泌尿生殖道支原体感染及耐药性监测分析

目的 了解江门地区泌尿生殖道支原体感染情况及其耐药性。方法 对4935例泌尿生殖道感染患者进行解脲脲原体（Uu）和人型支原体（Mh）培养鉴定，并对阳性标本作12种抗生素药敏试验。结果 共检出支原体阳性1672例，总阳性率为33．88％。其中Uu1514例、Mh47例、Uu合并Mh 111例，阳性检出率分别为30．68％、0．95％、2．25％；男性组Uu、Mh、Uu合并Mh的阳性检出率分别为12．47％、0．97％、1．01％，女性组Uu、Mh、Uu合并Mh的阳性检出率分别为46．28％、0．95％、3．3l％。支原体对司巴沙星、阿岐霉素的耐药率较高，分别为33．2％和52．3％、而对美满霉素、强力霉素耐药率较低，分别为6．1％和7，6％。结论 江门地区支原体感染以Uu为主，女性组Uu及Uu合并Mh的检出率高于男性组，支原体对美满霉素和强力霉素较为敏感。

Prevalence and drug resistance of Mycoplasma in patients with urogenital tract infection

Objective To probe the prevalence and drug resistance of Ureaplasma urealyticum(Uu)and Mycoplasma hominis(Mh) in patients with urogenital tract infection in Jiangmen City. Methods 4 935 patients with urogenital tract inflammation from July 2003 to June 2005 were included.The results of mycoplasma culture and drug sensitivity test were analyzed. Results 1 672 cases were positive for mycoplasma in the 4 935 patients.Among them,1 514(30.68%) were infected with Uu,47(0.95%) with Mh,and 111(2.25%) with mixed infection of Uu-Mh.The positive rates for Uu,Mh and mixed infection of Uu-Mh were 12.47%(284/2 277),0.97%(22/2 277) and 1.01%(23/2 277)in the male group,respectively.And that in female group were 46.28%(1 230/2 658),0.94%(25/2 658) and 3.31%(88/2 658),respectively.Compared with the male group,the infection rate of Uu and mixed infection of Uu-Mh was significantly higher in the female group(P<0.01),but there was no statistically significant difference in the detection rate of Mh between two groups(P>0.05).The resistance rates to sparfloxacin and azithromycin were high(33.2% and 52.3% respectively),and low to minomycin and doxycycline(6.1% and 7.6%,respectively). Conclusion Most of patients infected with mycoplasma Uu,the infection rate in female patients with Uu and mixed infections of Uu-Mh was higher than that of male patients,Mycoplasma is sensitive to minomycin and doxycycline in Jiangmen City.