Ureaplasma/Mycoplasma hominis uchun ekish (kultura)
Kod:18016|CPT:87109|LOINC:17852-5, 15388-2
| Kabi | Ureaplasma urealyticum Mycoplasma hominis |
|---|
Tahlil ma'lumotlari
Tadqiqot usuli
- Selektiv muhitlarga ekish
Kutilayotgan natija topshirish vaqti
1–2 kun
Maxsus tayyorlik
- Obtain the specimen before starting antimicrobial therapy.
- For women, collect a urogenital swab or urine sample before menstruation or 2–3 days after it ends.
- For men, do not urinate for 3 hours before urethral swab collection.
- For men, avoid urination and genital cleansing for 6 hours before urine collection.
- Submit one specimen for each test ordered.
- Document the exact anatomic source on the requisition (eg, genital lesion).
- Include the specific test number on the request form.
Qanday foydalanish
Ureaplasma/Mycoplasma hominis uchun ekish (genital mikoplazmalar kulturasi) Ureaplasma urealyticum yoki Mycoplasma hominis sababli infeksiyani, uretrit yoki servitsit gumon qilinganda, aniqlash uchun qo‘llanadi va Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis yoki Mycoplasma genitalium kabi keng tarqalgan sabablar aniqlanmaganda urogenital kasallikni baholashda ishlatiladi. Test bepushtlik, homiladorlikning noxush oqibatlari va ayrim neonatal infeksiyalarni (masalan, nafas yo‘llari kasalligi, meningit) baholashga hissa qo‘shishi mumkin, agar ushbu organizmlar ko‘rib chiqilayotgan bo‘lsa. Differensial diagnostikani aniqlashtirish va antimikrobiyal terapiyadan so‘ng javobni baholash uchun boshqa diagnostik usullar bilan juft holda qo‘llanishi mumkin.
Cheklovlar
Mycoplasma hominis va Ureaplasma urealyticum — asosan jinsiy aloqa va perinatal yo‘l bilan yuqadigan, hujayra devoriga ega bo‘lmagan genital mikoplazmalar. Bu mikroorganizmlar pastki genital traktni kolonizatsiya qilishi va sharoit tug‘ilganda nongonokokk uretriti, prostatit, epididimo-orxit, tos a’zolari yallig‘lanish kasalligi, endometrit va sistit bilan bog‘liq bo‘lishi mumkin. Homiladorlik davrida kolonizatsiya muddatidan oldin tug‘ruq va postpartum endometrit kabi noxush oqibatlar, shuningdek, neonatal infeksiya, jumladan, nafas yo‘llari kasalligi, meningit va sepsis bilan bog‘langan. Boshqa genital patogenlar bilan koinfeksiya tez-tez uchraydi. Ekish usulining sezgirligi cheklangan, va mikroorganizmlarning ajratib olinishi o‘zi sabab-oqibat bog‘liqligini aniqlab bermaydi. Natijalar klinik ko‘rinish va boshqa laborator topilmalar bilan birgalikda talqin qilinishi lozim.
| O'lchov birligi | qualitative |
|---|---|
| Referens oraliq | — |
| Ko'rsatmalar | Clinical suspicion of Ureaplasma or Mycoplasma involvement in the genital tract, Persistent or subacute urogenital inflammation with negative results for Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis, and Mycoplasma genitalium, Unexplained neonatal or perinatal respiratory infection, Preconception evaluation for couples, Workup of infertility or recurrent pregnancy loss, Test-of-cure approximately 1 month after antimicrobial treatment, HIV infection with concern for concomitant genital infections |
Natija og'ishlarining mumkin sabablari
Pasaygan daraja
- antibacterial therapy
Namunangiz talablari
| Namunangiz | Sperma |
|---|---|
| Container | Steril idish (PCR transporti) |
| Saqlash tayyorlik | Sovutilgan |
References
Bell TA. Chlamydia trachomatis, Mycoplasma hominis, and Ureaplasma urealyticum infections of infants. Semin Perinatol. 1985;9(1):29-37. PubMed 3881828.
Stamm WE, Wagner KF, Amsel R, et al. Causes of the acute urethral syndrome in women. N Engl J Med. 1980;303(8):409-415. PubMed 6993946.
Taylor-Robinson D, McCormack WM. The genital mycoplasmas. N Engl J Med. 1980;302(18):1003-1010. PubMed 6988709.
Kenny GE. Genital Mycoplasmas: Mycoplasma genitalium, Mycoplasma hominis, and Ureaplasma species. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 6th ed. Philadelphia, PA: Churchill Livingstone; 2005.
Non-chlamydial non-specific genital infection. In: Pattman R, et al., eds. Oxford Handbook of Genitourinary Medicine, HIV, and AIDS. 1st ed. Oxford University Press; 2005.
Khamitova IV, Semenov AV. Comparison of detection of mycoplasmal infection by culture with semi-quantitative titer assessment and by polymerase chain reaction. Terra Medica. 2008;19(3).
Kisina V, Shirshova E. The role of genital mycoplasmas in the development of clinical syndromes in women. Vrach. 2006;(2):6-10.