719例育龄妇女支原体感染和药敏结果分析

Mycoplasma Infection and Drug Susceptibility in 719 Women at Reproductive Age

目的了解蒙自地区育龄妇女支原体感染及耐药情况。方法对妇产科门诊、住院常规送检的1228例阴道分泌物进行支原体培养、鉴定和药敏试验。结果 1228例样本中,检出支原体阳性719例,占总人数的58.55%。其中解脲脲原体(Uu)578例,占总人数的47.1%,人型支原体(Mh)66例,占总人数的5.67%,混合感染(Uu+Mh)75例,占总人数的6.11%。药敏试验结果显示,感染者对交沙霉素的敏感率为95.97%、强力霉素敏感率为83.45%、美满霉素敏感率为89.28%,敏感率最低的是红霉素12.93%、环丙沙星3.05%。结论蒙自市育龄妇女支原体感染以单纯Uu感染为主,占47.07%,治疗以交沙霉素、美满霉素、强力霉素为首选。

Objective To investigate Mycoplasma infection and drug resistance in women of childbearing age in Mengzi area. Methods Hospital routine examination of Mycoplasma culture,identification and drug sensitivity tests were conducted in 1228 cases of vaginal secretions from obstetrics and gynecology clinic. Results Among 1228 cases,719 cases were positive for mycoplasma,accounting for 58.55% of the total. Among them,578 cases of Uu accounted for 47.1% of the total,66 cases of Mh accounted for 5.67% of the total,75 cases were mixed infection(Uu + Mh),accounting for 6.11%%. Susceptibility test results showed that the infection of josamycin susceptibility was 95.97%,doxycycline susceptibility was 83.45%,minocycline sensitivity was 89.28%,the lowest sensitivity rate was erythromycin 12.93% and ring ciprofloxacin 3.05%. Conclusion Mycoplasma infection in women of reproductive age in Mengzi City was mainly Uu infection,accounting for 47.07%. The treatment with josamycin,minocycline and doxycycline was the first choice.