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宁乡县妇幼保健院检验科
纸质出版日期:2013,
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[1]周艳.女性生殖道支原体、衣原体感染现状及药敏分析[J].保健医学研究与实践,2013,10(03):6-7+10.
ZHOU Yan. Current Situation of Mycoplasma and Chlamydia Infection in Female Genital Tract and Drug Sensitivity Analysis[J]. Health Medicine Research and Practice, 2013,10(3):6-7.
目的了解本地区女性泌尿生殖道炎症患者支原体、衣原体的感染情况及支原体对抗生素的敏感性
并探讨其耐药性变化
为临床合理用药提供参考。方法回顾性分析本院2012年1月-2013年2月送检的610例女性泌尿生殖道感染患者宫颈分泌物支原体、衣原体检测及支原体药物敏感试验结果。支原体鉴定及药敏采用微生物检验法
衣原体检测采用胶体金法。结果检出支原体阳性者252例
阳性率41.3%;单纯解脲支原体(Uu)222例(88.1%)
解脲支原体合并人型支原体(Mh)16例(6.4%)
人型支原体2例(0.8%)
解脲支原体合并衣原体感染12例(4.8%)。检出衣原体阳性者48例
阳性率7.9%;单纯衣原体感染36例(75.0%)
解脲支原体合并衣原体感染12例(25.0%)。强力霉素、交沙霉素、美满霉素、克拉霉素药物敏感性较高
其次为四环素;诺氟沙星、阿奇霉素、氧氟沙星、红霉素敏感性较低。结论本地区女性生殖道支原体感染以Uu为主
强力霉素、交沙霉素、美满霉素、克拉霉素可作为治疗女性泌尿生殖道支原体感染的首选药物。
Objective To have knowledge about the situation of mycoplasma and chlamydia infections in local female patients with inflammation of genitourinary tracts and sensitivity of mycoplasma to antibiotics
and to probe into changes in the drug tolerance so as to provide a reference for rational clinical drug use.Method Results of mycoplasma and chlamydia detection in cervical secretions of 610cases of female patients with genitourinary tract infection detected in our Hospital from January
2012to February
2013and sensitivity test for mycoplasma drugs were retrospectively analyzed.Identification of mycoplasma and drug sensitivity were conducted using the method for microbiological detection
and chlamydia was detected using the colloidal gold method.Results There were 252cases detected who had positive mycoplasma with a positive rate of 41.3%
among which 222cases had simple ureaplasma urealyticum(Uu)(88.1%)
16cases had ureaplasma urealyticum combined with mycoplasma hominis(Mh)(6.4%)
2cases had mycoplasma hominis(0.8%)and 12cases had ureaplasma urealyticum combined with chlamydia infection(4.8%).There were 48cases detected who had positive chlamydia with a positive rate of 7.9%
among which 36cases had simple chlamydia infection(75.0%)
and 12cases had ureaplasma urealyticum combined with chlamydia infection(25.0%).Doxycycline
josamycin
minocycline and clarithromycin had a relatively high drug sensitivity
which was followed by tetracycline;norfloxacin
azithromycin
ofloxacin and erythromycin had relatively low sensitivity.Conclusion Mycoplasma infections in female genital tracts of this area are mainly Uu
and doxycycline
josamycin
minocycline and clarithromycin can be preferred drugs in the treatment of mycoplasma infections in female genitourinary tracts.
解脲支原体人型支原体衣原体药物耐受性药物敏感性试验
Ureaplasma urealyticumMycoplasma hominisChlamydiaDrug toleranceDrug sensitivity test
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