How long after taking medicine for mycoplasma to get a follow-up test

Many people do not really understand mycoplasma, but they only know that it is a sexually transmitted disease, but in fact, in addition to sexual transmission, it also includes mother-to-child transmission, secretion infection, and endocrine contact, etc., in terms of examination, it is necessary to first diagnose mycoplasma culture, and then cooperate with reasonable methods for diagnosis and treatment.

diagnosis

Clinical diagnosis

For those with a history of unclean sexual intercourse, contact infection, urethral and vaginal discharge and burning pain during urination, and the possibility of infection by other pathogens is excluded, a smear of urethral or cervical discharge can be taken for a preliminary diagnosis.

laboratory diagnosis

1. Mycoplasma culture:

a. Collect specimens, generally genitourinary specimens or brushes, and a few take prostatic fluid, semen, synovial fluid, or fallopian tubes, rectal biopsies, to use centrifugal specimens of primary urine specimens to replace urethral swabs. When taking the swab, insert the swab into the male urethra 2-4 cm and rub it vigorously. This method can easily cause urethral injury and secondary infection. Use with caution. In women, the squamous and columnar epithelial junction of the cervix should be cleaned first, and the cervical specimen should be collected with a cell brush, which can increase the number of infected cells and is more sensitive than cotton swabs.

b. The commonly used medium is bovine heart infusion or peptone, and contains 1% fresh yeast infusion, 10-20% animal serum and 0.5% sodium chloride, glucose and arginine can also be added to promote the growth of MH and MG, urea is added for UU metabolism, and penicillin is added in an appropriate amount to inhibit miscellaneous bacteria.

2. Serological identification method: the most commonly used is the agar diffusion method, that is, mycoplasma is inoculated onto an agar dish. Then use filter paper soaked in an appropriate amount of serum and place it on the surface of the agar to see which one can inhibit mycoplasma growth.Colonies on the surface of agar can also be stained with fluorescent antibodies, which can be observed with epifluorescence microscopy, which has the advantage of utilizing colonies that originally grew on the surface of agar without having to passage mycoplasma.

Serological diagnostic tests: enzyme-linked immunosorbent assay (ELISA) is highly sensitive: micro-immunofluorescence (MIF) is rapid.

3. Genetic diagnosis: the use of DNA probe for the diagnosis of mycoplasma has slightly less sensitivity, but high specificity, polymerase chain reaction (pCR), sensitivity and specificity are high.

Principles of diagnosis and treatment

1. Patients with a relatively typical infection process, regardless of whether they are asymptomatic or asymptomatic (because about half of them belong to those with inconspicuous symptoms, and may have caused damage when they are obvious) are positive for chlamydia, regardless of gender, all men and women need treatment;

2. Some people who have no symptoms of urethritis at all are found by chance on physical examination, or some womenpregnantLater, mycoplasma infection was found, but there was no inflammation on local examination, and it is more likely that most of them are carriers, and there is a certain difference in whether to treat them. For ordinary people, there is no need for special treatment, or after the regular use of antibiotics, it is good to turn negative, and there is no need to force it if it does not turn negative; For pregnant women, it is generally recommended to use medication to turn negative, but there is no need to be demanding.

3. In terms of medication, antibiotic resistance is becoming more and more obvious, and the types of drug resistance and drugs in each region are not the same, so some people will use memanmycin well, and some people like to use Archie, and a study in Guangdong has shown that jiaosamycin is the most sensitive to ureaplasma; But because of this, when an antibiotic is widely used, the chances of resistance are greatly increased. The combination of drugs is sometimes a last resort.

4. The effect of empirical medication is not obvious after a course of treatment, and drug susceptibility tests should be actively carried out.

5. The combination of traditional Chinese medicine and Western medicine can not only improve the symptoms quickly, but also reduce drug resistance to a certain extent, of course, this combination is not traditional Chinese medicine plus Western medicine, but an organic combination.

6. For the treatment of traditional Chinese medicine gynitis pills, mycoplasma can be treated by activating blood and removing blood stasis, strengthening the spleen and promoting dampness.