非淋菌性尿道炎支原体的检测及药敏试验

目的：了解非淋菌性尿道炎(NGU)支原体感染及药物敏感情况。方法：应用泌尿生殖道支原体药敏试剂盒对186例疑为，NGU患者的尿道或宫颈分泌物进行检测和药敏试验。结果：支原体培养阳性88例，阳性率为47．31％，其次解脲支原体(Uu)阳性47例，阳性率为25．27％。药敏试验结果表明支原体对交沙霉素、阿奇霉素、强力霉素、罗红霉素最敏感，敏感率分别为97．7％、96．6％、94．3％、90．9％．其次为泰利必妥、美满霉素、诺氟沙星、螺旋霉素、红霉素，敏感率分别为88．6％、87．5％、80．7％、73．9％、72．7％。敏感性最低为四环素67．O％其耐药率为33．O％。结论：临床治疗支原体感染引起的非淋菌性尿道炎最好选用交沙霉素、阿奇霉素、强力霉素、罗红霉素。不宜选用四环素。

Detection and Analysis of Antibiotic Sensitivity Spectrm for Mycoplasma from STDS Groups

Objective To understand the mycoplasma infection and drug resistance of mycoplasma from the urogenital samples of STD patients.Methods Mycoplasma detection kit was used to detect mycoplasma and its sensitivity to different antibiotics in 186 cases suspected with nongonococcal urethritis (NGU). Results 88 cases were mycoplasma positive (47 73%). 47 cases were Ureaplasma urealytcum(Uu) positive (25 27%). The cultured mycoplasma was sensitive to josamycin (97 7%), azithromycin (96 6%), doxycycline (94 3%), roxithromycin (90 9%), ofloxacin (88 6%), minocyclin (87 5%), norfloxacin (80 7%), spirmycin (73 9%), erythromycin (72 7%), and tetracycline (67%). Conclusion Josamycin, azithromycin, doxycycline, and roxithromycin should be chosen to treat mycoplasma infection in the first trial. Tetracycline should not be chosen for the treatment of mycoplasma infection.