Abstract

ORTIZ RODRIGUEZ E, Cecilia E. et al. Study on Chlamydia trachomatis, Ureaplasma urealyticum and Mycoplasma homonis in infertile patients and with usual abortions. Rev Cubana Obstet Ginecol [online]. 2010, vol.36, n.4, pp. 0-0. ISSN 1561-3062.

Some microorganisms like the Chlamydia trachomatis, Ureaplasma urealyticum and Mycoplasma homonis have been related to different pathological processes in women sexually actives. OBJECTIVE: To know the frequency of these agents a observational and descriptive study was conducted in the "Ramón González Coro" Gynecology and Obstetrics Hospital from November, 2008 to January, 2009. METHODS: One hundred and sixty six samples of vaginal exudates from patients seen in infertility consulting rooms with regular abortions were studied. Diagnostic tests for Chlamydia and genital Mycoplasm tests were applied. RESULTS: From the study patients, 113 were positive (68 %), Chlamydia test was applied and 75 were positive to this microorganism (45.2 %), whereas 57 were positive to genital micoplasma (34.3 %), from them 50 were positive to Uraplasma urealyticum, 4 to Mycoplasma homonis, and in three samples Ureaplasma urealyticum and Mycoplasma homonis were isolated. There was association of these agents with other microorganisms. The 50.9 % of cases positive to Mycoplasma had a moderate infection (29/57). The Mycoplasma's test allowed to know the susceptibility of these agents to different antimicrobial agents, in the case of Ureaplasma urealyticum there was a resistance of 24 % to Ofloxacin; 22 % to Tetracycline, and the 20 % to Clarithromycin; Mycoplasma hominis showed a 75 % of resistance to erythromycin and the 100 % to Claritromycin and to Azithromycin in the thre cases where they coindiced. Ureaplasma urealyticum and Mycoplasma hominis had a significant resistance to Azithromycin, Eritromycin and Claritromycin. There was a high level of sensitivity to minocycline and to clindamycin. CONCLUSIONS: The more frequent microorganism in present study was the C. trachomatis, and M. hominis had more resistance to antimicrobials agents than U.uralyticum, both are very sensitive to minocycline and to clindamycin

Keywords : Chamydias; Micoplasma; infertility; infectious complications.

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