2例人型支原体导致骨折术后手术部位感染的病例报告

Report on Two Cases of Surgical Site Infection Caused by Mycoplasma Hominis after Fracture Surgery

人型支原体可定植于人体泌尿生殖系统,为机会性致病菌,其引起的骨折术后手术部位感染较为罕见。由于人型支原体缺乏细胞壁,革兰染色阴性,常规细菌培养易漏检,感染后诊断和治疗较为困难。该文分析2例骨折术后人型支原体伤口感染患者的临床资料、治疗经过、检验确诊及微生物药敏结果,以提高临床医生与检验人员对生殖道以外部位人型支原体感染的认识,减少误诊和漏诊。

Mycoplasma hominis is an opportunistic pathogen that can colonize the genitourinary system of human,and the postoperative site infection caused by it is rare.Because mycoplasma hominis lacks cell wall and gram staining is negative,routine bacterial culture is easy to miss detection,and it is difficult to diagnose and treat after infection.In this paper,the clinical data,treatment process,diagnosis and microbial susceptibility of 2 patients with wound infection of mycoplasma hominis after fracture operation were analyzed,in order to improve the knowledge of clinicians and examiners on mycoplasma hominis infection outside the genital tract and reduce misdiagnosis and missed diagnosis.