general practitioners because of urinary tract infections were analyzed. Two-week treatment with chemotherapeutic was administered. For patients who were not cured the next four-week treatment with other antibiotic was conducted.

Results
After the first course of treatment 56.8% of patients were cured. The higher effectiveness was proved for doxycyclin, spiramycin and roxithromycin, the smaller effectiveness – for azithromycin. After the second course of treatment the therapeutic effectiveness was 65.8% (the most effective was doxycyclin). Together, after the first and the second course of treatment the percentage of positively treated people increased to 85.2%.

Key words: antibioticotherapy, urogenital infections, Chlamydia trachomatis