细菌性阴道病患者支原体的检测及药敏情况分析

目的了解细菌性阴道病（BV）患者支原体的感染状况及药敏结果，为临床提供诊断和治疗依据，指导临床合理用药。方法采用支原体分离培养药敏试剂盒对门诊就诊的595例BV患者进行支原体的分离培养和体外药敏分析。结果595例BV患者中解脲支原体（Uu）检出率为45．6％，人型支原体（Mh）和Uu混合感染检出率为6．3％。支原体对12种抗生素敏感性较高依次为：交沙霉素、强力霉素、美满霉素、四环素、克拉霉素、阿齐霉素。结论BV患者支原体感染率较高，检出率达51．9％，主要以Uu感染为主；Mh对药物敏感度影响较大；交沙霉素为支原体感染敏感度最高的药物；临床诊疗BV应进行支原体的检测及药敏分析，合理应用抗生素。

Detection of mycoplasma and analysis of the results of drug sensitive test in patients with bacteirial vaginosis

Objective To study the infection status of mycoplasma and the druy sensitivity in patients with bacteirial vaginosis. Methods The Myeoplasma ISE Test Kit was adopted to perform mycoplasma culture,ideniification and drug sensitivity test in 595 patients with BV. Results Ureaplasma urealyticum （Uu） was 45.6% and the mixed Uu and mycoplasma hominis（Mh） was 6.3% in the detection of 595 patients with BV. Sensitivity drug were josamycin,doxycychne,tetracycline, minocycline, clarithromycin and azithromycin. Conclusion The infection rate of mycoplasma in patient with BV is 51.9% ; the major is Uu; Mh influenced on drug sensitivity obviously; josamycin has the highest senstivity for mycoplasma infection. Clinical treatment and control mycoplasma infection should base on the differences of infection type and drugs sensitivity to select antibiotic.