Jensen Jørgen Skov, Salado-Rasmussen Kirsten
Ugeskr Laeger. 2018 May 14;180(20).
Mycoplasma genitalium infection is sexually transmitted, and it is almost as common as chlamydia in most European settings. Symptoms are indistinguishable from those of chlamydia, and late sequelae are believed to be similar. Treatment of M. genitalium infection is complicated due to widespread antimicrobial resistance not only to first-line azithromycin but now also increasingly to second-line moxifloxacin, leaving no other antibiotics registered in Denmark available for effective treatment. In the absence of available antimicrobials, screening of asymptomatic individuals should be avoided.
生殖支原体感染是通过性传播的,在大多数欧洲地区,其感染率几乎与衣原体感染一样普遍。其症状与衣原体感染的症状难以区分,并且据信后期后遗症也相似。由于广泛存在抗菌药物耐药性,不仅对一线药物阿奇霉素耐药,现在对二线药物莫西沙星的耐药性也日益增加,导致丹麦没有其他注册可用的抗生素来有效治疗生殖支原体感染,因此生殖支原体感染的治疗变得复杂。在没有可用抗菌药物的情况下,应避免对无症状个体进行筛查。