慢性前列腺炎前列腺液病原学及耐药性临床研究  

Study on pathogenic bacteria and drug resistance of prosta fluid in patients with chronic prostatitis

作　　者：魏学斌[1] 黄世明[1] 徐留玉[1] 赵庆利[1] 李顺[1] 李青[1] 

机构地区：[1]山东大学附属千佛山医院泌尿外科,济南250014

出　　处：《国际泌尿系统杂志》2009年第4期445-447,共3页International Journal of Urology and Nephrology

基　　金：山东省自然科学基金资助项目（2005ZRB14088）

摘　　要：目的观察慢性前列腺炎患者病原学及其耐药性，更有效地对细菌性前列腺炎进行预防控制。方法对拟诊为慢性前列腺炎的患者582例，取前列腺液做细菌培养及药物敏感试验。结果582份前列腺液中病原微生物阳性者299份，阳性率为51．4％。最常见的病原微生物为细菌137株（45．8％）、支原体106株（35．5％）和衣原体56株（18．7％）。细菌对万古霉素、头孢曲松、左氧氟沙星的敏感率分别为100％、85．6％、79．3％；支原体和衣原体对左氧氟沙星、阿奇霉素的敏感率分别为87％、53％；79．2％、42．9％。结论慢性前列腺炎病因复杂，病原微生物种类较多，多重耐药菌感染常见，加强病原微生物及耐药性检测，对于慢性前列腺炎的诊断与治疗具有十分重要的意义。Objectives To inveastigate the pathogenic bacteria and drug resistance of prostate fluid from patients with chronic protatitis so as to prevent and control the disease. Methods 582 cases of chronic prostatitis received bacteria culturation and sensitivity test. Results of the 582 cases,51.4% of them were found positive. The main pathogens were bacteria（ 137, 45.8% ） mycoplasma（87, 29.1% ） and chlamydia（56, 18.7% ）. The rates of drug sensitivity of bacteria for vancomycins,ceftriasone ,levofloxacin were 100% ,85.6% ,79.3% and Mycoplasma and chlamydia for levofloxacin,azithromycin were 87% ,53% ;79.2% ,42.9%. Conclusions The cause of chronic prostates is complex, the species of pathogen are abundant ,the infection drug - resistant strain are common, the detection of pathogen and drug - resistance strains is important for the diagnosis and treatment of chronic prostatitis patients.

关 键 词：前列腺炎 慢性病 药物耐受性 

分 类 号：R697.33[医药卫生—泌尿科学]