性病后慢性前列腺炎患者的菌群分布及耐药分析  

Study of Bacterial Distribution and Drug Resistance of Patients with Chronic Prostatitis after Venereal Disease

作　　者：李霞[1] 

机构地区：[1]山东省临沂市沂水中心医院,山东临沂276400

出　　处：《黑龙江医学》2006年第4期301-303,共3页Heilongjiang Medical Journal

摘　　要：目的了解性病后慢性前列腺炎患者的茵群分布及耐药情况，从而指导临床正确地使用抗生素。方法回顾性分析我院2002。2005年度性病门诊及皮肤科门诊送检的生殖道分泌物，按照《全国临床检验操作规程》进行分离培养，药敏试验采用K—B法。结果134例病人分离出155株病原茵。其中，革兰氏阳性球菌106株，占68％（106／155）；革兰氏阴性杆菌44株，占28％（44／155）；念珠茵5株，占3％（5／155）。革兰氏阳性球菌以凝固酶阴性葡萄球菌最多，71株，占46％（71／155）；革兰氏阴性杆菌以大肠埃希茵最多，25株，占16％（25／155）。药敏结果显示，革兰氏阳性球菌对万古霉素，呋南妥因，利福平敏感性高；革兰氏阴性杆菌对亚胺培南、头孢他啶、头孢曲松、头孢呱酮等第三代头孢菌素敏感性高。结论性病后患者应及时做细菌培养，根据培养和药敏试验结果进行针对性治疗，从而减少耐药菌株的产生。Objective To investigate the bacterial distribution and drug resistance of patients with chronic prostatitis after venereal disease and direct rational use of antibiotics in clinic. Methods Specimens were obtained from outpatients of dermatovenereologic department from 2002 - 2005. Bacteria strains were isolated and cultured according to routines and antimicrobial susceptibility were detected by K- B method. Results 155 strains were isolated from 134 patients, including 106 strains of grain- negative bacilli which account for 68% ,44 strains of gram- positive cocci which account for 28%, and 5 strains of candida account for 3%. Coagulase - negative staphylococci account for the most of gram- positive bacilli （71 strains,46%）,while E. coli the most of grain - negative bacilli （25 strains, 16% ）. K- B test showed that gram - positive cocci were sensitive to vancomycin, nitrofurantion and rifampicin, while that gram - negative bacilli were sensitive to imipenem, ceftazidimec, eftriaxone and cefoperazone. Condusion For patients with chronic prostatitis after venereal disease, pertinent medication should be performed under the instruction of bacterial caltivation and antimicrobial sasceptibility to prevent the generation of bacterial resistence.

关 键 词：皮肤病学 性病 慢性前列腺炎 菌群分布 药敏分析 

分 类 号：R759[医药卫生—皮肤病学与性病学]