女性尿路感染者病原学监测

Pathogen Monitoring in Women with Urinary Tract Infection

目的 了解女性尿路感染者病原学状况。方法 采集76例女性尿路感染者进行了阴道分泌物常规涂片微生物学检查、阴道加德纳菌(Gv)和解脲脲支原体(Uu)核酸检测,并收集中段尿液作常规细菌培养分离鉴定、Gv和Uu核酸检测。结果 76 例女性尿路感染者阴道分泌物中共有 70 例(92 1%)检出病原菌,其中 Gv58 例(76 3%)、Uu49例(64 5%)、滴虫4例(5 3%)、念珠菌属 8 例(10 5%);中段尿液中共有 65 例(85 5%)检出病原菌,其中Gv45例(59 2%)、Uu26例(34 2%)、细菌25例(32 8%);无论阴道分泌物标本还是中段尿液标本存在多种病原菌混合感染。结论 Gv、Uu已是女性尿路感染的重要病原菌。

OBJECTIVE To investigate the pathogens in women with urinary tract infection. METHODS The pathogens were tested and isolated from the vagina swabs and urine. RESULTS The positive rates of pathogens on the vagina swabs were 92 1%(70/76), from them Gardnerella vaginalis(Gv) was 76 3%(58/76), Ureaplasma urealyticum(Uu) was 64 5%(49/76), Trichomonas vaginalis was 5 3%(4/76), Candida albicans(Ca) was 10 5%(8/76); the positive rate of the urine was 85 5%(65/76), from them Gv was 59 2%(45/76), Uu was 34 2%(26/76), other bacteria were 32 8%(25/76). CONCLUSIONS Gv and Uu are important pathogens in urinary tract infection of women.