女性生殖道标本解脲脲原体和人型支原体的检测与药敏特征  

Mycoplasma Hominis and Ureaplasma Urealyticum in Genital Specimens and the Characteristics of the Drug Resistence

作　　者：夏勇[1] 潘树根[1] 彭慧敏[1] 江镜全[1] 

机构地区：[1]广州医学院附属第二人民医院,广东广州510150

出　　处：《实用医技杂志》2005年第07A期1690-1692,共3页Journal of Practical Medical Techniques

摘　　要：目的:通过对解脲脲原体(Uu)和人型支原体(Mh)药敏结果分析,为临床医生选择有效的抗生素提供参考。方法:用支原体培养药敏试剂盒检测1416例女性生殖道标本。结果:共536例标本单独检出Uu,55例标本同时检出Uu和Mh,9例标本单独检出Mh。单独检出Uu和同时检出Uu和Mh时对Jos,Dox,Min,Rox,Lev,Ofl,Azi,Cla,Spa的敏感率分别为46.4%(40.0%),81.3%(76.4%),81.7%(76.4%),5.8%(0),62.7%(38.1%),62.8%(41.8%),19.7%(0),89.6%(3.6%),53.6%(34.5%)。结论:对单独Uu感染者,应以CLA,Dox,Min为首选药物,而Uu与Mh混合感染者应以Dox,Min为首选药物。生殖道标本Uu与Mh的耐药性监测,对指导临床用药具有重要意义。Objective To select the appropriate antibiotics for clinic through the analysis of ureaplasma urealyticum and mycoplasma homonis's susceptibility test.Methods The specimens were cultured with mycoplasma susceptibility test kit.Results From the 1 416 genital specimens, 591 strains Uu and 64 strains Mh wered isolated .In 55 specimens Uu and Mh were both isolated ,and in 9 specimens Mh was isolated only .The sensitivity percentage of Uu was 46.4%,81.3%,81.7%,5.8%,62.7%,62.8%,19.7%,89.6%,53.6% for Josamycin,Doxycycline,Minocycline,Roxithromycin,Levofloxacin,Ofloxacin,Azithromycin,Clarithromycin,Spafloxacin.The sensitivity percentage of mycoplasma (including Uu and Mh ) was 40.0%,76.4%,76.4%,0,38.1%,41.8%,0,3.6%,34.5% respectively.Conclusion To treat the infection caused by ureaplasma uralyticum such antibiotics as Cla ,Dox and Min can be choosed first for resisting the strains . To treat the infection caused by Mh and Uu Dox and Min can be applied for the patients first.Resistance monitoring of mycoplasma is very important for clinical treatment.

关 键 词：解脲脲原体 人型支原体 耐药性 药敏试验 

分 类 号：R446.5[医药卫生—诊断学]