妇科住院患者生殖道支原体感染情况及药敏分析  

Analysis on mycoplasma infection of genital tract in gynecological inpatients and its drug sensitivity

作　　者：牛高丽[1] 齐素云[1] 郭淼[1] 侯玉芬[1] 安芳[1] 

机构地区：[1]解放军第91医院妇瘤科,河南焦作454850

出　　处：《临床军医杂志》2013年第9期930-931,934,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨妇科住院患者生殖道支原体感染、药敏情况及对术后并发症的影响。方法对2011年6月—2012年12月妇科住院患者生殖道分泌物进行支原体培养、药敏试验及术后并发症的影响进行回顾性分析。结果 1 025例患者中支原体感染总阳性率为48.58%,解脲脲原体(Uu)感染阳性率为41.36%,人型支原体(Mh)感染阳性率为2.15%,两者共同感染阳性率7.22%。Uu单独感染要明显高于Mh及两者共同感染(P<0.05)。药敏分析示:环丙沙星耐药率最高,敏感性最高的药物为交沙霉素。未发现支原体感染可增加术后发热及切口感染的发生率,与未感染支原体组比较差异无统计学意义(P>0.05)。结论在妇科住院患者中有较高的支原体检出率,应合理使用抗菌药,支原体感染不增加术后并发症发生率。Objective To study the risk factor of mycoplasma caused gential tract infection in gynecological inpatients, as well as its drug sensitivity and postoperative complications. Methods Retrospective analysis on genital tract infection of mycoplasma was done on the 1,025 gynecological inpatients admitted to the hospital between Jun 2011 and Dec 2012. Results The total positive rate of mycoplasma was 48.58%. The positive rates of ureaplasma urealyticum （Uu） , mycoplasma hominis （Mh） and combined infection of the both pathogens were 41.36% , 2.15% and 7.22% , respectively. Uu infection was significantly more common than that of Mh and that of mixed infection （ P 〈 0.05 ）. Drug sensitivity analysis revealed that ciprofloxacin was the antibiotics with the highest resistance, and that josamycin the antibiotics with the highest sensitivity. There were no differences in the rates of postoperative fever and wound infection between the patients with mycoplasma infection and those without the infection （ P 〉 0.05 ）. Conclusion Mycoplasma detection rate is high in gynecological inpatients, so antibiotics should be rationally used. There is no significant increase in the incidence of postoperative complications.

关 键 词：妇科 住院患者 支原体 药敏分析 

分 类 号：R711.3[医药卫生—妇产科学]