林金煌, 周丽清, 黄文华. 泌尿生殖道支原体感染2456例培养及药敏结果分析[J]. 疾病监测, 2008, 23(12): 745-747. DOI: 10.3784/j.issn.1003-9961.2008.12.745
引用本文: 林金煌, 周丽清, 黄文华. 泌尿生殖道支原体感染2456例培养及药敏结果分析[J]. 疾病监测, 2008, 23(12): 745-747. DOI: 10.3784/j.issn.1003-9961.2008.12.745
LIN Jin-huang*, ZHOU Li-qing, HUANG Wen-hua. Culture and drug susceptibility results of 2456  cases of genitourinary tract infection with Mycoplasma[J]. Disease Surveillance, 2008, 23(12): 745-747. DOI: 10.3784/j.issn.1003-9961.2008.12.745
Citation: LIN Jin-huang*, ZHOU Li-qing, HUANG Wen-hua. Culture and drug susceptibility results of 2456  cases of genitourinary tract infection with Mycoplasma[J]. Disease Surveillance, 2008, 23(12): 745-747. DOI: 10.3784/j.issn.1003-9961.2008.12.745

泌尿生殖道支原体感染2456例培养及药敏结果分析

Culture and drug susceptibility results of 2456  cases of genitourinary tract infection with Mycoplasma

  • 摘要: 目的 了解福建莆田地区泌尿生殖道支原体的感染状况,分析解脲支原体和人型支原体对不同药物的敏感性。 方法 用解脲支原体和人型支原体培养鉴别定量药敏试剂盒进行检测,当有解脲支原体(Uu)和人型支原体(Mh)生长时,尿素与精氨酸被分解, pH值上升, 培养基由黄变红即阳性; 培养基内含有混合抗生素, 能抑制革兰阳性(G+)和革兰阴性(G-)细菌及真菌生长即敏感。 结果 5260例受检患者支原体培养总的阳性2456人份(46.7%)。其中Uu阳性1343人份(25.5%),Mh阳性635人份(12.1%),Uu+Mh混合阳性478人份9.1%。男、女性患者的阳性率分别为23.8%和56.4%。支原体对药物敏感率较高的药物依次是交沙霉素(88.9%)、美满霉素(75.3%)、强力霉素(72.3%);耐药率较高的是罗红霉素(65.6%)、阿奇霉素(55.3%)、林可霉素(51.1%)。 结论 本地区支原体检出总的阳性率与国内其他地区报道接近,女性患者的阳性率比其他地区偏高,女性患者检出阳性率比男性高。解脲支原体感染对抗生素敏感率较高的依次为交沙霉素、美满霉素。人型支原体感染对抗生素敏感率较高的依次为美满霉素、交沙霉素。

     

    Abstract: Objective The study was conducted to investigate the current status of genitourinary tract infection with Mcoplasma in Putian city, Fujian province, and evaluate the drug susceptibilities of Ureaplasma urealyticum (Uu) and Mycoplasma hominis (Mh) to different antibiotics. Methods Drug susceptibility test of cultured Uu and Mh were performed by using quantitative testing kits. Growth of Uu and Mh could lead to the decomposition of urea and arginine elevated pH, and change the colour of medium from yellow to red, which indicated positive results. Antibiotics in the medium which could inhibit the growth of gram-positive (G+) and gram-negative (G-) bacteria as well as fungus were with susceptibility. Results A total of 2456 strains of Mycoplasma (46.7%) were cultured among 5260 subjects, including 1343 strains of Uu (25.5%) and 635 strains of Mh (12.1%), 478 strains of Uu+Mh (9.1%). The positive rates of men and women were 23.8% and 56.4%, respectively. Mycoplasma were found highly sensitive to josamycin (88.9%), minocycline (75.3%), and doxycycline (72.3%), and resistant to roxithromycin (65.6%), azithromycin (55.3%), and lincomycin (51.1%). Conclusion The local positive rate of Mcoplasma infection was similar to that in other part of the country, but with significant higher positive rates in women, and the positive rate in women was higher than that in men. Uu was sensitive to Josamycin and minocycline in turn, while Mh was sensitive to minocycline and josamycin.

     

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