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目的:了解德阳地区育龄妇女泌尿生殖道支原体感染状况及其耐药性特点,为临床诊治提供依据。方法:对2015年5月~2017年4月在德阳市第二人民医院就诊的808例患者,采用支原体培养鉴别计数药敏试剂盒进行解脲脲原体(Uu)和人型支原体(Mh)检测。结果:支原体感染率为39.72%,其中UU、Mh和UU+Mh感染率分别为24.63%、1.37%和13.74%。321例感染患者对至少一种抗菌药物耐药,总耐药率93.77%,其中对3种以上抗菌药物耐药156例,耐药率为48%。结论:德阳地区泌尿生殖道支原体感染率较高,以Uu感染为主;支原体对常用抗生素的耐药性严重,应加强耐药性监测,合理使用抗菌药物。
Objective: To understand the genitourinary tract mycoplasma infection status and drug resistance characteristics of women of childbearing age in Deyang area, and to provide evidence for clinical diagnosis and treatment. Methods: A total of 808 patients treated in the Second People’s Hospital of Deyang City from May 2015 to April 2017 were enrolled in this study. Mycoplasma urealyticum kit (Uu) and Mycoplasma hominis (Mh) Detection. Results: Mycoplasma infection rate was 39.72%. The infection rates of UU, Mh and UU + Mh were 24.63%, 1.37% and 13.74% respectively. 321 infected patients were resistant to at least one antibacterial drug, with a total resistance rate of 93.77%, of which 156 were resistant to more than three antibacterial drugs and the resistance rate was 48%. Conclusion: The genitourinary tract mycoplasma infection rate is high in Deyang area, mainly Uu infection. Mycoplasma resistance to commonly used antibiotics is serious. Drug resistance monitoring should be strengthened and antibacterial drugs should be used reasonably.