海口地区患者泌尿生殖道感染病原谱及其耐药现状

目的 调查海口地区患泌尿生殖道感染病原谱及其耐药现状。方法 采集近期海口地区门诊及住院病人泌尿生殖道标本185份，同时进行一般致病菌、淋球菌、解脲脲原体、人型支原体和衣原体的分离培养鉴定及药敏试验。结果 一般致病菌、解尿脲脲原体、人型支原体和衣原体的阳性检出率分别为：54．08％、32．40％、27．00％和8．11％。解脲脲原体耐药率最低的是美满霉素(3．3％)，最高是壮观霉素(50．0％)；人型支原体耐药率最低的是强力霉素(2．0％)，最高是壮观霉素(48．5％)。主要致病菌金黄色葡萄球菌耐药率最低的是丁胺卡那霉素(15.4％)，最高是青霉素(100．0％)。结论 海口地区患泌尿生殖道感染病原谱广，其耐药率高。临床治疗应依药敏试验用药才能取得满意疗效。

The Pathogenes Of genitourinary Tract Infection and the resistant status of the pathogens to antibiotics in Haikou City.

Objective to investigate the pathogenes of Genitourinary tract infection and their drug-resistance status at Haikou city area. Methods in recent,We have Collected 185 sample of Genitourinary tract from the outpatient and inpatient at the Haikou city area. With them, the general pathogenic bacteria ,Neisseria gonorrhorae, Ureaplasma urealyticum, Mycoplasma hominis and Chlamydiae trachomatis D-K serum type have been isolated and the isolates have been tested for drug-sensitivity.Results positive-isolate-rate of general pathogenic bacteria, U.urealyticum,M.hominis and C.trachomatis D-K serum type are 54.08%,32.40%,27.40% and 8.11% respectively .To the U.urealyticum, the Minocycline has the lowest resistance-rate (3.3%)and the spectinomycin has the highest resistance-rate(50%);to the M.hominis,Doxycyclne has the lowest(2.0%) and also spectinomycin is the highest(48.5%).To the primary pathogenic bacterium, Staphylococcus aureus, the Amikacin has the lowest resistance-rate(15.4%),all the isolates of S.aureus are resistant to the Penicillin.Conclusion At the Haikou city area, the pathogen table of Genitourinary tract infection is broad and mast of them have a high resistant-rate to the drugs which usually used in clinic. Only if use the drugs basing on the drug-sensitivity-test, could the best curative effect got.