实用检验医师杂志
實用檢驗醫師雜誌
실용검험의사잡지
Chinese Journal of Laboratory Pathologist
2015年
2期
100-103
,共4页
王鹏%泰淑红%邵艳%贾莉婷
王鵬%泰淑紅%邵豔%賈莉婷
왕붕%태숙홍%소염%가리정
解脲脲原体%人型支原体%感染率%耐药性%泌尿生殖道
解脲脲原體%人型支原體%感染率%耐藥性%泌尿生殖道
해뇨뇨원체%인형지원체%감염솔%내약성%비뇨생식도
Ureaplasma urealyticum%Mycoplasma hominis%Infection rate%Drug resistance%Urogenital tract
目的:了解郑州地区泌尿生殖道支原体感染及耐药状况。方法收集2012年7月至2013年6月于我院进行泌尿生殖道支原体检测的患者13331例,根据患者年龄分为≤18岁组、19~30岁组、31~40岁组、41~50岁组、51~60岁组以及≥61岁组,检测所有患者的解脲脲原体(Ureaplasma urealyticum, Uu)、人型支原体(Mycoplasma hominis, Mh)以及混合感染(Uu+Mh)的情况,并对不同类型支原体的耐药情况进行分析。结果13331份标本中,支原体的总检出率为50.57%(6741/13331),其中Uu的构成比最高,为85.85%(5787/6741)。 Uu及Uu+Mh的检出率在不同年龄段的差异均有统计学意义(P均<0.05),其中Uu阳性率最高的为19~30岁组,阳性率为45.10%;Mh阳性率最高的为≥61岁组,阳性率为1.52%;Uu+Mh阳性率最高的为51~60岁组,阳性率为9.31%。药敏试验结果显示,Uu的耐药情况较Mh感染及混合感染轻。所有类型的支原体对四环素类药物的敏感率均大于90%,Uu对红霉素类药物较敏感,而Mh对除交沙霉素外的其他红霉素类药物的耐药率均较高;Uu及Mh对喹诺酮类药物有不同程度的耐药,需进行药敏筛选。结论郑州地区泌尿生殖道支原体总检出率为50.57%,Uu为泌尿生殖道支原体感染的主要病原体。 Uu感染主要分布在19~50岁年龄段,混合感染主要分布在41~60岁年龄段。四环素类抗生素可作为本地区治疗泌尿生殖道支原体感染的首选用药,为控制耐药情况应同时结合药敏结果用药。
目的:瞭解鄭州地區泌尿生殖道支原體感染及耐藥狀況。方法收集2012年7月至2013年6月于我院進行泌尿生殖道支原體檢測的患者13331例,根據患者年齡分為≤18歲組、19~30歲組、31~40歲組、41~50歲組、51~60歲組以及≥61歲組,檢測所有患者的解脲脲原體(Ureaplasma urealyticum, Uu)、人型支原體(Mycoplasma hominis, Mh)以及混閤感染(Uu+Mh)的情況,併對不同類型支原體的耐藥情況進行分析。結果13331份標本中,支原體的總檢齣率為50.57%(6741/13331),其中Uu的構成比最高,為85.85%(5787/6741)。 Uu及Uu+Mh的檢齣率在不同年齡段的差異均有統計學意義(P均<0.05),其中Uu暘性率最高的為19~30歲組,暘性率為45.10%;Mh暘性率最高的為≥61歲組,暘性率為1.52%;Uu+Mh暘性率最高的為51~60歲組,暘性率為9.31%。藥敏試驗結果顯示,Uu的耐藥情況較Mh感染及混閤感染輕。所有類型的支原體對四環素類藥物的敏感率均大于90%,Uu對紅黴素類藥物較敏感,而Mh對除交沙黴素外的其他紅黴素類藥物的耐藥率均較高;Uu及Mh對喹諾酮類藥物有不同程度的耐藥,需進行藥敏篩選。結論鄭州地區泌尿生殖道支原體總檢齣率為50.57%,Uu為泌尿生殖道支原體感染的主要病原體。 Uu感染主要分佈在19~50歲年齡段,混閤感染主要分佈在41~60歲年齡段。四環素類抗生素可作為本地區治療泌尿生殖道支原體感染的首選用藥,為控製耐藥情況應同時結閤藥敏結果用藥。
목적:료해정주지구비뇨생식도지원체감염급내약상황。방법수집2012년7월지2013년6월우아원진행비뇨생식도지원체검측적환자13331례,근거환자년령분위≤18세조、19~30세조、31~40세조、41~50세조、51~60세조이급≥61세조,검측소유환자적해뇨뇨원체(Ureaplasma urealyticum, Uu)、인형지원체(Mycoplasma hominis, Mh)이급혼합감염(Uu+Mh)적정황,병대불동류형지원체적내약정황진행분석。결과13331빈표본중,지원체적총검출솔위50.57%(6741/13331),기중Uu적구성비최고,위85.85%(5787/6741)。 Uu급Uu+Mh적검출솔재불동년령단적차이균유통계학의의(P균<0.05),기중Uu양성솔최고적위19~30세조,양성솔위45.10%;Mh양성솔최고적위≥61세조,양성솔위1.52%;Uu+Mh양성솔최고적위51~60세조,양성솔위9.31%。약민시험결과현시,Uu적내약정황교Mh감염급혼합감염경。소유류형적지원체대사배소류약물적민감솔균대우90%,Uu대홍매소류약물교민감,이Mh대제교사매소외적기타홍매소류약물적내약솔균교고;Uu급Mh대규낙동류약물유불동정도적내약,수진행약민사선。결론정주지구비뇨생식도지원체총검출솔위50.57%,Uu위비뇨생식도지원체감염적주요병원체。 Uu감염주요분포재19~50세년령단,혼합감염주요분포재41~60세년령단。사배소류항생소가작위본지구치료비뇨생식도지원체감염적수선용약,위공제내약정황응동시결합약민결과용약。
Objective To investigate the infection and drug resistance of Ureaplasma urealyticum (Uu) and Mycoplasma hominis (Mh) in Zhengzhou. Methods 13 331 patients were collected in our hospital from July 2012 to June 2013 for Uu and Mh detection. All patients were divided into ≤18 age group, 19~30 age group, 31~40 age group, 41~50 age group, 51~60 age group and≥61 age group. Uu, Mh and Uu+Mh of all patients were detected, and drug resistance were analyzed. Results The Mycoplasma infection rate in 13 331 samples was 50.57%(6741/13 331), and the highest constituent ratio was Uu(85.85%, 5787/6741). The difference of Uu infection rates and the mixed infection rates among different ages groups were significant (Pall<0.05), while the difference of Mh infection rates among different ages groups was not significant. The highest positive rate of Uu was 19~30 age group (45.10%), the highest positive rate of Mh was ≥ 61 age group (1.52%), and the highest rate of Uu+Mh was 51~60 age group (9.31%). Compared with Mh and mixed infection, drug resistance of Uu was less serious. Tetracyclines antibiotic sensitive rate for Mycoplasma were more than 90%. Excepted josamycin, erythromycins were sensitive for Uu but not for Mh. Quinolones were resistant in varying degrees for Uu and Mh and antibiotic screening test should be done. Conclusion The infection rate of Mycoplasma in the people who likely had urogenital tract infection is 50.57%in Zhengzhou. Uu infection is distributed mainly from 19~50 age and the mixed infection is distributed mainly from 41~60 age. For treatment, we can use Tetracyclines as the first choice drug in this area. At the same time, antibiotic screening test also should be done for drug resistance control.