354例女性生殖道支原体感染调查及药敏分析

目的了解本地区女性生殖道支原体感染情况及药敏现状。方法对妇科就诊的354例疑似非淋菌性尿道炎（NCU）患者进行生殖道分泌物支原体培养及药敏试验。结果454例疑似NCU患者共分离出支原体124株（35．0％），其中单纯UU感染100株（80．6％）；UU合并MH感染24株（19．4％）。UU对强力霉素与美满霉素敏感率分别为83．0％及88．0％。结论本地区女性生殖道支原体的感染主要以UU为主。支原体对9种抗生素出现不同程度的耐药现象。治疗支原体感染时，不能仅凭经验用药，必须作支原体的体外药敏试验分析，以便为治疗提供可靠依据，减少耐药菌株的发生。美满霉素和强力霉素可作为本地区治疗支原体感染的首选抗生素。

Investigation of 354 Cases of Female Genital Duct Mycoplasma Infection and Analyis of Drug Sensitive Test

Objective To study the mycoplasma infection of female genital duct and the drug sensitive test.Methods Genital duct secretion of 354 borderline cases with Non Gonococcal Urethritis(NGU)received mycoplasma culture and drug sensitive test.Results From the 354 borderline cases with NGU,124 strains of mycoplasma were sparated(35.0%),out of which,100 strains were pure UU infection(80.6%);There were 24 strains of UU infection complicated with MH infection(19.4%);The sensitive rates of UU to doxycycline and minocycline were 83.0% and 88.0% respectively.Conclusion The mycoplasma infection of female genital duct is mainly caused by UU;Mycoplasma is tolerant to 9 kinds of antibiotics at different degrees;Drug sensitive test in vitro should be given when treating mycoplasma infection so as to provide proper treatment and to decrease the occurrence of drug tolerant strains;Minocycline and doxycycline may be the first choice antibiotic for mycoplasma infection.