Infezioni in Medicina
Volume 20, Issue 2, 2012, Pages 82-87

Prevalence and antimicrobial susceptibility of Ureaplasma urealyticum and Mycoplasma hominis in a population of Italian and immigrant outpatients [Prevalenza e resistenza agli antibiotici di Ureaplasma urealyticum e Mycoplasma hominis in una popolazione di pazienti ambulatoriali italiani e stranieri] (Article)

Leli C.* , Mencacci A. , Bombaci J.C. , D'Alò F. , Farinelli S. , Vitali M. , Montagna P. , Bietolini C. , Meucci M. , Perito S. , Bistoni F.
  • a Microbiology Section, Department of Experimental Medicine and Biochemical Sciences, University of Perugia, Perugia, Italy
  • b Microbiology Section, Department of Experimental Medicine and Biochemical Sciences, University of Perugia, Perugia, Italy
  • c Microbiology Section, Department of Experimental Medicine and Biochemical Sciences, University of Perugia, Perugia, Italy
  • d Microbiology Section, Department of Experimental Medicine and Biochemical Sciences, University of Perugia, Perugia, Italy
  • e Microbiology Section, Department of Experimental Medicine and Biochemical Sciences, University of Perugia, Perugia, Italy
  • f Microbiology Section, Department of Experimental Medicine and Biochemical Sciences, University of Perugia, Perugia, Italy
  • g Microbiology Section, Department of Experimental Medicine and Biochemical Sciences, University of Perugia, Perugia, Italy
  • h Microbiology Section, Department of Experimental Medicine and Biochemical Sciences, University of Perugia, Perugia, Italy
  • i Microbiology Section, Department of Experimental Medicine and Biochemical Sciences, University of Perugia, Perugia, Italy
  • j Microbiology Section, Department of Experimental Medicine and Biochemical Sciences, University of Perugia, Perugia, Italy
  • k Microbiology Section, Department of Experimental Medicine and Biochemical Sciences, University of Perugia, Perugia, Italy

Abstract

Ureaplasma urealyticum and Mycoplasma hominis are associated with non-gonococcal urethritis, increased risk of recurrent miscarriage, infertility and pelvic inflammatory disease. Migration flows from other countries change the local epidemiological profile of infectious diseases of patients treated by general practitioners and hospital doctors. Few studies have evaluated this ever-changing issue in the Italian population. The aim of this study was to assess possible differences in prevalence and antimicrobial susceptibility of U. urealyticum and M. hominis in a population of 433 Italian and immigrant outpatients by means of the commercially available MYCOFAST® Screening EvolutioN 3 Kit. Prevalence of positive samples was 44.5% in Italian patients and 53.4% in immigrants. Samples positive for U. urealyticum and total isolates were more frequent in African patients: U. urealyticum, 51.5% vs 33.3%; Yates-corrected chi-square=3.98; p=0.046; total isolates, 54.5% vs 34.3%; Yates-corrected chi-square =4.45; p=0.035. Among samples positive for U. urealyticum, 66.4% were resistant to ciprofloxacin, whereas 27.6% to ofloxacin. In M. hominis isolates, 66.7% were resistant to both azythromycin and roxythromycin. Our study showed how prevalence of genital mycoplasmas and antibiotic resistance profiles change in relation to the country of origin. Therefore, surveillance is critical for the early cure and prevention of the occurrence of resistant strains.

Author Keywords

Ureaplasma Infection immigrants Mycoplasma

Index Keywords

immigrant Europe, Eastern Drug Resistance, Microbial ciprofloxacin bacterium isolation Outpatients human middle aged Asia Aged uterine cervix nonhuman outpatient doxycycline Young Adult ofloxacin Humans azithromycin Adolescent male Emigrants and Immigrants female South America Aged, 80 and over Africa erythromycin Roxithromycin prevalence Article major clinical study adult uterine cervicitis pristinamycin josamycin antibiotic sensitivity Mycoplasma Infections Ureaplasma urealyticum Urethritis Mycoplasma hominis antibiotic resistance Italy urethra bacterium isolate Ureaplasma Infections Carrier State
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84863950087&partnerID=40&md5=04cdc3a61b0e5f85c973d035e74efecc
ISSN: 11249390
Cited by: 24
Original Language: English; Italian