泌尿生殖道感染标本1752例的支原体检测及药敏分析

Mycoplasma detection and its susceptibility to antibiotics-analysis of 1752 samples of urinary tract system infection

目的:通过对泌尿道感染标本的支原体检测和药敏分析,指导临床合理用药。方法:对从化市中医院2010年6月～2011年6月1 752例泌尿道感染的标本进行支原体检测和药敏分析。结果:1752例患者中,共检出953例支原体阳性(54.4%),其中单纯Uu感染为679例(38.8%),单纯Mh感染21例(1.2%),Uu和Mh混合感染253例(14.4%)。药敏结果显示,支原体对强力霉素、交沙霉素、四环素等抗生素耐药性较低,而对红霉素、环丙沙星等耐药性高。结论:泌尿生殖道感染主要是Uu,泌尿生殖道支原体感染应首选强力霉素、交沙霉素、四环素等。

Objective： To detect mycoplasma in urinary tract infection patients and analyze its susceptibility to antibiotics.Methods： A total of 1 752 samples of urinary tract infection collected during June 2010 and June 2011 were selected,and used for mycoplasma detection and drug sensitivity analysis.Results： Of the 1 752 samples,953 were positive for mycoplasma infection（54.4%）,679 cases（38.8%） were infected with Ureaplasma urealyticum（Uu）,21 cases（1.2%） with Mycoplasma hominis（Mh） and 253 cases（14.4%） were mixed infected with Uu and Mh.The results of susceptibility to antibiotics-analysis indicated the lower Mycoplasma′s drug-resistance rate were Doxycycline,Josamycin and Tetracycline,the higher were Erythromycin and Ciprofloxacin et al.Conclusions： The highest mycoplasma infection rate in genitourinary infection is Uu infection,so the first choice of drugs in treatment are Doxycycline,Josamycin and Tetracycline.