我院女性NGU患者衣原体支原体感染及药敏分析

目的:了解我院女性非淋菌性阴道炎(NGU)患者生殖道沙眼衣原体(Chlamydia trachomatis,Ct)、解脲脲原体(Ureaplasma urealyticum,Uu)和人型支原体(Mycoplasma hominis,Mh)感染状况,指导临床合理用药。方法:对650例NGU患者按试剂盒说明进行标本采集和检测及支原体药敏试验。结果检出阳性率为41.4%(269/650),其中单纯Uu阳性率33.2%(216/650)、单纯Mh阳性率0.8%(5/650)、Ct阳性率3.8%(25/650),Uu+Mh阳性率1.7%(11/650),Uu+Ct阳性率1.4%(9/650),Mh+Ct阳性率0.3%(2/650),Uu+Mh+CT阳性率0.2%(1/650)。结论:支原体和衣原体为NCU患者主要病原体,其中单纯Uu感染率较高,且耐药趋势严重,应引起临床的高度重视,加强女性NGU患者支原体和衣原体检测对诊断和治疗极为重要。

Analysis of Infection and Drug Sensitivity of Chlamydia and Mycoplasma on NGU Female Patients in Medical Group of Dehong

Objective: To explore the infection of Chlamydia trachomatis(Ct),Ureaplasma urealyticum(Uu) and Mycoplasma hominis(Mh) on NGU female patients in Dehong Teaching Hospital,and to guide a rational use of the drug.Methods: Dectection and drug sensitive test on Chlamydia were performer on samples from 650 NGU patients according to the reagent protocol.Results: The total positive rate was 41.4%(269/650),among this,Uu positive rate was 33.2%(216/650),Mh positive rate was 0.8%(5/650),Ct positive rate was 3.8%(25/650),Uu+Mh positive rate was 1.7%(11/650),Uu+Ct was 1.4%(9/650),Mh+Ct positive rate was 0.3%(2/650),Uu+Mh+Ct positive rate was 0.2%(1/650).Conclusion: Mycoplasma and Chlamydia are the main pathogens of NGU patients,in which the Uu is of the highest infection rate and drug resistance.This should be paid more attention in clinic.The reinforcement of Mycoplasma and Chlamydia dectection is important in diagnosis and treatment of the NGU female patients.