合并肛周疾病的慢性前列腺炎前列腺液细菌培养、药敏的临床分析  

The clinical analysis to bacterial culture and drug susceptibility of the prostatic fluid of chronic prostatitis patients combined perianal disease

作　　者：王冰[1] 高成业[1] 翟菊敏[1] 徐飞[1] 肖波[1] 

机构地区：[1]邯郸市第一医院泌尿科,河北邯郸056002

出　　处：《中国实验诊断学》2013年第3期490-492,共3页Chinese Journal of Laboratory Diagnosis

摘　　要：目的探讨合并肛周疾病的慢性前列腺炎患者的前列腺液中细菌分布及耐药情况,为临床治疗提供依据。方法我院泌尿外科拟诊为慢性前列腺炎的患者共502例,均进行细菌培养及药敏实验,根据患者是否合并肛周疾病进行分组:合并肛周疾病的为A组,其余为B组,对两组数据进行统计分析。结果 502例慢性前列腺炎患者中,A组75人(14.94%)。A组前列腺液培养阳性率及复合感染率明显高于B组,两组培养的菌株分布中以金黄色葡萄球菌及表皮葡萄球菌为主,且两组间无差异(P>0.05)。A组中培养的大肠埃希氏菌的菌株比例为16.67%,明显高于B组的8.04%(P=0.014);铜绿假单胞菌株在A组中的比例为8.33%,明显高于B组的1.93%(P=0.006)。药敏试验结果显示葡萄球菌主要对万古霉素、呋喃妥因、庆大霉素的敏感率较高,大肠埃希氏菌主要对呋喃妥因、庆大霉素、头孢噻肟及罗红霉素等敏感率较高。结论伴有肛周疾病的慢性前列腺炎患者以细菌复合性感染为主,细菌培养、药敏试验有其特点,据此指导临床用药。Objective Explore bacterial distribution and resistance in prostatic fluid patients with chronic prostatitis merger perianal disease,and to provide the basis for clihical treatment. Methods Chronic prostatitis patients were diag- nosed with a total of 502 cases, the bacterial culture and sensitivity test, according to whether the patient merger peri- anal disease packet：Merge perianal disease was group A,the rest of patients was the group B,The two sets of data for statistical analysis. Results 502 cases of chronic prostatitis patients with perianal disease were 75 （14.94%）. A group of prostatic fluid culture positive rate Composite infection was significantly higher than group B,the distribution of cul- tured strains were the Staphylococcus aureus and Staphylococcus epidermidis, and the two groups were no difference （P〉0.05）. The strain ratio of Escherichia coli cultured in Group A was 16. 67%, significantly higher than group B 8.04% （P=0. 014） ;Pseudomonas aeruginosa strains in group A was 8.33% ,significantly higher than B group 1.93% （P= 0. 006）. Susceptibility test results show aureus vancomycin, furan properly and gentamicin were sensitive tO Staph-ylococcus and the antibiotic was sensitive to Escherichia coli were nitrofurantoin, gentamicin, cefotaxime and roxithro- mycin sensitive. Conclusion The chronic prostatitis patients with perianal disease were mainly bacterial compound in- fection, bacterial culture and drug susceptibility testing were its characteristics, and could guide to clinical treatment.

关 键 词：慢性前列腺炎 肛周疾病 细菌 药敏 

分 类 号：R697.33[医药卫生—泌尿科学]