目的：了解泌尿生殖道解脲支原体（Uu）、人型支原体（Mh）和沙眼衣原体（Ct）感染现状及支原体的药敏情况。方法采用支原体培养、鉴定、药敏一体化试剂盒对泌尿生殖道样本进行支原体检测及药敏试验，采用免疫层析法检测Ct。结果497例样本中，单纯Uu阳性194例（39．0％），单纯Mh阳性9例（1．8％），Uu＋Mh阳性73例（14．7％）以及Ct阳性54例（10．9％）。Ct阳性样本中包括Ct＋Uu阳性38例（7．6％）。支原体对强力霉素、交沙霉素和美满霉素较敏感，对其他药物有不同程度的耐药。结论泌尿生殖道感染既有单纯感染又有混合感染，临床应根据病原体检测及药敏试验结果合理选用抗菌药物。%Objective To investigate the status of Ureaplasma urealyticum (Uu) ,Mycoplasma hominis (Mh) and Chlamydia trachomatis(Ct) in patients with urogenital tract infection ,and to analyze the drug resistance of mycoplasma .Methods The myco‐plasma and its drug sensitivity of urogenital tract specimens were detected by culture‐identification‐susceptibility integration kit .Ct was detected by using immunochromatographic method .Results Among 497 cases of specimens ,there were 194 cases of simplex Uu infection (39 .0% ) ,9 cases of simplex Mh infection (1 .8% ) ,73 cases of Uu and Mh mixed infection (14 .7% ) ,and 54 cases of Ct infection (10 .9% ) .There were 38 cases of Ct and Uu mixed infection (7 .6% ) in the Ct positive specimens .The isolated myco‐plasmas were sensitive to doxycycline ,josamycin and minocycline ,but resistant to other drugs in varying degrees .Conclusion There are both simplex infection and mixed infection of chlamydia and mycoplasma in the patients with urogenital tract infection . The clinical use of antibiotics should be reasonable based on pathogen detection and drug susceptibility test results .
展开▼
