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目的了解解脲支原体(UU)感染的临床特征,检测临床常用抗生素对支原体感染的敏感性,以指导临床治疗。方法门诊子宫颈分泌物培养结果阳性的200例支原体感染患者,观察其临床特征,并予抗生素敏感试验。结果200例患者中,临床症状主要为阴道分泌物增加112例(56%),排尿不适、反复尿路感染者30例(15%),合并衣原体感染32例(16%),合并人型支原体感染51例(25.5%),合并其他阴道炎49例(24.5%)。结论UU是非淋菌性泌尿生殖器官炎症的重要病原体,应重视对它的筛查。以往认为对UU敏感性较高的奎诺酮类及大环内酯类抗生素目前耐药性均明显升高。所以临床上应根据药敏试验,选用敏感药物而摒弃经验性用药。
Objective To understand the clinical features of UU infection and to detect the susceptibility of commonly used antibiotics to mycoplasma infection to guide the clinical treatment. Methods Outpatients were infected with mycoplasma in 200 cases of cervical secretions. The clinical features were observed and antibiotic susceptibility tests were performed. Results Of the 200 patients, the main clinical symptoms were vaginal discharge increased 112 cases (56%), urination discomfort, repeated urinary tract infection in 30 cases (15%), combined with chlamydial infection in 32 cases (16%), combined with Mycoplasma hominis Infection occurred in 51 cases (25.5%) and other vaginitis in 49 cases (24.5%). Conclusion UU is an important pathogen of non-gonococcal genitourinary inflammation, and its screening should be emphasized. In the past that higher susceptibility to UU quinolones and macrolide antibiotics are significantly increased resistance. Therefore, clinical trials should be based on sensitivity, the choice of sensitive drugs and abandon empirical medication.