人工流产后妊娠期阴道病患者致病微生物检测及耐药性分析

Detection of pathogenic microorganisms and drug resistance in vaginosis during pregnancy after induced abortion

目的研究分析人工流产后妊娠期阴道病患者致病微生物检测及耐药性。方法选取100例人工流产后妊娠期阴道病患者,采用无菌棉拭子进行阴道分泌物样本收集,分别进行高倍镜检查、病原微生物鉴定及药敏试验,记录过程中各微生物种类的构成概况、革兰阳性菌与革兰阴性菌的耐药性。结果微生物以革兰阳性菌、革兰阴性菌、真菌为主要菌群;革兰阳性菌耐药中主要以先锋霉素、阿莫西林最为常见;革兰阴性菌耐药中以氨苄西林、青霉素最为常见。结论通过对致病菌构成和耐药性的鉴别,能够有效降低阴道病的治疗难度,便于选择合适的治疗方式。

Objective To study the detection and drug resistance of pathogenic microorganisms in vaginosis during pregnancy after induced abortion.Methods 100 patients with gestational vaginosis after induced abortion were selected to collect vaginal secretions samples with sterile cotton swabs.High-power microscopic examination,pathogen identification,and drug sensitivity test were conducted,respectively,to record the composition of each microbial species and the drug resistance of gram-positive and gram-negative bacteria during the process.Results The microorganisms were mainly gram-positive bacteria,Gram-negative bacteria and fungi.Among gram-positive bacteria,the most common ones were cephalomycin and amoxicillin.Ampicillin and penicillin were the most common drug resistances of gram-negative bacteria.Conclusion Through the identification of pathogenic bacteria composition and drug resistance,it can effectively reduce the difficulty of the treatment of vaginosis and facilitate the selection of appropriate treatment methods.