摘要
目的探讨女性泌尿生殖道支原体感染的检测方法及临床常用抗生素耐药情况。方法采集我院妇科门诊疑似非淋菌性尿道炎患者泌尿生殖道标本,行支原体检测及常用抗生素耐药性试验,分析支原体检测检出率及耐药情况。结果 UU阳性率显著高于MH及UU、MH混合感染阳性率,差异有统计学意义(P<0.05)。支原体对红霉素耐药率显著高于其他药物耐药率,差异有统计学意义(P<0.05)。支原体对交沙霉素耐药率显著低于其他药物耐药率,差异有统计学意义(P<0.05)。结论临床需行支原体培养及药敏试验,根据试验结果选择高敏的抗菌药物,尽量做到合理、足量、规范用药,并对支原体药敏行动态监测,方可指导临床合理用药。
Objective To investigate detection methods of mycoplasma infection in the genitourinary tract of women and drug resistance to clinical commonly used antibiotics. Methods Genitourinary tract specimens were collected from patients with suspected nongonococcal urethritis in the Department of Gynecology. Mycoplasma detec- tion and analysis of drug resistance to commonly used antibiotics were performed. The Mycoplasma detection rate and drug resistance were analyzed. Results The positive rate of Uu was significantly higher than that of Mh and that of Mh＋Uu （P〈0.05）. The resistance of Mycoplasma to erythromycin were significantly higher than other antibiotics test- ed （P〈0.05）. The resistance of Mycoplasma to josamycin was significantly lower than other drug antibiotics tested （P〈0.05）. Conclusion It is recommended to choose highly sensitive antibiotics for treatment in clinical prac- tice based on the results of Mycoplasma culture and drug sensitive test combined with the dynamic monitoring of the drug resistance of Mycoplasma, thus achieving the reasonable, sufficient and standard application of antibiotics.
出处
《海南医学》
CAS
2012年第24期98-100,共3页
Hainan Medical Journal
关键词
泌尿生殖道
支原体
检测
耐药性
Genitourinary tract
Mycoplasma
Detection
Drug resistance
作者简介
蔡叶琴（1971-），女，广东省深圳市人，副主任技师，本科。
