不同女性人群解脲脲原体检测结果分析  

Analysis on the detection results of ureaplasma urealyticum among different female populations

作　　者：唐晓华[1] 潘树根[1] 彭慧敏[1] 江镜全[1] 关秀珍[1] 

机构地区：[1]广州医学院第三附属医院检验科,广东广州510150

出　　处：《中国妇幼保健》2011年第34期5321-5322,共2页Maternal and Child Health Care of China

摘　　要：目的:对广州地区解脲脲原体(Uu)在不同女性人群的检测结果及其对抗生素的敏感性进行分析,为临床合理应用抗生素治疗其感染提供依据。方法:采集生殖道炎症患者及健康体检女性两组人群的生殖道分泌物标本,用法国生物梅里埃公司IST2试剂盒进行Uu培养、鉴定和药敏试验,结合临床资料,对两组人群的Uu检测结果进行分析。结果:Uu阳性率生殖道炎症组为38.7%,健康体检组为33.5%,两组阳性率差异无统计学意义(P>0.05),且Uu在各年龄段女性定植无差异;生殖道炎症组Uu≥104 CFU/ml的例数明显高于健康体检组,两组Uu≥104 CFU/ml检出率比较差异有统计学意义(P<0.01);药敏结果显示除环丙沙星和氧氟沙星外,其余抗生素对Uu均有较好的抗菌活性(敏感性均>70%)。结论:Uu为女性生殖道常见寄生物,应慎重判断其致病性,合理应用抗生素治疗其感染。Objective：To analyze the detection results of ureaplasma urealyticum among different female populations in Guangzhou region and the drug sensitivity of ureaplasma urealyticum,provide a basis for reasonable application of drugs for treatment of ureaplasma urealyticum infection in clinic.Methods：The samples of genital secretion were collected from the patients with genital tract inflammation and normal women receiving physical examination,IST 2 kit（BioMérieux） was used for culture,differentiation and drug sensitive test of ureaplasma urealyticum,then the detection results of ureaplasma urealyticum in the two groups were analyzed combined with clinical data.Results：The positive rates of ureaplasma urealyticum in genital tract inflammation group and physical examination group were 38.7% and 33.5%,respectively,there was no significant difference between the two groups（P0.05）,and there was no significant difference in infection rate among the women of different age groups;the number of women with ureaplasma urealyticum≥104 CFU/ml in genital tract inflammation group was significantly higher than that in physical examination group,there was significant difference in the detection rate of women with ureaplasma urealyticum≥104 CFU/ml between the two groups（P0.01）.The results of drug sensitive test showed that except ciprofloxacin and ofloxacin,the antimicrobial activity of other antibiotics was good for ureaplasma urealyticum（the sensitivity70%）.Conclusion：Ureaplasma urealyticum is a common parasite in female genital tract,its pathogenicity should be judged carefully,and antibiotics should be provided to the women with ureaplasma urealyticum infection reasonably.

关 键 词：解脲脲原体 生殖道感染 药敏试验 

分 类 号：R375[医药卫生—病原生物学]