非淋菌性生殖道感染；解脲脲原体；人型支原体；耐药性；感染；药

河口区妇女生殖道支原体感染及耐药性分析

http://www.100md.com 《滨州医学院学报》 2006年第5期

非淋菌性生殖道感染；解脲脲原体；人型支原体；耐药性；感染；药敏,,非淋菌性生殖道感染；解脲脲原体；人型支原体；耐药性；感染；药敏,1资料与方法,2结果,3

     【摘要】目的了解河口区妇女生殖道感染者解脲脲原体(Uu)和人型支原体(Mh)感染及耐药情况，指导临床合理用药。方法对570例非淋菌性生殖道感染者进行支原体培养，并对阳性标本做10种抗生素药敏试验。采用支原体培养、鉴定、药敏一体化试剂盒进行检测。结果 ①570例生殖道感染者支原体感染阳性检出率为5421%，其中Uu单项感染(3140%)显著高于Mh单项(351%)或Uu、Mh混合感染(1930%)(χ2＝153906、22069，P<001)；②对10种抗生素的总敏感率和耐药率，Uu单项感染为465%、385%，Mh单项感染为485%、315%，Uu、Mh混合感染为373%、504%；③NOR、ENX和CP呈高耐药，其次为AZM、CLR、ROX、SPA、JOS、DOX和MIN；MIN、DOX和JOS呈高敏感，其次为SPA、CLR、ROX、AZM、CIP、ENX和NOR。高敏感和低耐药的药物是MIN(819%，113%)、DOX(725%，162%)和JOS(625%，207%)。结论非淋菌性生殖道感染支原体主要是Uu，显著高于Mh、Uu和Mh，MIN耐药率最低，NOR耐药率最高。MIN、DOX和JOS可作为该地区临床治疗生殖道支原体感染的首选和备选药。

    【关键词】非淋菌性生殖道感染；解脲脲原体；人型支原体；耐药性；感染；药敏

    Analysis of the Mycoplasma in fection for women's genital tract in Hekou and the mycoplasma's resistance

    YUAN Jingxia YANG Wendong

    Hekou District Service for Family Planning,257200

    【Abstract】 Objective To find out the situation of mycoplasma infection for women's genital tract in Hekou and guide the clinical medical medication.Methods 570 patients' who were suffered from nongonoloccal urethritis and plant mycoplasma in it.Meanwhile,chosed 10 sorts of antibiotics to make experiment about resistance.There were three means to make experiment which were mycoplasma's planting,identifying and allinone kit.Results ①The detectable rate of mycoplasma in the sample which were abstracted in 570 women's genital tract whom were suffered from nongonococcal ureth ratio is 5421%.There into,the monomial infection ratio (3130%) of Uu evidently higher than that of Mh (35%) and the mixed infection of Uu and Mh (1430%) (χ2＝153906,22069 P<001).②About the total sensitivity ratio and resistance ratio 10 antibiotics,that of the monomial infection of Uu were 465% and 385% ......

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