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Mass Treatment with Single-Dose Azithromycin for Trachoma
Ist Teil von
The New England journal of medicine, 2004-11, Vol.351 (19), p.1962-1971
Ort / Verlag
Boston, MA: Massachusetts Medical Society
Erscheinungsjahr
2004
Link zum Volltext
Quelle
Free E-Journal (出版社公開部分のみ)
Beschreibungen/Notizen
Trachoma, an important cause of blindness, is caused by infection with
Chlamydia trachomatis
. In a Tanzanian community in which trachoma was endemic, the residents each received a single dose of azithromycin. After 24 months, the infection had virtually been eradicated from the community.
In a Tanzanian community in which trachoma was endemic,
Chlamydia trachomatis
was virtually eradicated.
Trachoma is a chronic keratoconjunctivitis caused by the bacterium
Chlamydia trachomatis
. Resolution of ocular chlamydial infections may be accompanied by scarring of the conjunctivae. Over many years, contraction of upper-lid scars produced during multiple episodes of infection
1
causes the eyelashes of some patients to deviate inward so that they abrade the globe. This complication, termed “trichiasis,” leads to scarring of the cornea. Trachoma is the most common infectious cause of blindness.
2
Until the 1990s, attempts to control trachoma with antibiotics yielded mostly disappointing results. Mass administration of oral sulfonamides in North America in the 1930s and 1940s was associated . . .