慢性细菌性前列腺炎病原学调查  

A pathogenic study of bacteria causing chronic prostatitis

作　　者：张虹 郑晖[2] 

机构地区：[1]武昌区妇幼保健所,武汉430061 [2]华中科技大学同济医学院附属梨园医院检验科,武汉430077

出　　处：《中国卫生检验杂志》2008年第4期668-669,共2页Chinese Journal of Health Laboratory Technology

摘　　要：目的:了解慢性细菌性前列腺炎与病原菌的关系及细菌耐药性,为前列腺炎提供诊断及治疗依据。方法:对慢性前列腺炎患者的前列腺液进行细菌培养和药敏试验,并进行分析。结果:198例中有124例培养出细菌,阳性分离率为62.6%。共检出病原菌124株,细菌种类分为8种,革兰阳性球菌占69.4%,以金黄色葡萄球菌为主;革兰阴性杆菌占30.6%,以大肠埃希菌为主。药敏试验结果表明:前列腺炎病原菌对常用抗生素耐药率较高,葡萄球菌中耐甲氧西林金黄色葡萄球菌(MRSA)和耐甲氧西林凝固酶阴性葡萄球菌(MRCNS)的分离率分别为38.9%和45.8%,肠杆菌科细菌中产超广谱β-内酰胺酶(ESBL)细菌分离率为31.8%。结论:应重视前列腺炎病原菌及耐药性的监测,才能针对性进行治疗。Objective：To investigate the relation between the bacteria causiing chronic prostatitis and pathogen origin and their drug resistance. Methods：Culturing prostatic fluids and testing the susceptibihties of the pathogens. Results：A total of 124 strains of bacteria were isolated from 198 prostatic fluids and the rate was 62. 6%. In these strains, gram - positive cocci were accounted for 69.4% and most of them was Staphylococcus aureus. Gram - negative bacilli were accounted for 30. 6% and most of them was Escherichia coli. The drug resistance of pathogens causing prostatitis was rather high. Meticillin - resistant Staphylococcus aureus （MRSA） was 38.9% and Staphylococcus coagulation negatives （MRCNS） was 45.8%, respectively. And ESBL producing Escherichia coli was 31.8%. Conclusion：It is important to monitor pathogens causing prostatitis and their drug resistance.

关 键 词：慢性细菌性前列腺炎 细菌培养 耐药性 

分 类 号：R697.33[医药卫生—泌尿科学]