摘要
目的分析湖北省黄石市中医医院2009年1月至2010年6月间泌尿生殖道支原体感染状况及其药物敏感情况,并进一步探讨其耐药性变化,为临床合理用药提供参考。方法采用珠海银科医学工程有限公司提供的支原体培养试剂盒进行检测。回顾性统计分析本院送检的女性及男性泌尿生殖道感染患者的尿道/宫颈分泌物支原体鉴定及药物敏感情况。结果送检的1080例标本中共检出支原体440例,总检出率为40.7%,其中解脲支原体(Uu)356例(80.9%),解脲支原体合并人型支原体(Uu+Mh)46例(10.4%),人型支原体(Mh)38例(8.6%)。药敏结果表明,强力霉素、交沙霉素、美满霉素敏感率较高,其次为克拉霉素、阿奇霉素。氧氟沙星、司帕沙星、罗红霉素的敏感性较低。结论本院支原体感染以解脲支原体为主,强力霉素和交沙霉素可作为目前治疗泌尿生殖道Uu和Mh感染的首选药物,临床治疗前应尽可能进行支原体培养及药敏试验,合理规范用药。
Objective To investigate Urogenital Mycoplasma infection and drug sensitivity in Huangshi Traditional Chinese Medicine Hospital from January 2009 to June 2010.Methods Zhuhai Encode Medical Engineering Co.,Ltd provided mycoplasma detection kit to detect.Result 440 cases were positive mycoplasma among 1080 cases,accounting for 40.7% of the total.Among 440 clinical isolates,356 cases were ureaplasma urealyticunm（Uu） positive（80.9%）,46 cases were Uu and mycoplasma hominis（Mh） complicated infection positive（10.4%）,38 cases were Mh positive（8.6%）.The result of drug sensitivity test showed that the sensitive antibiotics were doxycyline josamycin and minocyline,the next was clarithromycin and Azithromycin.Increasing resistance trend for ofloxacin,spafloxacin and roxthromycin.Conclusions Urogenttal Mycoplasma infection shows principally as Uu,doxycyline and josamycin maybe selected as the fist drug to treat mycopalsma infection.
出处
《中国医药指南》
2011年第5期22-23,共2页
Guide of China Medicine
关键词
泌尿生殖系统
解脲支原体
人型支原体
药物敏感试验
Urogenital System
Ureaplasma urealyticunm
Mycoplasma hominis
Drug sensitivity test
