Résumé
Objective To investigate the bacterial vaginosis(BV) and mycoplasma infection status in female patients with infertility.Methods The vaginal discharge samples were collected from 541 female patients with infertility in the gynecological department of the Hainan Provincial People's Hospital from June to December 2013.The BV detection,mycoplasma culture and drug susceptibility test were simultaneously conducted.Results The mycoplasma culture positive rate was 44.5％ (241/541),in which ureaplasma mycoplasma (UU) had the highest detection rate,there were 223 cases ofinfection with the positive rate of 41.2 ％,there were 5 cases of mycoplasma hominis(Mh) infection with the positive rate of 0.9 ％,13 cases were UU + Mh mixed positive with the positive rate of 2.4％.BV infection was in 325 cases with the positive rate of 60.1％ (325/541).Among 241 cases of mycoplasma positive,the BV detection rate was 70.1％ (169/241),while among 300 cases of mycoplasma negative,the BV detection rate was 52.0％ (156/300),the BV detection rate had statistical difference between the mycoplasma positive group and mycoplasma negative group,the difference was statistically significant (P＜0.05).Ofloxacin in fluoroquinolones had the highest drug resistance,the sensitivity was only 7.1％.Josamycin had the lowest drug resistance,accounting for 3.7 ％.Conclusion The female patients with infertility is closely correlated with BV and mycoplasma infection.Therefore BV and mycoplasma census should be strengthened to achieve early diagnosis and early treatment.Mycoplasma drug susceptibility test shows that doxycycline,minocycline and josamycin have the highest sensitivity,which can be used as the first selection drugs for clinical doctor.