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王蓓, 王长娴, 羊海涛, 糜祖煌. 不同地区STD患者支原体感染及耐药性比较[J]. 中国公共卫生, 2004, 20(12): 1484-1485.
引用本文: 王蓓, 王长娴, 羊海涛, 糜祖煌. 不同地区STD患者支原体感染及耐药性比较[J]. 中国公共卫生, 2004, 20(12): 1484-1485.
WANG Bei, WANG Chang-xian, YANG Hai-tao, . Infection status and antimicrobial resistance of mycoplasma in STD patients in different areas[J]. Chinese Journal of Public Health, 2004, 20(12): 1484-1485.
Citation: WANG Bei, WANG Chang-xian, YANG Hai-tao, . Infection status and antimicrobial resistance of mycoplasma in STD patients in different areas[J]. Chinese Journal of Public Health, 2004, 20(12): 1484-1485.

不同地区STD患者支原体感染及耐药性比较

Infection status and antimicrobial resistance of mycoplasma in STD patients in different areas

  • 摘要:
      目的   了解江苏省不同地区STD患者常见支原体感染状况及其对抗生素药物的敏感性。
      方法   以南京、徐州、无锡的4所医院性病门诊患者为研究对象, 采集泌尿生殖道分泌物标本, 培养分离解脲脲原体和人型支原体, 并对分离株进行药敏试验及耐药基因检测分析。
      结果   3个地区性病门诊患者解脲脲原体(Uu)或/和人型支原体(Mh)检出率分别为33.3%, 27.9%和25.0%;女性检出率(41.3%)高于男性(21.2%); 不同年龄组性病患者的检出率不同, 以20岁~组和30岁~组较高; Uu和Mh较为敏感的抗生素为强力霉素、交沙霉素和原始霉素, 耐药率较高的抗生素为环丙沙星和氧氟沙星.支原体对四环素的耐药性由TetM基因确定, 后者的检出率与其耐药性高低成正比。
      结论   应加强对常见支原体的检测与耐药监测, 以便指导合理用药, 从而有效控制由支原体感染所致的非淋球菌性尿道(阴道)炎。

     

    Abstract:
      Objective   To realize infection status and antibiotic resistance of Ureaplasma urealyticum(Uu)and Mycoplasma hominis(Mh)from patients in different cities of Jiangsu province, in order to apply correct treatment in STD.
      Methods   Samples were collected in STD clinics of four hospitals in Nanjing, Xuzhou and Wuxi.Mycoplasma IST kit was used to cultivate, identify mycoplasma and to detect antibiotic susceptibility of these strains, and to analyse TetM gene by PCR.
      Results   Among the patients in Nanjing, Wuxi and Xuzhou, the positive rates of Uu and/or Mh were 33.3%, 27.9% and 25.0%, respectively.The significant difference was found between female(41.3%)and male(21.2%).The positive rates had significant differences among different age groups.20 yeas group and 30 years group were higher.Most of Uu and/or Mh were sensitive to pristinamycine, josamycine and doxycycline.But most of them were resistant to ciprofloxacin and oflox acin.TetM gene seemsed to be more frequent in resistant and inter mediated resistant mycoplasma strains than that of sensitive ones.
      Conclusion   Antimicrobial resistance of my coplasma was more serious in Jiangsu province.The surveillance study on mycoplasma resistance was very important.

     

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