质粒谱分析泌尿道感染复发与细菌L型检出  

Urine Infection Reoccurrence and Analysis Plasmid of Inspection L-form Bacteria

作　　者：陈端[1] 单斌[1] 骈淮燕[1] 荀云珍[1] 

机构地区：[1]昆明医学院第一附属医院检验科,昆明650032

出　　处：《昆明医学院学报》2001年第1期22-24,共3页Journal of Kunming Medical College

基　　金：云南省应用基础研究基金!资助项目 (93C0 86 )

摘　　要：为探讨泌尿道感染复发的病原菌 ,采用一般培养及细菌L型培养对 85 0例泌尿道感染者的尿标本进行检测 ,并进行追踪观察及细菌质粒谱分析 .结果 :12 8例复发 (15 % ) ,初诊患者普通细菌培养阳性率为5 8 3% ,复发为 30 4% (P <0 0 1) .细菌L型培养初诊仅为 5 6 %复发高达 32 0 % (P <0 0 1) ,质粒谱分析复发后细菌原型及L型均与初诊分离的细菌有较高同源型 .提示初诊患者不必做细菌L型培养 ,而复发者应做 .证明复发者病原菌多来自初诊治疗不彻底 .To discuss bacteria of urine infection reoccurrence, the routine culture and L-form bacteria culture of urine tract infection on 850 cases were adopted and clinical watching and analysis of the bacteria plasmid were held .Result: of the l28 cases, re-infection rate l5 0%.,the positive rate of the routine bacteria culture for those initial diagnosis patients was 58 3% while that of the re-infection patients was 34 0% P<0 0l .The initial diagnosis L-form inspected rate 5 6%yet that of re-infection was up to 32 0% P<0 01 .The analysis of the plasmid bacteria of re- infection were of the same origins .Conclusion: the first infection dont need L-form culture but re- infection should have L-form culture .Analysis: plasmid positive bacteria of re-infection was the result of the first infection not completely cured.

关 键 词：泌尿道感染 质粒 细菌L型 诊断 治疗 复发 

分 类 号：R691.3[医药卫生—泌尿科学]