女性生殖道支原体培养及药敏分析

Analysis of infections and drug sensitivity of mycoplasma in female genital samples from 118 cases

目的:了解女性生殖道支原体感染及其药敏情况。方法:对118例拟似为阴道炎、宫颈炎患者的阴道分泌物标本进行支原体培养及药敏试验。结果:118例阴道炎、宫颈炎患者中,53例患者支原体培养阳性,阳性率为44.9%,其中单一解脲支原体(UU)阳性39例(33.1%),单一人型支原体(MH)阳性9例(7.6%),UU和MH混合阳性5例(4.2%);支原体感染以20～30岁年龄组最高,占54.2%;药敏试验结果显示:对原始霉素敏感率为94.9%,交沙霉素为90.7%,强力霉素为80.5%;红霉素耐药率为67.8%,氧氟沙星耐药率为36.4%,四环素耐药率为38.9%。结论:由支原体引起的女性生殖道阴道炎、宫颈炎不容忽视,同时把支原体作为常规检测并进行药敏试验对指导临床治疗及合理用药均具有重要意义。

Objective：To study mycoplasma infections in female genital fract and their drug sensitivity.Methods：Samples from cervicitis or vaginitis secretions in 118 suspected mycoplasmas infected females were detected.Results：Samples from 118 suspected cases were cultured and 53 were identified to be positive（44.9%）.Among them 39 were infected by UU（33.1%） and 9 by MH（7.6%）,5 were infected by UU and MH（4.2%）.Mycoplasma infection was chiefly found in females with aging from 20 to 30 years old（54.2%）.The results of drug sensitive tests showed that mycoplasma was much sensitive to pristinmycin（94.9%）,josamycin（90.7%）,doxymycin（80.5%） and resistant to erythromycin（67.8%）,ofloxacin（36.4%） and tetracycline（38.9%）.Conclusion：Should pay attention to the infections of mycoplasma in females with cervicitis or vaginitis and it is very important to detect of infections and drug sensitivity of mycoplasma as common work.