泌尿生殖道分离支原体及其耐药性
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侯铁英

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R691.3

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Isolation and antimicrobial resistance of Mycoplasma from urogenital tract
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    摘要:

    目的了解某地区泌尿生殖道分离支原体及其药敏情况,为临床合理治疗提供依据。方法对2008—2014年该院57 904例门诊患者泌尿生殖道标本进行解脲脲原体(Uu)和人型支原体(Mh)培养、鉴定及药敏试验。结果57 904例泌尿生殖道感染患者,21 614例(37.33%)培养阳性,女性支原体分离率为42.14%(18 917/44 889),男性为20.72%(2 697/13 015);支原体培养阳性人群主要集中在21~40岁。Uu、Mh 混合感染患者中,以Uu≥104 CFU/mL、Mh<104 CFU/mL的感染组合占相对优势(69.35%)。药敏结果显示支原体对多西环素、交沙霉素、四环素的耐药率较低(<10%);Mh培养阳性者对多西环素、红霉素、克拉霉素、罗红霉素的耐药率均高于仅Uu培养阳性者,差异有统计学意义(均P<0.05)。结论门诊患者中支原体感染/携带率女性高于男性, Uu和Mh的药敏谱不一致,交沙霉素和多西环素可作为治疗支原体感染非淋菌性尿道(宫颈)炎的首选药物。

    Abstract:

    ObjectiveTo explore the isolation and antimicrobial susceptibility of Mycoplasma from urogenital tract, and provide the basis for rational clinical treatment.MethodsUrogenital tract specimens from 57 904 outpatients in a hospital between 2008 and 2014 were performed Ureaplasma urealyticum (Uu) and Mycoplasma hominis(Mh) culture, identification, and antimicrobial susceptibility testing.ResultsOf 57 904 patients with urogenital infection,21 614 (37.33%) had positive culture for Mycoplasma, isolation rate of Mycoplasma in female and male were 42.14% (18 917/44 889)and 20.72% (2 697/13 015)respectively; Mycoplasma was mainly isolated from population of 21-40 years old; Uu≥104 CFU/mL and Mh<104 CFU/mL mixed infection was common(69.35%). The resistance of Mycoplasma to doxycycline, josamycin, and tetracycline were all low(<10%); resistance rates of Mh to doxycycline, erythromycin, clarithromycin, and roxithromycin were all significantly higher than Uu (all P<0.05).ConclusionMycoplasma infection/carriage rate in female outpatients is significantly higher than male outpatients, antimicrobial profile of Uu is different from Mh, josamycin and doxycycline can be as the first choice for treatment of nongonococcal urethritis (cervicitis) caused by Mycoplasma.

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刘素玲,侯铁英.泌尿生殖道分离支原体及其耐药性[J]. 中国感染控制杂志,2015,14(12):821-823. DOI:10.3969/j. issn.1671-9638.2015.12.008.
LIU Suling, HOU Tieying. Isolation and antimicrobial resistance of Mycoplasma from urogenital tract[J]. Chin J Infect Control, 2015,14(12):821-823. DOI:10.3969/j. issn.1671-9638.2015.12.008.

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  • 收稿日期:2015-03-25
  • 最后修改日期:2015-06-23
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  • 在线发布日期: 2015-12-30
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