中国实用乡村医生杂志
中國實用鄉村醫生雜誌
중국실용향촌의생잡지
CHINESE PRACTICAL JOURNAL OF RURAL DOCTOR
2014年
15期
59-61
,共3页
支原体%药敏试验%生殖道%多重耐药
支原體%藥敏試驗%生殖道%多重耐藥
지원체%약민시험%생식도%다중내약
mycoplasma%drug sensitivity assay%genitourinary tract%multiple drug resistance
目的：分析15610例泌尿生殖道感染患者支原体感染率和药敏试验结果及其变化趋势。方法对15610例泌尿生殖道感染患者进行支原体培养及12种抗生素的体外药敏试验。结果15610例患者中，支原体阳性8856例，阳性率56.73%，其中解脲支原体阳性6846例(77.30%)、人型支原体阳性83例(0.94%)、解脲支原体+人型支原体混合阳性1927例(21.76%)。女性感染率明显高于男性，差异有统计学意义(P＜0.001)。2009-2013年支原体感染率分别为54.34%、56.16%、56.54%、59.38%、57.07%。支原体感染率以＜20岁年龄段最高，达66.30%。药敏试验结果显示，解脲支原体、解脲支原体+人型支原体对交沙霉素敏感性最高，分别为91.39%、71.82%；人型支原体对强力霉素最敏感，达97.01%。12种抗生素中全耐药者101例。结论支原体感染趋向年轻化，且多重耐药情况严重，应采取积极措施，通过药敏试验结果指导临床合理用药，减少耐药株的产生。
目的：分析15610例泌尿生殖道感染患者支原體感染率和藥敏試驗結果及其變化趨勢。方法對15610例泌尿生殖道感染患者進行支原體培養及12種抗生素的體外藥敏試驗。結果15610例患者中，支原體暘性8856例，暘性率56.73%，其中解脲支原體暘性6846例(77.30%)、人型支原體暘性83例(0.94%)、解脲支原體+人型支原體混閤暘性1927例(21.76%)。女性感染率明顯高于男性，差異有統計學意義(P＜0.001)。2009-2013年支原體感染率分彆為54.34%、56.16%、56.54%、59.38%、57.07%。支原體感染率以＜20歲年齡段最高，達66.30%。藥敏試驗結果顯示，解脲支原體、解脲支原體+人型支原體對交沙黴素敏感性最高，分彆為91.39%、71.82%；人型支原體對彊力黴素最敏感，達97.01%。12種抗生素中全耐藥者101例。結論支原體感染趨嚮年輕化，且多重耐藥情況嚴重，應採取積極措施，通過藥敏試驗結果指導臨床閤理用藥，減少耐藥株的產生。
목적：분석15610례비뇨생식도감염환자지원체감염솔화약민시험결과급기변화추세。방법대15610례비뇨생식도감염환자진행지원체배양급12충항생소적체외약민시험。결과15610례환자중，지원체양성8856례，양성솔56.73%，기중해뇨지원체양성6846례(77.30%)、인형지원체양성83례(0.94%)、해뇨지원체+인형지원체혼합양성1927례(21.76%)。녀성감염솔명현고우남성，차이유통계학의의(P＜0.001)。2009-2013년지원체감염솔분별위54.34%、56.16%、56.54%、59.38%、57.07%。지원체감염솔이＜20세년령단최고，체66.30%。약민시험결과현시，해뇨지원체、해뇨지원체+인형지원체대교사매소민감성최고，분별위91.39%、71.82%；인형지원체대강력매소최민감，체97.01%。12충항생소중전내약자101례。결론지원체감염추향년경화，차다중내약정황엄중，응채취적겁조시，통과약민시험결과지도림상합리용약，감소내약주적산생。
Objective To investigate the infection rate of mycoplasma in 15 610 cases with genitourinary tract infection and the trend of drug sensitivity assay.Methods The mycoplasma culture and drug susceptibility for 12 kinds of antibiotics were performed in 15 610 patients with genitourinary tract infection. ResultsThe positive rate of mycoplasma was 56.73%(8 856/15 610). Ureaplasma urea-lyticum positive rate was 77.30%(6 846/8 856), mycoplasma hominis positive rate was 0.94%(83/8 856), ureaplasma urea-lyticum and mycoplasma hominis double positive rate was 21.76%(1 927/8 856). The infection rate of female was signiifcantly higher than that of male(P<0.001). The infection rate of 2009 to 2013 were 54.34%, 56.16%, 56.54%, 59.38%, and 57.07%. The highest infection rate was the patients younger than 20 years old(66.3%). The results of drug sensitivity assay revealed that the highest sensitivity to josamycin were ureaplasma urea-lyticum(91.39%) and ureaplasma urea-lyticum+mycoplasma hominis(71.82%). The most sensitivity for mycoplasma hominis was vibramycin(97.01%). There were 101 cases resistant to the all 12 kinds of antibiotics. Conclusion More and more young people get mycoplasma infection, and the multi-drug resistance became very serious. Actions should be taken to reduce the drug resistance and make the clinical drug using reasonable by drug sensitivity assay.
