摘要
目的了解非淋菌性泌尿生殖道支原体感染的情况及对抗菌药物的耐药情况,为临床选择抗菌药物提供依据。方法对妇科、泌尿外科、皮肤性病门诊送检的568份标本进行支原体培养及药敏试验。结果 568份疑似非淋菌性泌尿生殖道感染的分泌物标本中,解脲支原体(Uu)阳性286例,占50.35%,女性(占62.9%)高于男性(37.1%);药敏试验结果显示:解脲支原体对环丙沙星的耐药率最高(达72.0%),其次为罗红霉素(达40.5%)。抗菌药物效果较好的依次为:强力霉素、交沙霉素、美满霉素,其敏感率依次为93.7%、91.65%、88.1%。结论 Uu对常用的环丙沙星、红霉素耐药严重。临床上对考虑支原体感染的病人须进行支原体培养鉴定和药敏试验,以选择敏感的抗菌药物。
Objective To investigate the mycoplasma urealytium（MU） infections and drug resistance in the cases of non-gonococcal urethritis to provide the basis for the clinical choice of antibiotics.Methods The samples of 568 cases from the department of gynecology,urinary surgery and dermatology underwent the mycoplasma culture and the medicine sensitive experiments.Results In the 568 cases,286 cases were found MU-positive（50.35%）,with the incidence rates of females and males being 62.9% and 37.1% respectively.The sensitive experiments showed that MU was most sensitive to ciprofloxacin（72.0%）,and then to roxithromycin（40.5%）.Antimicrobial agents that had the best treatment effects were deoxycycline,josamycin and minocycline with their sensitivity rates being 93.7%,91.65% and 88.1% respectively.Conclusion The commonly used ciprofloxacin and erythromycin have high drug resistance.Mycoplasma culture and drug sensitivity experiments should be performed for patients with mycoplasma infection.
出处
《山东医学高等专科学校学报》
2011年第6期423-424,共2页
Journal of Shandong Medical College
关键词
生殖道
解脲支原体
感染
耐药性
Gential tract
Mycoplasma urealytium
Infection
Drug resistance
