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目的了解需氧菌性阴道炎(AV)需氧菌分布。方法选取杭州2家三甲医院门诊和体检中心2013年9月—2014年8月AV病例282例和健康女性105人,并对其阴道分泌物进行需氧菌分离鉴定。结果 282例AV中,单纯AV占49.29%;混合AV占50.71%,以合并细菌性阴道病多见。AV患者中共分离需氧菌296株22个菌种,分离率居前3位的是阴道加德纳菌(30.85%)、大肠杆菌(15.96%)和无乳链球菌(15.96%)。139例单纯AV患者中共分离155株19个菌种,分离率居前3位的需氧菌分别为大肠杆菌(25.90%)、无乳链球菌(17.99%)和阴道加德纳菌(15.11%)。105名健康妇女中分离到需氧菌12株,分别为阴道加德纳菌7株、咽峡炎链球菌2株、粪肠球菌2株和无乳链球菌1株。结论 AV病原种类多样,在治疗中进行病原分离和药敏性筛查是有必要的。
Objective To understand the distribution of aerobic bacterial vaginitis (AV) aerobic bacteria. Methods From September 2013 to August 2014, 282 cases of AV and 105 healthy women were selected from the outpatient and physical examination centers of 2 top three hospitals in Hangzhou. The aerobic bacteria were isolated and identified. Results In 282 cases of AV, pure AV accounted for 49.29%; mixed AV accounted for 50.71%, with bacterial vaginosis more common. In the AV patients, 22 strains of aerobic bacteria were isolated from 296 strains. The top three strains were Gardnerella vaginalis (30.85%), Escherichia coli (15.96%) and Streptococcus agalactiae (15.96%). Among 139 patients with pure AV, 155 strains were isolated and 19 strains were isolated. The top three aerobic isolates were Escherichia coli (25.90%), Streptococcus agalactiae (17.99%) and Gardnerella vaginalis (15.11% ). Twelve isolates of aerobic bacteria were isolated from 105 healthy women, including 7 strains of Gardnerella vaginalis, 2 strains of S. anguillarum, 2 strains of Enterococcus faecalis and 1 strain of Streptococcus agalactiae. Conclusion There are many types of AV pathogens, and it is necessary to screen for pathogens and drug susceptibility during the treatment.