731份女性泌尿生殖道支原体感染及药敏状况分析

发布时间：2018-05-07 11:38

本文选题：泌尿生殖道 + 解脲脲原体　；参考：《现代预防医学》2017年05期

【摘要】：目的分析该院2011-2015年女性泌尿生殖道支原体感染的感染趋势,年龄分布,及对抗生素的敏感性,为临床合理用药提供依据。方法应用珠海浪峰生物技术有限公司生产的支原体试剂盒进行解脲脲原体(U.urealyticum,UU)和人型支原体(M.hominis,Mh)的培养鉴定及药敏试验。结果 1 820份标本中,支原体阳性731例,阳性率为40.2%,其中UU,Mh和UU合并Mh感染的阳性率分别为25.3%,5.11%和9.70%,2011-2015年支原体感染的阳性率无明显变化。总的药敏结果表明,支原体对强力霉素,交沙霉素,美满霉素较为敏感,约为90%,对左氧氟沙星,环丙沙星,红霉素耐药率高,分别约为68%,80%和70%。21~30岁年龄组支原体感染构成比最高,占45.7%。结论本院支原体感染以UU为主,总的药敏趋势表明支原体对多种药物已产生较高的耐药性,临床应参照药敏结果合理选择抗菌药物。在无条件进行药敏试验时,强力霉素,交沙霉素,美满霉素可作为本院治疗支原体感染的首选药物。
[Abstract]:Objective to analyze the infection trend, age distribution and antibiotic sensitivity of female urogenital mycoplasma infection in this hospital from 2011 to 2015. Methods Ureaplasma Urealyticum Urealyticum UU and M. hominis Mh) were cultured and identified by Mycoplasma Urealyticum UU and M. hominis Mh. Results of the 1 820 specimens, 731 were mycoplasma positive, and the positive rate was 40.20.The positive rates of UUMh and UU with Mh infection were 25.3and 5.11%, respectively, and the positive rate of Mh infection was 9.70% between 2011 and 2015. There was no significant change in the positive rate of UUMh and UU with Mh infection. The results showed that mycoplasma was sensitive to doxycycline, josamycin and minocycline (about 90%). The resistance rate of mycoplasma to levofloxacin, ciprofloxacin and erythromycin was high, about 68% and 70. 21%, respectively. 45.7%. Conclusion UU is the main infection of mycoplasma in our hospital. The overall drug sensitivity trend indicates that mycoplasma has a high drug resistance to many drugs, and the antimicrobial agents should be reasonably selected according to the results of drug sensitivity in clinic. Doxycycline, josamycin and minocycline can be used as the first choice in the treatment of mycoplasma infection.
【作者单位】：荆门市康复医院检验科;荆门市康复医院儿科;
【分类号】：R446.5;R691.3

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