329例宫颈分泌物衣原体、支原体检测及药敏结果分析

An analysis of the detections and antimicrobial susceptibility tests of chlamydia and mycoplasma in 329 samples of cervical secretion.

目的探讨女性生殖道炎症支原体、衣原体感染情况及药敏结果分析。方法应用培养和衣原体抗原快速免疫测定法对女性生殖道炎症患者阴道(宫颈)分泌物进行检测,同时测定支原体对抗生素的敏感程度。结果329例生殖道炎症感染患者检测出129例支原体、衣原体阳性,其中Uu76例(23.1%),Mh8例(2.4%),Uu+Mh20例(6.1%),Ct9例(2.7%),Uu+Ct16例(4.9%),支原体、衣原体总感染率为39.2%,10种药敏试验结果显示有7种抗生素敏感率为80%以上,3种在80%以下,其中敏感率最低的是四环素和氧氟沙星。结论研究表明女性生殖道炎症Uu感染率在明显上升,耐药菌株在不断增加。进行衣原体、支原体及药敏试验。以明确病因及敏感药物,为临床医生提供治疗依据。

Objective To study chlamydia and mycoplasma infection and their drug sensitivities of female genital tract in flammation.Methods 329samples of the cervical secretion taken from patients with genital tract inflammation were detected by C-C rapid assay and culture process,and the antimicrobial susceptibilities of mycoplasma to antibiotics were also tested.Results129positive specimens of chlamydia and my-coplasm a were detected from329patients with genital tract inflammation.The positive cases(rates)of U.urealyticum(Uu),M.hominis(Mh),Uu+Mh,C.trachomatis(Ct)and Uu+Ct were76(23.1%),8(2.4%),20(6.1%),9(2.7%),16(4.9%)respectively.The total infectious rate of chlamydia and mycoplasma was39.2%.The drug sensitive results showed that the susceptible rates of7kinds of antibiotics were more than80%,3antibiotics were below80%,tetracycline and ofloxacin were the lowest in10antibiotics respetively.Conclu-sions It is suggested that the infectous rates of Uu rise obviously in female genital tract in flammation and the resistant strains increase continuously.The detection of chlamydia and myoplasma,with their drug sensitive tests,can provide the diagnostic ba-sis for the treatment of the diseases.