摘要
目的探讨非淋菌性宫颈炎患者的病原学特征、药敏结果和治疗结果。方法选取328例非淋菌性宫颈炎患者,采集宫颈分泌物标本做解脲支原体(UU)和沙眼衣原体(CT)培养,同时进行药敏试验,根据药敏结果选择抗生素进行治疗。结果 268例培养阳性(81.7%),单纯UU感染163例(60.8%),单纯CT感染32例(11.9%),UU+CT联合感染73例(27.3%),3种感染类型比较差异具有统计学意义(F=5.782,P=0.000)。UU和CT对交沙霉素、强力霉素、美满霉素和克拉霉素敏感性高,对氧氟沙星和环丙沙星高度耐药。根据药敏选择抗生素治疗结果总有效率为92.5%。结论非淋菌性宫颈炎患者UU感染高于CT,并且呈现出较强的耐药性,临床治疗中应根据药敏结果选择适宜的抗生素进行治疗。
Objective To discuss Etiology characteristic results of Antimicrobial susceptibility test result of treatment in Gonococcus sex cervicitis.Methods 328 patients with Gonococcus sex cervicitis,collect cervical fluid specimen to cultivate Ureaplasma urealyticum (UU)and Chlamydia trachomatis CT meanwhile did drug sensitiveness test.According to results of antimicrobial susceptibility test to choice antibiotics.Results 268 cases culture positive,163 cases Pure UU infection (60.8%).32 cases CT infection 11.9%,73 cases UU + CT joint infection (27.3%).UU and CT with high susceptibility of josamycin;doxycycline;minocycline;clarithromycin,and highly resistant of ofloxacin and ciprofloxacin.According to antimicrobial susceptibility choose antibiotics,treatment result total effective rate was 92.5%.Conclusion patients with Gonococcus sex cervicitis UU infection higher than CT infection,And showing strong resistance,clinical treatment according to results of antimicrobial susceptibility test choice antibiotic treatment
出处
《当代医学》
2011年第13期22-23,共2页
Contemporary Medicine
关键词
非淋菌性宫颈炎
解脲支原体
沙眼衣原体
药敏
Gonococcus sex cervicitis
Ureaplasma urealyticum
Chlamydia trachomatis
Antimicrobial susceptibility