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目的了解无锡市第二人民医院泌尿生殖道支原体感染及药敏情况。方法采用法国梅里埃支原体IST试剂盒,对泌尿生殖道标本进行支原体培养及药敏试验。结果所有2818例标本中共检出支原体阳性967例,总阳性率34.3%。其中单独解脲支原体(Uu)阳性778例(27.6%),单独人型支原体(Mh)阳性30例(1.1%),Uu和Mh混合阳性159例(5.6%),女性标本阳性率为45.3%,男性阳性率为29.9%,两者差异有统计学意义(P<0.01)。药敏结果表明,原始霉素、交沙霉素、强力霉素、四环素的耐药率较低,环丙沙星耐药率较高。结论男性和女性患者的生殖道支原体感染都以解脲支原体为主,人型支原体不多见。治疗支原体感染的首选抗生素为交沙霉素、强力霉素。
Objective To understand the genitourinary tract mycoplasma infection and susceptibility of Second People’s Hospital of Wuxi City. Methods Mycobacterium smegmatis IST kit was used to test mycoplasma culture and drug susceptibility in genitourinary tract. Results A total of 967 mycoplasma positive samples were detected in all 2818 samples, with a total positive rate of 34.3%. Among them, 778 (27.6%) were positive for Uu, 30 (1.1%) were positive for Mh, 159 (5.6%) were positive for Uu and Mh, and the positive rate was 45.3% , The positive rate of male was 29.9%, the difference was statistically significant (P <0.01). The result of drug susceptibility showed that the resistance rate of pristinamycin, josamycin, doxycycline and tetracycline was low, and the rate of ciprofloxacin resistance was higher. Conclusions Mycoplasma genitalium infection is mainly caused by Ureaplasma urealyticum in both male and female patients, while Mycoplasma hominis is rare. Mycoplasma infection preferred antibiotics jasamycin, doxycycline.