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目的 :探讨泌尿系支原体与沙眼衣原体合并感染与性传播疾病的关系 ,为临床提供实验依据。方法 :对临床拟诊为“泌尿系感染”、具有典型尿路刺激症、近期内未服用抗生素的患者取分泌物 ,女性可取宫颈分泌物 ,男性可取精液、前列腺液和前段尿 ,用法国生物 梅里埃公司生产的MycoplasmaIST支原体培养鉴定及药敏试剂进行支原体 (解脲支原体Uu和人型支原体Mh)的培养和鉴定 ,用英国OXOID公司生产的沙眼衣原体 (Ct)检测卡检测沙眼衣原体抗原。结果 :5 63例泌尿系感染患者中有支原体感染 2 47例 ,感染率为 43 9%,其中解脲支原体 2 41例 ,感染率 42 8%;人型支原体 81例 ,感染率 14 4 %;而Uu和Mh合并感染有 75例 ,感染率为 13 3 %。衣原体阳性 10 9例 ,感染率为 19 4 %,而衣原体与支原体同时阳性有 84例 ,感染率为 14 9%。结论 :支原体和沙眼衣原体是引起人类泌尿生殖道感染的主要病原体 ,可引起非淋病性尿道炎、子宫颈炎、不育症等。因此 ,开展支原体培养及沙眼衣原体的检测不仅对临床确诊非淋菌性尿道炎极其重要 ,而且也为临床治疗提供了可靠的用药依据
Objective: To investigate the relationship between urinary tract mycoplasma and Chlamydia trachomatis infection and sexually transmitted diseases, and to provide experimental evidence for clinical practice. Methods: Clinical diagnosis of “urinary tract infection” with typical urinary tract irritation in the near future without taking antibiotics in patients with secretions, cervical secretions of women desirable, desirable male semen, prostatic fluid and anterior segment urinary tract, with French biological Mycoplasma Mycoplasma Mycoplasma culture identification and drug-sensitive reagents produced by Merial Company were used to culture and identify Mycoplasma (Ureaplasma urealyticum and Mycoplasma hominis Mh). Chlamydia trachomatis antigens were detected by Oxygen trachoma (Ct) test card produced by OXOID Company in England. Results: Of the 63 urinary tract infection cases, 477 were Mycoplasma infection, the infection rate was 43.9%. Among them, 241 cases were Mycoplasma urealyticum and the infection rate was 42.8%. 81 cases were Mycoplasma hominis and the infection rate was 14.4%. However, there were 75 cases of Uu and Mh combined infection, the infection rate was 13 3%. Chlamydia positive 109 cases, the infection rate was 19 4%, while chlamydia and mycoplasma 84 cases were positive at the same time, the infection rate was 14 9%. Conclusion: Mycoplasma and Chlamydia trachomatis are the main pathogens causing genitourinary tract infections in humans, which can cause non-gonococcal urethritis, cervicitis and infertility. Therefore, to carry out mycoplasma culture and detection of Chlamydia trachomatis is not only clinically important for non-gonococcal urethritis, but also for clinical treatment provides a reliable basis for the drug