秦皇岛市泌尿生殖道感染患者沙眼衣原体、淋球菌及解脲支原体感染现状分析

目的 为泌尿生殖道感染的临床诊断和治疗用药提供参考.方法 选取秦皇岛市第一医院和海港医院门急诊2016年至2019年就诊的泌尿生殖系统感染及有高危接触史患者12376例,采用聚合酶链式反应(PCR)法检测沙眼衣原体(CT)、淋球菌(NG),培养解脲支原体(UU)并进行药物敏感性试验.结果 12376例送检样品中,检出病...

Current Status of Chlamydia Trachomatis,Neisseria Gonorrhoeae and Ureaplasma Urealyticum Infection in Patients with Urogenital Infections in Qinhuangdao City

Objective To provide a reference for the clinical diagnosis and treatment of urogenital infections.Methods A total of 12376 patients with urogenital infection and high-risk exposure history were selected from the outpatient and emergency department of the First Hospital of Qinhuangdao and Qinhuangdao Haigang Hospital from 2016 to 2019.Chlamydia trachomatis(CT)and Neisseria gonorrhoeae(NG)were detected by the polymerase chain reaction(PCR)method,ureaplasma urealyticum(UU)was cultured,and the drug sensitivity test was carried out.Results Among the 12376 samples,5115 pathogens were detected,and the positive rate was 41.33%(34.93%of male,57.32%of female).The detection rates of UU,NG and CT were 28.11%,6.64%and 6.58%,respectively.A total of 3479 strains of UU were isolated,accounting for 68.02%.UU had relatively high sensitivity to josamycin,doxycycline,pristinamycin and clarithromycin(>90%),and low sensitivity to ciprofloxacin and ofloxacin(<20%),and its drug resistance to ofloxacin,ciprofloxacin,tetracycline and azithromycin increased year by year.Conclusion Among the pathogens in urogenital system infection,the mycoplasma infection rate is the highest,followed by CT and NG infection.In the clinical treatment of urogenital diseases caused by mycoplasma infection,drugs should be selected according to the results of the drug sensitivity test.