摘要
Abstract
Objective To analyse the isolation and treatment situation of 4 kinds of sexually tranmitted patho-gens in male urogenital tract infection .Methods 306 male urogenital tract specimens were detected chlamydia tracho -matis antigen (Ct ) by the immunochromatographic method ,neisseria gonorrhoeae (Ngo ) ,Ureaplasma urealyticum (Uu) and Mycoplasma hominis (Mh) by the culture method .The cases with positive pathogens were treated by standard treatment course .Then the reexamination was conducted .Results Among 306 specimens ,the total positive rate of 4 kinds of pathogens was 25 .49% (78/306) ,the positive rates of Uu ,Mh ,Ct ,Uu + Mh and Uu + Ct were 3 .40% ,0 .33% ,1 .31% ,6 .21% ,1 .31% and 2 .94% respectively .The drug sensitivity test results of Uu and Mh re-vealed that the higher sensitive antibacterial drugs were doxycyclin (92 .30% ) ,minocin (90 .76% ) ,josanmycin (75 .38% ) and gatifloxacin(72 .31% ) .The efffective rates of 2-week and 3-week doxycycline treatment were 73 .33%and 93 .33% respectively .Conclusion Uu is the most common pathogen in male urogenital tract infection ,followed by Mh .The infection rate of Ct and Ngo is very low .The empirical therapy of non-Ngo urethritis in this area is doxy-cycline as the first choice .Furthermore ,the 3-week course of treatment has higher effective rate .The local drug re-sistance monitoring of mycoplasma and the comparative study of the treatment effects have very important signifi -cance to guide the clinical rational drug use .关键词
泌尿生殖道感染/沙眼衣原体/解脲脲原体/人型支原体/淋病奈瑟菌Key words
urogenital tract infection/chlamydia trachomatis/Ureaplasma urealyticum/Mycoplasma hominis/neisseria gonorrhoeae
