妇科门诊患者生殖道支原体检测及药敏分析  

Detection and drug sensitivity analysis of genital duct M ycoplasma from gynecologic outpatients

作　　者：王雪松 

机构地区：[1]杭州市北山街道卫生服务中心,杭州310007

出　　处：《中国卫生检验杂志》2010年第12期3334-3335,共2页Chinese Journal of Health Laboratory Technology

摘　　要：目的:了解妇科门诊患者生殖道支原体感染及药敏情况,为提高防治效果提供科学依据。方法:采用支原体药敏试剂盒对患者生殖道分泌物标本进行支原体检测及药敏试验。结果:140例标本中检出支原体阳性79例,阳性率为56.4%;解脲支原体(Uu)、人型支原体(Mh)及Uu+Mh混合感染分别占60.8%、6.3%、38.0%;不同年龄段支原体检出阳性率比较,以26～35岁年龄段支原体检出阳性率最高(73.3%),差异均有统计学意义(P<0.01)。支原体药敏结果显示:总敏感率在前3位的抗生素分别是左旋氧氟沙星(86.5%)、美满霉素(84.1%)、强力霉素(80.9%),最后3位是罗红霉素(39.2%)、阿齐霉素(38.5%)、克林霉素(34.1%)。结论:妇科门诊患者生殖道分泌物支原体感染率较高,Un+Mh混合感染增强了耐药性;治疗支原体感染性妇科疾病应选用左旋氧氟沙星、美满霉素、强力霉素。Objective：To observe the genital duct mycoplasma infection and drug resistance status in gynecologic outpatients.Methods： The mycoplasma Sensitivity kit was used to detect the mycoplasma and their Drug Sensitivity of genital tract secretions from patients.Results： There were 79 cases found positive,with a total detection rate of 56.4 %in 140 patient,among all,the infection rate of single-Uu,single-Mh and Uu mixed Mh respectively was 60.8%、6.3%、38.0%;taking the agefactttooor into account,Most of the infected patients were 26～35 years old（73.3%）,the difference was significantly.The result of sensitivity showed that mycoplasma was most sensitive to Levofloxacin（86.5%） Minocin（84.1%） vibramycin（80.9%）and was least sensitive to Roxithromycin（39.2%）,Azithromycin（38.5%）and Clindamycin（34.1%）.Conclusion： The Gynecologic Outpatients have a high infection rate of mycoplasma,Uu mixed Mh infection enhance their drug resistence.Levofloxacin,Minocin and Vibramycin are three best choice for the treatment of mycoplasma infection.

关 键 词：妇科门诊患者 生殖道支原体 药敏 

分 类 号：R711.3[医药卫生—妇产科学]