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1. 重庆都市俪人医院检验科
2. 重庆医科大学附属第一医院检验科
3. 重庆市第三人民医院检验科
纸质出版日期:2010,
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[1]陈潋,程大林,王淑琴.8494例泌尿生殖道支原体感染及药敏分析[J].重庆医科大学学报,2010,35(01):127-130.
CHEN Lian, et al. Analysis of 8494 patients with genitourinary tract mycoplasma infection and drug susceptibility[J]. Journal of Chongqing Medical University, 2010,35(1):127-130.
[1]陈潋,程大林,王淑琴.8494例泌尿生殖道支原体感染及药敏分析[J].重庆医科大学学报,2010,35(01):127-130. DOI: 10.13406/j.cnki.cyxb.2010.01.022.
CHEN Lian, et al. Analysis of 8494 patients with genitourinary tract mycoplasma infection and drug susceptibility[J]. Journal of Chongqing Medical University, 2010,35(1):127-130. DOI: 10.13406/j.cnki.cyxb.2010.01.022.
目的:了解本市解脲支原体(Uu)和人型支原体(Mh)引起的泌尿生殖道感染及其药物敏感情况。方法:采用支原体培养、鉴定、药敏一体化试剂盒
对8494例疑为支原体感染患者的泌尿生殖道分泌物进行培养
并测定其对10种常用抗生素的敏感性。结果:8494例可疑病例中支原体培养阳性2735例(32.2%)
其中单纯解脲支原体(Uu)感染2239例(26.4%)
单纯人型支原体(Mh)感染29例(0.3%)
Uu与Mh双重感染467例(5.5%)。药敏试验结果显示
Uu对美满霉素、强力霉素、克拉霉素、阿奇霉素、交沙霉素、罗红霉素敏感
敏感率分别为96.4%、95.4%、94.4%、87.1%、74.2%、73.3%
对大观霉素敏感率仅为6.5%;Mh对强力霉素、美满霉素、交沙霉素、林可霉素有较高的敏感率
敏感率分别为100%、96.6%、96.6%、86.2%
对罗红霉素、阿齐霉素、克拉霉素敏感率仅分别为0%、0%
3.4%;Uu+Mh对美满霉素、强力霉素最敏感
其次为交沙霉素
敏感率分别为92.1%、89.7%和61.2%
对罗红霉素、阿齐霉素、克拉霉素、大观霉素敏感率仅分别为3.9%、5.2%、8.6%、9.4%。结论:支原体感染是引起泌尿生殖系非淋菌炎症的主要病原体之一
其感染以Uu感染为主;对支原体感染的治疗
要根据药物敏试验结果合理选用抗生素
降低耐药菌株的产生。
Objective:to investigate the status ofpatients with genitourinarytract infection caused byUreaplasma urealyticum(Uu)and Mycoplasma hominis(Mh)
and its drug susceptibility and resistance in Chongqing.Methods:The genitourinary tract samples from 8 494 doubtful patients with mycoplasma infection were cultured and the susceptibility of the disease to 10 routine antibiotics was measured by mycoplasma cultivation
identification and drug susceptibility integration kit.Results:In the results of mycoplasma cultivation of 8 494 doubtful cases
2 735 cases were positive(32.2%)
and 2 239 of them were simple Uu infection(26.4%)
and 29 cases were simple Mh infection(0.3%)and 467 cases were double infection(5.5%).The results ofsusceptibilitytest showed that the sensitivityofUu toMinocycline
Deoxycycline
Clarithromycin
Azithromycin
JosamycinandRoxithromycinwas96.4%
95.4%
94.4%
87.1%
74.2%
and 73.3%
respectively
but tospectinomycin was 6.5%.Otherwise
the sensitivityofMh toDeoxycycline
Minocycline
Josamycin and Lincomycin was 100%
96.6%
96.6%
86.2% respectively
but toRoxithromycin
Azithromycin
Clarithromycin was 0%
0%
3.4% respectively.The double infection was the most sensitive to Minocycline and Deoxycycline
then to Josamycin
and the sensitivity was 92.1%
89.7% and 61.2%
respectively
but the sensitivityofittoRoxithromycin
Azithromycin
Clarithromycin
andSpectinomycinwas3.9%
5.2%
8.6%
and9.4%respectively.Conclusion:Mycoplasma is one of the main pathogen in genitourinary tract non-gonococcus inflammation
especially Uu infection.The therapy of mycoplasma infection should depress the production ofdrugresistant strain bythe reasonable adoption ofantibiotics accordingtothe results of susceptibilitytest.
泌尿生殖道泌尿生殖道感染支原体感染药敏分析
Gnitourinary tractGnitourinary tract infectionMcoplasma infectionDrug sesceptibility
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