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泌尿生殖道感染患者支原体培养结果及耐药性分析

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[目的]分析本院泌尿生殖道感染患者支原体培养结果及耐药性.[方法]检测本院收治的188例泌尿生殖道感染患者的泌尿生殖道分泌物,分析其支原体感染和相关药敏情况.[结果]188例支原体培养标本中,阳性率为44.68%(84/188),男16例,女68例.其中单独感染解脲支原体(Uu)患者63例(33.51%),单独感染人型支原体(Mh)6例(3.19%),Uu+Mh混合感染15例(7.98%).女性单独感染Uu阳性率高于男性(P<0.05),男、女单独感染Mh及Uu+Mh混合感染阳性率比较,差异无统计学意义(P>0.05).84例阳性患者中,以20~30岁占比最高(34.12%),31~40岁(16.87%)其次,<20岁(7.62%)与>50岁(8.52%)者相对较少,男性与女性各年龄感染阳性率比较,差异均无统计学意义(P>0.05).63例单独感染Uu的标本对美满霉素、强力霉素、克拉霉素和交沙霉素的敏感度较高,对司帕沙星耐药性最高,克林霉素其次;6例单独感染Mh的标本敏感度较高的抗生素为交沙霉素、美满霉素,对罗红霉素、克拉霉素、阿奇霉素、红霉素耐药性最高;15例Uu+Mh混合感染的标本敏感度较高的抗生素为美满霉素、强力霉素,对罗红霉素、红霉素、阿奇霉素耐药性最高.[结论]本院支原体感染以Uu为主,多见于20~30女性,敏感度较高的抗生素为美满霉素、强力霉素和交沙霉素.
Mycoplasma Culture Results and Antimicrobial Resistance Analysis in Patients with Urinary and Genital Tract Infections
[Objective]To understand and analyze the mycoplasma culture results and antimicrobial resistance of pa-tients with urinary and genital tract infections in our hospital.[Methods]The secretions from the urinary and genital tracts of 188 patients who were treated in our hospital were tested the mycoplasma infection and analyze the related drug sensi-tivity.[Results]Among 188 mycoplasma culture specimens,the positive rate was 44.68%(84/188),with 16 males and 68 females.Of these,63 cases(33.51%)were solely infected with Ureaplasma urealyticum(Uu),6 cases(3.19%)were sole-ly infected with Mycoplasma hominis(Mh),and 15 cases(7.98%)had co-infection with Uu and Mh.The rate of Uu in-fection alone was higher in females than in males(P<0.05).No significant difference was found in the rate of infection with Mh alone or co-infection with Uu and Mh between males and females(P>0.05).Among the 84 positive cases,the highest proportion was in the age of 20-30 group(34.12%),followed by the age of 31-40 group(16.87%),with fewer cases in the age<20 group(7.62%)and>50 group(8.52%).There was no significant difference in the positive rate of infection across age groups between males and females(P>0.05).Among the 63 cases solely infected with Uu,higher antibiotic sensitivity was observed for minocycline,doxycycline,clarithromycin,and josamycin,with the highest resist-ance to sparfloxacin,followed by clindamycin.For the 6 cases solely infected with Mh,higher sensitivity was found to josamycin and minocycline,with the highest resistance to roxithromycin,clarithromycin,azithromycin,and erythromy-cin.For the 15 cases of co-infection with Uu and Mh,higher sensitivity was found to minocycline,doxycycline,with the highest resistance to roxithromycin,erythromycin,and azithromycin.[Conclusion]Mycoplasma infection in our hospital is predominantly by Uu,most commonly seen in women aged 20-30,which is antibiotic sensitive to minocycline,doxycyc-line,and josamycin.

Urogenital System/MIMycoplasma InfectionsDrug Tolerance

孙志刚、江武松、吴靓菲、薛佳丽、易本喜、严洁萍、姜玮璐、唐佳叶

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上海市金山区中西医结合医院检验科,上海 201501

泌尿生殖系统/微生物学 支原体感染 药物耐受性

上海市金山区中西医结合医院科研课题

2022-6

2024

医学临床研究
湖南省医学会

医学临床研究

影响因子:0.595
ISSN:1671-7171
年,卷(期):2024.41(6)
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