泌尿生殖系统支原体检测及耐药分析
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Infection and drug-resistance of mycoplasma in urogenital tract
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    目的:了解泌尿生殖系统解脲支原体(UU) 和人型支原体(MH) 的感染及耐药情况,以指导临床合理用药。方法:对682份标本进行支原体培养,并进行9种抗生素药敏试验。结果:682例标本经培养鉴定,共检出359 例支原体阳性,总检出率为52.64%;其中UU 和MH检出率分别为43.7%(298/682)和1.2%(8/682),有7.8%(53/682)为UU/MH混合感染,UU 检出率明显高于MH检出率。支原体感染以21~40 岁者最高,占86.63%(311/359),且女性比男性更易感染支原体(P < 0.05)。药敏试验结果显示,对交沙霉素、原始霉素、强力霉素、四环素较为敏感,对阿奇霉素、红霉素中度敏感,而对环丙沙星、氧氟沙星、克拉霉素等耐药性较高。结论:生殖道支原体感染以UU 为主,并且在青壮年人群中感染率较高;支原体对多种抗生素产生耐药性,特别是在UU/MH混合感染中。在治疗中应首选交沙霉素、原始霉素、强力霉素、四环素。

    Abstract:

    Objective:To study ureaplasma urealyticum(UU) and mycoplasma hominis(MH) infection in the urogenital duct and their drug-resistance. Methods:Mycoplasma culture was carried out with the samples of 682 cases and the drug-resistance was detected at the same time. Results:359 samples from 682 suspected cases cultured were identified to present with positive mycoplasma(52.64%). Among them , 298 samples were infected by UU(43.7%), 8 samples by MH(1.2%), and 53 samples by both UU and MH(7.8%). The detectable rate of UU was far higher than that of MH. Mycoplasma infection was chiefly found in middle-aged people ranging from 21 to 40 years old(86.63%). The positive rate of the female was much higher than that of the male(P < 0.05). The results of drug-resistance showed that mycoplasma was much sensitive to josamycin, pristinmycin, doxycycline, tetracycline, mid-sensitive to azithromycin and erythromycin, and resistant to ciprofloxacin,ofloxacin and clarithromycin. Conclusion:The urogenital mycoplasma infection results mainly from UU, especially in young and mid-aged people. Compared with simple UU or MH infection, mixed infection with UU and MH has significantly greater resistance to a wider variety of drugs. Josamycin, pristinmycin, doxycycline, and tetracycline are the primary choices for urogenital mycoplasma infection.

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尤伟明,潘宇红,林萍萍.泌尿生殖系统支原体检测及耐药分析[J].南京医科大学学报(自然科学版),2007,(3):268-271

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  • 收稿日期:2006-08-11
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