女性生殖道支原体感染及其对常用抗生素的耐药性分析

目的了解女性生殖道支原体感染及耐药情况。方法应用支原体培养试剂盒进行检测,对580例支原体培养阳性结果进行分析。结果女性生殖道支原体感染阳性率44.96%,其中解脲支原体(UU)阳性占90.69%,人型支原体(MH)阳性占2.07%,UU-MH阳性占7.24%,对交沙霉素、左氧氟沙星、米诺环素耐药性较低,UU-MH混合感染耐药性增高,且有多重耐药性。结论本地区女性生殖道支原体感染宜用交沙霉素、左氧氟沙星、米诺环素治疗,支原体培养和药敏试验结果有助于指导临床合理用药。

A clinical analysis about drug resistance of female genital duct infection by ureaplasma

Objective:To investigate the status of infection and drug resistance of mycoplasma in female genital duct.Methods:Special agent kit was used and 580 specimens were analyzed with mycoplasma positive.Results:The positive rate of mycoplasma in female genital duct was 44.96%. The positive rate of ureaplasma urealyticum (Uu) alone was 90.69%, of mycoplasma hominis (Mh) alone was 2.07%, of Uu-Mh both was 7.24%, their resistance to josamycin, levofloxacin and minocyclin was lower, Uu-Mh showed higher and was resistant to multi antibiotics.Conclusion:Josamycin, levofloxacin and minocyclin are effective in the treatment of mycoplasma in female genital duct in this area. Culture and resistance monitoring of mycoplasma have an important significance in clinical chemotherapy.