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目的:观察上海地区不同性别和不同年龄泌尿生殖道感染中支原体感染情况。方法:选择疑似泌尿生殖道感染11 412例,男1800例,女9612例。采用固体培养基-液体培养基一步法,进行解脲脲原体(Uu)和人型支原体(Mh)培养与鉴定,比较不同性别和不同年龄段支原体的阳性率。结果:男性检出支原体621例,总阳性率为34.5%;女性检出5340例,总阳性率为55.5%;二者比较,差异非常显著(P<0.01)。其中男性和女性Uu的阳性率分别为32.8%和39.3%,Mh阳性率为0.4%和2.2%,Mh合并Uu阳性率为1.3%和14.1%。按照16~25岁、26~30岁、31~35岁和≥36岁年龄段划分,男性Uu主要集中在26~30岁和31~35岁年龄段,阳性率分别为35.9%与32.1%;女性主要集中在16~25岁和26~30岁年龄段,分别为43.9%与27.4%。结论:支原体感染以Uu为主,女性Uu阳性率显著高于男性。
Objective: To observe the prevalence of Mycoplasma infection in genitourinary tract infections of different genders and ages in Shanghai. Methods: 11 412 cases of suspected genitourinary tract infection were selected, including 1800 males and 9612 females. Culture and identification of Uu and Mh were carried out in one-step solid medium-liquid medium. The positive rates of Mycoplasma in different sexes and different ages were compared. Results: 621 cases of mycoplasma were detected in males, the total positive rate was 34.5%; 5340 cases were detected in women, the total positive rate was 55.5%. The difference was significant (P <0.01). The positive rates of Uu in male and female were 32.8% and 39.3% respectively, the positive rates of Mh and Mh were 0.4% and 2.2%, 1.3% and 14.1% respectively. According to 16 ~ 25 years old, 26 ~ 30 years old, 31 ~ 35 years old and ≥36 years old, male Uu mainly concentrated in the age group of 26 ~ 30 years and 31 ~ 35 years, the positive rates were 35.9% and 32.1% respectively; Women mainly concentrated in the age group of 16 to 25 years and 26 to 30 years, accounting for 43.9% and 27.4% respectively. Conclusion: Mycoplasma infection is mainly Uu, the positive rate of female Uu is significantly higher than that of male.