中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
10期
88-89,90
,共3页
支原体%泌尿生殖道%耐药性
支原體%泌尿生殖道%耐藥性
지원체%비뇨생식도%내약성
Mycoplasma%Urogenital tract%Drug resistance
目的：了解襄阳地区泌尿生殖道支原体感染情况及其对12种抗生素药敏的情况，为临床合理用药提供依据。方法：采用支原体培养、鉴定、药敏一体化试剂盒对986例患者标本进行支原体培养及药敏试验。结果：培养出支原体阳性标本490例，检出率为49.7%，其中解脲支原体（Uu）阳性451例，检出率为45.7%，人型支原体5例，检出率为0.5%，解脲支原体合并人型支原体阳性34例，检出率为3.4%；女性患者阳性检出率为46.6%（460/986），男性患者阳性检出率为3.0%（30/986）；对12种抗菌药物的敏感率分别为交沙霉素91.0%、强力霉素91.0%、美满霉素91.6%、四环素70.5%、左氧沙星10.7%、环丙沙星2.0%、红霉素8.8%、氧氟沙星18.6%、罗红霉素33.4%、阿齐霉素24.1%、克拉霉素39.0%、司巴沙星27.6%。结论：襄阳地区支原体感染率较高，以女性为主，病原体以Uu感染为主，混合感染也不能忽视，并且对多种抗生素产生耐药性，临床医师应根据药敏实验结果合理使用抗菌药，以控制耐药率的进一步上升，提高疗效。
目的：瞭解襄暘地區泌尿生殖道支原體感染情況及其對12種抗生素藥敏的情況，為臨床閤理用藥提供依據。方法：採用支原體培養、鑒定、藥敏一體化試劑盒對986例患者標本進行支原體培養及藥敏試驗。結果：培養齣支原體暘性標本490例，檢齣率為49.7%，其中解脲支原體（Uu）暘性451例，檢齣率為45.7%，人型支原體5例，檢齣率為0.5%，解脲支原體閤併人型支原體暘性34例，檢齣率為3.4%；女性患者暘性檢齣率為46.6%（460/986），男性患者暘性檢齣率為3.0%（30/986）；對12種抗菌藥物的敏感率分彆為交沙黴素91.0%、彊力黴素91.0%、美滿黴素91.6%、四環素70.5%、左氧沙星10.7%、環丙沙星2.0%、紅黴素8.8%、氧氟沙星18.6%、囉紅黴素33.4%、阿齊黴素24.1%、剋拉黴素39.0%、司巴沙星27.6%。結論：襄暘地區支原體感染率較高，以女性為主，病原體以Uu感染為主，混閤感染也不能忽視，併且對多種抗生素產生耐藥性，臨床醫師應根據藥敏實驗結果閤理使用抗菌藥，以控製耐藥率的進一步上升，提高療效。
목적：료해양양지구비뇨생식도지원체감염정황급기대12충항생소약민적정황，위림상합리용약제공의거。방법：채용지원체배양、감정、약민일체화시제합대986례환자표본진행지원체배양급약민시험。결과：배양출지원체양성표본490례，검출솔위49.7%，기중해뇨지원체（Uu）양성451례，검출솔위45.7%，인형지원체5례，검출솔위0.5%，해뇨지원체합병인형지원체양성34례，검출솔위3.4%；녀성환자양성검출솔위46.6%（460/986），남성환자양성검출솔위3.0%（30/986）；대12충항균약물적민감솔분별위교사매소91.0%、강력매소91.0%、미만매소91.6%、사배소70.5%、좌양사성10.7%、배병사성2.0%、홍매소8.8%、양불사성18.6%、라홍매소33.4%、아제매소24.1%、극랍매소39.0%、사파사성27.6%。결론：양양지구지원체감염솔교고，이녀성위주，병원체이Uu감염위주，혼합감염야불능홀시，병차대다충항생소산생내약성，림상의사응근거약민실험결과합리사용항균약，이공제내약솔적진일보상승，제고료효。
Objective:To understand the effect of Xiangyang genitourinary tract mycoplasma infection and its drug sensitivity to 12 antibiotics,in order to provide basis for clinical rational drug use. Method:The mycoplasma culture, identification,drug sensitivity kit of mycoplasma culture and drug sensitivity tests were used in 986 cases of specimens. Result:490 cases of mycoplasma was positive samples,the positive rate was 49.6%,the ureaplasma urealyticum(Uu)was positive in 451 cases,the positive rate was 45.7%,5 cases of mycoplasma hominis,the detection rate was 0.5%,ureaplasma urealyticum and mycoplasma hominis positive in 34 cases,the positive rate was 3.4%;female patients’s positive rate were 46.6%(460/986),the positive rate was 3%(30/986)in male patients. The sensitive rate of 12 kinds of antibiotics were josamycin 91.0%,doxycycline 91.0%,minocycline 91.6%,tetracycline 70.5%,levofloxacin 10.7%,ciprofloxacin 2.0%, erythromycin 8.8%,ofloxacin 18.6%,roxithromycin 33.4%,azithromycin 24.1%,clarithromycin 39.0%,sparfloxacin 27.6%. Conclusion:Xiangyang area mycoplasma infection rate is high,the infection rate is 49.7%,mainly in the female is much,pathogens in UU infection,mixed infection can not be ignored,and resistant to many antibiotics,clinicians should be based on the result of drug sensitivity test of the rational use of antimicrobial drugs to control system,a further rise in resistance rate,improve the curative effect.
