2019年阳江市人民医院解脲脲原体和人型支原体感染的临床分布与耐药性分析

Clinical distribution and drug resistance analysis of Ureaplasma urealyticum and Mycoplasma hominis infection in Yangjiang People′s Hospital in 2019

目的分析我院2019年所有检出支原体的临床分布及耐药性特点,为临床合理使用抗生素提供依据。方法回顾性分析我院2019年检出的解脲脲原体(Uu)和人型支原体(Mh)的性别比例、年龄阶段、科室分布和耐药性等特征。结果2019年共检出Uu 1300例(男169例,女1131例),Mh 161例(男6例,女155例);检出的支原体在各个年龄段均有分布,其中Uu以≤25岁感染者居多;在科室分布方面,主要集中在妇科(Uu为64.77%,Mh为75.16%)、产科(Uu为9.23%,Mh为10.56%)、泌尿外科(Uu为10.54%,Mh为3.73%)、生殖医学科(Uu为8.31%,Mh为3.73%,),其他科室占比较少。药敏结果显示,Uu对强力霉素、美满霉素、交沙霉素、克拉霉素、阿奇霉素有较强的敏感性,敏感率分别为92.69%、93.00%、97.69%、88.69%、77.23%;而Mh对强力霉素、美满霉素、交沙霉素较为敏感,敏感率为86.33%、86.96%、91.30%。结论本院检出的支原体感染以Uu为主,临床科室要根据药敏结果合理使用抗生素。

Objective To analyze the clinical distribution and drug resistance characteristics of Mycoplasma detected in our hospital in 2019 to provide basis for the rational use of antibiotics.Methods The gender ratio,age distribution,department distribution and drug resistance of Ureaplasma urealyticum(Uu)and Mycoplasma hominis(Mh)detected in our hospital in 2019 were analyzed retrospectively.Results A total of 1300 cases(169 males and 1131 females)of Uu and 161 cases(6 males and 155 females)of Mh were detected in 2019.Mycoplasma was distributed in all age groups,Uu was mostly detected in≤25 years old patient group.In terms of department distribution,the departments were mainly concentrated in gynecology(Uu:64.77%,Mh:75.16%),obstetrics(Uu:9.23%,Mh:10.56%),urology(Uu:10.54%,Mh:3.73%),reproductive medicine(Uu:8.31%,Mh:3.73%),other departments accounted for less.Drug sensitivity results showed that Uu had a strong sensitivity to Doxycycline,Fulminomycin,Acrosamycin,Clarithromycin,Azithromycin,with the sensitivity rates of 92.69%,93.00%,97.69%,88.69%,77.23%,respectively,while Mh was more sensitive to Doxycycline,Fulminomycin,Acrosamycin,with the sensitivity rates of 86.33%,86.96%,91.3%.Conclusion The Mycoplasma infection detected in our hospital is mainly Uu,the antibiotics should be used according to the results of clinical drug sensitivity in clinical departments.