泌尿生殖道支原体培养及药敏结果分析

目的探讨解脲脲支原体和人支原体在泌尿生殖道系统感染中的致病作用及其对抗生素的敏感情况。方法对989例泌尿生殖道系统感染患者进行支原体培养和10种抗生素药敏试验。结果989例患者中支原体阳性683例,感染率为69.1%,解脲脲支原体、人支原体以及解脲脲支原体 人支原体混合感染的阳性率分别为55.1%、2.2%和11.8%,女性感染率明显高于男性(P<0.01),支原体对10种抗生素敏感性最高的是多西环素94.1%,其次为阿奇霉素88.7%、交沙霉素86.1%、米诺环素84.9%、克拉霉素81.9%。结论泌尿生殖道系统感染患者支原体感染的阳性率为69.1%,主要由解脲脲支原体引起,占79.8%,应首选多西环素进行治疗。

Culturing of Urogenital Tract Mycoplasma and Its Susceptibility to Antibiotics

OBJECTIVE To explore the pathogenesis of Ureaplasma urealyticum(Uu) and Mycoplasma hominis(MH) in urogenital tract infection and their susceptibility to antibiotics. METHODS Mycoplasma culture was carried out with the samples of 989 cases and then the susceptibility to 10 kinds of antibibtics was detected on positive samples. RESULTS From 989 cases 683 were infected with mycoplasma,the total positive rate was 69.1%,the positive rates of Uu,MH and their mixed infection were 55.1%,2.2% and 11.8%,respectively.The positive rate of female was higher than of male(P<0.01).The most sensitive antibiotics were DOX(94.1%),AZM(88.7%),JOX(86.1%),MIN(84.9%) and CLA(81.9%). CONCLUSIONS Mycoplasma infection rate is 69.1% in urogenital tract infection.The major mycoplasma is Uu 79.8%.DOX may be the first choice of drug to treat mycoplasma infection.