慢性前列腺炎患者进行病原微生物检测与药敏试验的意义  

Significance of pathogenic microorganism detection and drug sensitivity test in patients with chronic prostatitis

作　　者：王月红 WANG Yue-hong(Fengcheng Central Hospital,Fengcheng 118100,China)

机构地区：[1]辽宁省凤城市中心医院,118100

出　　处：《中国实用医药》2021年第3期201-203,共3页China Practical Medicine

摘　　要：目的探讨慢性前列腺炎患者进行病原微生物检测与药敏试验的意义。方法89例慢性前列腺炎患者,均进行病原微生物检测,对病原微生物检测结果为阳性的患者进行药敏试验,统计和分析其对抗生素的药敏试验结果。结果89例患者进行了病原微生物检测后,有29例患者检测结果呈现支原体阳性,占比33%,其中有8例为人型支原体检测呈阳性,占阳性患者总数的28%,有21例为解脲脲原体检测呈阳性,占阳性患者总数的72%。解脲脲原体检测呈阳性患者的比例明显高于人型支原体检测呈阳性的患者比例,差异有统计学意义(χ^2=11.655,P=0.001<0.05)。对29例病原微生物检测呈阳性患者进行药敏试验,观察患者对常用抗生素药物的高敏、中敏以及耐药程度,其中支原体对强力霉素敏感性最高,对罗红霉素、司帕沙星、环酯红霉素、可乐必妥以及交沙霉素的敏感性较低。结论病原微生物检测与药敏试验能够有效明确慢性前列腺炎患者的病原体以及对于不同抗生素药物的敏感性,从而有利于临床上合理使用抗生素药物,值得临床推广和借鉴使用。Objective To discuss the significance of pathogenic microorganism detection and drug sensitivity test in patients with chronic prostatitis.Methods All 89 patients with chronic prostatitis were tested for pathogenic microorganisms,and those with positive pathogenic microorganisms were tested for drug sensitivity,and their drug sensitivity to antibiotics was counted and analyzed.Results After the detection of pathogenic microorganisms,29 cases were positive for Mycoplasma,accounting for 33%.Among them,8 cases tested positive for Mycoplasma hominis,accounting for 28%of the total number of positive patients,and 21 cases tested positive for Ureaplasma urealyticum,accounting for 72%of the total number of positive patients.The proportion of patients who tested positive for Ureaplasma urealyticum was significantly higher than the proportion of patients who tested positive for Mycoplasma hominis,and the difference was statistically significant(χ^2=11.655,P=0.001<0.05).Drug susceptibility tests were conducted on 29 patients with positive pathogenic microorganisms to observe their high sensitivity,moderate sensitivity and resistance to commonly used antibiotics.Among them,Mycoplasma was the most sensitive to doxycycline,but it was less sensitive to roxithromycin,sparfloxacin,erythromycin cyclic ester,clonbital and josamycin.Conclusion Pathogenic microorganism detection and drug sensitivity test can effectively identify the pathogen of chronic prostatitis patients and the sensitivity to different antibiotics,which is conducive to the rational use of antibiotics in clinical practice.It is worthy of clinical promotion and reference.

关 键 词：慢性前列腺炎 病原微生物检测 药敏试验 

分 类 号：R446.5[医药卫生—诊断学] R697.33[医药卫生—临床医学]