不同性别人群泌尿生殖道支原体属感染及耐药情况分析  

Analysis of infection and drug resistance of mycoplasma in different sex genitourinary tract

作　　者：陈晓玲 CHEN xiaoling(Department of Clinical Laboratory,the Fifth People′s Hospital of Zhuhai,519055)

机构地区：[1]珠海市第五人民医院检验科,珠海平沙519055

出　　处：《国际检验医学杂志》2017年第A02期25-27,共3页International Journal of Laboratory Medicine

摘　　要：目的了解男性和女性泌尿生殖道解脲脲原体(Uu)和人型支原体(Mh)感染率及其药敏结果,并对不同性别泌尿生殖道支原体属感染及耐药情况进行分析,为提高临床治疗效果提供参考依据。方法回顾性分析2016年1月~2016年9月共69例男性泌尿生殖道分泌物和302例女性生殖道分泌物支原体属培养结果,数据采用SPSS17.0软件进行分析。结果69例男性泌尿生殖道分泌物中检出阳性一共19例,阳性率27.5%,其中Uu感染率89.5%,Mh感染率0.0%,Uu+Mh感染率10.5%;302例女性生殖道分泌物中检出阳性一共178例,阳性率58.9%,其中Uu感染率80.9%,Mh感染率1.1%,Uu+Mh感染率18.0%。男性和女性在支原体感染类型的阳性分布率没有统计学意义。药敏研究显示男女泌尿生殖道支原体感染中,男女Uu感染对JOS的敏感率最高均>95%,而男性与女性对AZI、CLA、DOX、MIN均大于80%;女性对TET的敏感率则大于男性。而喹诺酮类药物LEV、OFL的敏感率较低<30%。结论Uu是男性和女性泌尿生殖道感染的主要致病性支原体。不管男性女性感染支原体是均应首选敏感性最高的JOS,其次为DOX、MIN、AZI、CLA,而CIP几乎都不敏感,应该慎用。在女性患者中还可选用较为敏感的TET。Objective To survey the infection situation and antimicrobial susceptibility of Urea plasma urealyticum(UU)and Mycoplasma hominis(Mh)in patients with vaginal secretion between man and female,so as to provide guidance for rational clinical treatment.Methods Retrospective analysis of January2016~September2016a total of69cases of male genitourinary secretions and302cases of female genital secretions of mycoplasma genus culture results.SPSS17.0was adopted to statistically analyze the data.Results69cases of male genitourinary secretions were detected in a total of19cases,the positive rate of27.5%,which Uu infection rate of89.5%,Mh infection rate of0.0%,Uu+Mh infection rate of10.5%;302cases of female reproductive tract secretions A total of178cases were detected positive rate of58.9%,of which Uu infection rate of80.9%,Mh infection rate of1.1%,Uu+Mh infection rate of18.0%.There was no statistically significant difference in the prevalence of mycoplasma infection between men and women.The sensitivity of male and female Uu infection to JOS was>95%,while those of male and female were more than80%for AZI,CLA,DOX and MIN.The sensitivity rate of female to TET was Greater than male.The sensitivity of quinolones LEV,OFL was lower than<30%.Conclusion Uu is the main pathogenic mycoplasma of male and female genitourinary tract infections.Regardless of male women infected with mycoplasma should be preferred the most sensitive JOS,followed by DOX,MIN,AZI,CLA,and CIP almost are not sensitive,should be used with caution.Female patients can also choose a more sensitive TET.

关 键 词：不同性别 泌尿生殖道 人型支原体 解脲脲原体 药物敏感性 

分 类 号：R691.3[医药卫生—泌尿科学]