泌尿生殖系感染病原学分析及支原体药物敏感试验  

Pathogenic Analysis of Genitourinary Tract Infection and Drug Sensitivity Test for Mycoplasma

作　　者：王立平[1] 李保强[1] 段昕所[1] 陆洁[1] 于立勤 邢恩鸿[1] 

机构地区：[1]承德医学院附属医院,河北承德067000

出　　处：《食品与药品》2011年第9期340-342,共3页Food and Drug

摘　　要：目的了解河北承德地区泌尿生殖系感染常见病原体构成及支原体的药物敏感性。方法定性检测有临床症状或有不洁性史者的尿道或宫颈分泌物的沙眼衣原体;培养鉴定淋球菌、支原体,并做支原体药物敏感试验。结果 370例患者检出阳性结果214例,其中混合感染40例,占18.69%,以支原体和沙眼衣原体混合感染居多;单纯淋球菌感染占14.02%;单纯沙眼衣原体感染占14.49%;单纯支原体感染占52.80%。对支原体敏感率较高的药物为交沙霉素、多西环素、米诺环素。结论应重视泌尿生殖系混合感染,支原体感染需和临床症状相结合,可首选交沙霉素、多西环素或米诺环素等治疗。Objective To investigate the constitution of local common pathogens of genitourinary tract infection and the drug sensitivity for mycoplasma. Methods The samples from urethral or cervical secretions of patients with clinical symptoms or impure sex relations were quantitatively detected for Chlamydia trachomatis by colloidal gold method, and Neisseria gonorrhoeae, mycoplasma were identified by culture. The drug sensitivity test was taken for mycoplasma. Results In 370 patients, 214 patients were positive. Among them, 40 cases （18.69 %） suffered from multiple infections, especially multiple infection of mycoplasma and Chlamydia trachomatis. The rate of single infection was 14.02 %, 14.49 % and 52.80 % for Neisseria gonorrhoeae, Chlamydia trachomatis and mycoplasma, respectively. Mycoplasma was sensitive to josamycin, doxycycline and minocycline. Conclusion The attention should be paid to multiple infection of genitourinary tract. The mycoplasma infection should be considered with clinical symptoms and can be treated by josamycin, doxycycline or minocycline.

关 键 词：淋球菌 沙眼衣原体 支原体 药物敏感试验 

分 类 号：R759.2[医药卫生—皮肤病学与性病学]