Adnexitis (or inflammation of the appendages) is a common name for a group of infectious and inflammatory gynecological diseases. By frequency of occurrence, this process takes first place, affecting 65% of women, and every fifth patient is the cause of infertility. Inflammatory processes in the pelvic organs in women often result in obstruction of the fallopian tubes, a violation of the functioning of the ovaries, and as a consequence - a violation of the formation of a full ovum. Adnexitis can be acute or chronic, be one- or two-sided. The cause of the pathology of the appendages are: - Surgical termination of pregnancy; - Unprotected sex with a partner carrier of a sexually transmitted infection; - Intrauterine device; - Complications after removal of the appendix (subsequent inflammation, passing on the appendages); - Overcooling, frequent stress; - Reduced immunity due to transferred infectious diseases; - Non-observance of intimate hygiene; - Diabetes; - HIV; - Complicated delivery. When diagnosing adnexitis, women are prescribed antimicrobials, without waiting for the results of tests to identify the type of pathogen. They are used mainly in the acute phase of inflammation, but also prescribed for chronic diseases of the ovaries. At the initial stage of treatment, broad-spectrum antibiotics are used that suppress the majority of pathogenic microorganisms that cause diseases of the genitourinary system. There has been recent debate questioning the efficacy of azithromycin for the treatment of urogenital chlamydia infection. We conducted a meta-analysis to compare the efficacy of 1 g azithromycin with 100 mg doxycycline twice daily (7 days) for the treatment of urogenital chlamydia infection. Medline, Pub Med, Embase, Cochrane Controlled Trials Register, Cochrane reviews, and Cumulative Index to Nursing and Allied Health Literature were searched until 31 December 2013. Randomized controlled trials comparing azithromycin with doxycycline for the treatment of genital chlamydia with evaluation of microbiological cure within 3 months of treatment were included. Sex, diagnostic test, follow-up time, attrition, patient symptomatic status, and microbiological cure were extracted. The primary outcome was the difference in efficacy at final follow-up. Study bias was quantitatively and qualitatively summarized.
Azithromycin Zithromax versus Doxycycline - comparative analysis, differences between azithromycin and doxycycline chart, head-to-head comparative clinical studies. Zithromax azithromycin is good for treating many bacterial infections and is available in generic form. However, it may cause headache, dizziness, or rash. Vibramycin doxycycline is good for treating many bacterial infections, but can increase your skin's sensitivity to sunlight and make you more likely to get a sunburn or rash.