女性生殖道支原体感染的耐药性分析  

Drug Resistance Analysis of Female Genital Tract Infection with Mycoplasma

作　　者：吉向丽[1] 陈淑荣[1] 

机构地区：[1]赤峰市医院妇产科,内蒙古赤峰024000

出　　处：《内蒙古医学杂志》2015年第7期803-806,共4页Inner Mongolia Medical Journal

摘　　要：目的了解本地区女性生殖道支原体感染的体外耐药情况。方法对本院2013年2月至2014年11月明确诊断为生殖道支原体感染患者的体外药敏结果进行统计分析。结果 260例患者中单纯Uu感染161例(61.92%),Mh感染28例(10.77%),Uu和Mh混合感染71例(27.31%),其总体耐药率为77.31%,其中Uu、Mh和Uu+Mh混合感染的耐药率分别为67.08%、92.86%和94.37%。UU、Mh及UU+Mh对交沙霉素、四环素、多西环素及米诺环素的耐药率较低,三者间无显著性差异(P>0.05);而对其余药物耐药性的差异具有统计学意义(P<0.05)。结论支原体对常用抗生素已产生较高的耐药率,交沙霉素、多西环素及米诺环素是治疗的首选用药。Objective To investigate the drug resistance of mycoplasma in female genital tract infection in vitro.Methods Statistical analysis of the results of drug sensitive test in vitro from February 2013 to November 2014 in our hospital.Results One hundred and sixty-one cases were purely mycoplasma positive and its positive rate was 61.92%.The positive cases of Mh and Uu with Mh were 28（10.77%）and 71（27.31%）respectively.The result of total drug resistance was 77.31%.The drug resistance rates of Uu,Mh and Uu with Mh were 67.08%,92.86% and 94.37% respectivrly.The result showed that Uu,Mh and Uu with Mh were most sensitive to Josamycin,tetracycline,doxycycline and minocycline.There was no significant difference between three group（P〈0.05）.There was statistical significance for the rest of the drug resistance.Conclusion Because mycoplasma has higher resistance to commonly used antibiotics,we suggest that Josamycin,doxycycline and minocycline is the first choice for the treatment of mycoplasmas infection.

关 键 词：生殖道感染 支原体 耐药性 

分 类 号：R711.3[医药卫生—妇产科学]