门诊男科患者支原体感染检出率及药物敏感状况分析

Analysis on Infecting Rate of Mycoplasma and Drug Sensitivity in Outpatients of Department of Andrology

目的:了解门诊男科患者支原体感染检出率及药物敏感状况。方法:对110例首诊患者的支原体培养及药物敏感试验结果进行统计分析。结果:110例中,支原体阳性69例(62.7％),其中单纯解脲支原体(UU)阳性65例(94.2％),单纯人型支原体(MH)阳性3例(4.3％),UU和MH均为阳性者1例(1.5％)。支原体对10种药物的敏感性依次为克拉霉素(95.7％),强力霉素(89.9％),美满霉素(88.4％),阿奇霉素(75.4％),罗红霉素(72.5％),交沙霉素(62.3％),氧氟沙星(30％),环丙沙星(2.9％),林可和大观霉素不敏感。结论:在门诊开展支原体检测十分必要,支原体对大环内酯类和四环素类药物的敏感性较高,喹诺酮类药物的敏感性较低。

Objective: To learn the infecting rate of ureaplasma urealyticum (UU) and mycoplasma hominis (MH) and its' drug sensitivity in the outpatients of the department of andrology. Methods: Mycoplasma of 110 outpatients who first came to see a doctor was cultured, and drug sensitivity tests were done. Results; Of 110 cases, 69 (62.7% )showed positive mycoplasma, with 65 (94.2%) positive UU, 3 (4.3%) positive MH and 1 (1.5%) both positive UU and positive MH. The sensitivity of mycoplasma for 10 kinds of drugs was as following in turn: clarithromycin(95.7% ) , doxycycline(89.9% ) , mino cycline(88.4% ) , azitromycin(75. 4% ) , roxithromycin ( 72. 5% ) , josamycin(62. 3% ) , ofloxacin ( 30% ) , ciprofloxacin (2. 9% ). Lincomycin and spectinomycin had no effect on mycoplasma. Conclusion: It is necessary to carry out mycoplasma examination in the department of andrology.