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南京地区性病门诊患者生殖道支原体流行病学调查及药敏试验分析
作者:何君 文萍 蔡卫华  
单位:南京市CDC皮肤病性病专科医院
关键词:泌尿生殖道     解脲脲原体   人型支原体   药物敏感性试验 
分类号:
出版年·卷·期(页码):2011·30·第五期(758-761)
摘要:

【摘要】目的:为了对临床医生科学诊断支原体感染型非淋菌性尿道炎/宫颈炎(简称NGU)和合理用药提供依据,作者对南京地区性病门诊患者支原体感染现状和药物敏感状况做了流行病学调查。方法:对2008年1月-2010年12月南京性病门诊1178例疑似NGU的就诊患者取生殖道分泌物通过解脲脲原体和人型支原体培养、计数、药敏试剂盒进行检测。结果:支原体培养结果:1178位患者中检出529例解脲脲原体(Uu),检出率为44.9%,190例人型支原体(Mh),检出率为16.1%,Uu+Mh174例,检出率为14.8%;年龄分布以20-40岁的性活跃人群支原体阳性率最高,约占总检出率的70.3%;在解尿支原体阳性患者中,男女比例约为1:2。药物敏感性试验结果:支原体敏感性较好的药物是美满霉素(MIN),强力霉素(DOX)和交沙霉素(JOS);耐药率较高的是氧氟沙星(OFL)和罗红霉素(ROX)。结论:泌尿生殖道支原体感染主要是Uu,女性高于男性,以20-40岁性活跃人群居多;药物试验结果,大多数支原体对美满霉素(MIN),强力霉素(DOX)敏感,这两种药可作为治疗性病门诊支原体感染型患者的首选药物。临床医生应该重视NGU患者的支原体检测和药物敏感性试验,这样可以指导临床医生科学诊断支原体感染型NGU和合理用药,以最大限度地控制耐药菌株的产生。

【Abstract】 Objective: In order to diagnose non-gonococcal urethritis / cervicitis (referred to as NGU) with mycoplasma infections for clinicians scientificly and provide the basis for rational drug use, author investigated epidemiological status and the analysis of drug sensitivity test for genital mycoplasma of STD outpatients in Nanjing. Methods:Genitourinary tract secretion of 1178 cases who were suspected patients with NGU of STD outpatients in Nanjing from January 2008 to December 2010 was tested by Ureaplasma urealyticum and Mycoplasma hominis culture, counting, drug sensitivity reagent box testing. Results: Mycoplasm culturing result show: among the 1178 cases,Ureaplasma urealyticum(Uu) positive was detected in 529 cases, with a infection rate reaching 44.9%, mycoplasma hominis (Mh) positive was detected in 190 cases, with a infection rate reaching 16.1%, Uu + Mh positive was detected in 174 cases, with a infection rate reaching 14.8%; Age distribution on 20-40 sexually active crowd incidence highest, around 70.3% ; the sex ratio (male:female)is 1:2. Drug sensitivity test result show: The highest sensitivity of mycoplasma to eight kinds of antibiotics is minocycline (MIN),secondly is doxycycline (DOX), thirdly is josamycine (JOS). The highest resistance of mycoplasma is ofloxacin (OFL), secondly is roxithromycin (ROX). Conclusions: Genitourinary tract pathogen of STD outpatients with mycoplasma infections is mainly Uu, higher in women than men,the majority of 20-40 year-old sexually active population. Drug test result show that minocycline (MIN),doxycycline (DOX) can be regarded as firstchoice for the treatment of mycoplasma infection. Paying attention to NGU pathogen detection and drug sensitivity test is rather important for doctor diagnosis scientificly and rational drug treatment, utmost ground control of drug resitant inclinical guidelines is extremely important.

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