摘要
目的了解上海地区性病门诊患者泌尿生殖道支原体感染及耐药情况,指导临床合理用药。方法采集795例男性尿道、女性宫颈分泌物标本,进行支原体培养、鉴定和药敏试验。结果795例性病门诊患者中支原体培养总阳性率41.25%(328/795),其中解脲支原体(Ureaplasmaurealyticum,Uu)、人型支原体(Mycoplasma hominis,Mh)及Uu+Mh混合感染的阳性率分别为29.81%(237/795)、2.01%(16/795)及9.43%(75/795)。药敏结果显示:支原体对交沙霉素耐药性最低,对环丙沙星耐药性最高。结论上海地区性病门诊患者中支原体感染率高,以Uu为主;首选药物为交沙霉素:支原体培养和药敏试验对指导临床合理用药具有较重要意义。
Objective To investigate the status of urogenital Mycoplasma infection among STD clinic patients in Shanghai and determine the susceptibility of mycoplasma to antibiotics for guiding reasonable treatment.Methods Specimens from male urethra,female cervical secretion in 795 cases were collected for mycoplasma culture,identification and antibiotic susceptibility test.Results The prevalence of Mycoplasma was 41.25%(328/795);the positive rate of Ureaplasma urealyticum(Uu),Mycoplasma hominis(Mh) and Uu + Mh mixed infection was 29.81%(237/795),2.01%(16/795),9.43%(75/795),respectively.Drug susceptibility results showed:Mycoplasma on Josamycin resistance is the lowest,the highest resistance to ciprofloxacin.Conclusion The percentage of the mycoplasma infection in STD outpatients of our hospital is 41.25%.Uu infection is the highest.Josamycin is the optimal first-line therapeutic agent for Mycoplasma infection in Shanghai.It is very important to perform Mycoplasma culture and susceptibility test in guiding the clinical rational administration of the antibiotics.
出处
《实用皮肤病学杂志》
2009年第2期81-83,共3页
Journal of Practical Dermatology
