2012-2014年前列腺液培养结果分析.docVIP

精品论文 参考文献 2012-2014年前列腺液培养结果分析 （嘉兴市第一医院检验科，浙江 嘉兴 314000） 中图分类号 R446.1 文献标志码 A 文章编号 1008-0408（2015）2-0131-02 摘 要 目的：探讨细菌性前列腺炎的病原菌种类及其耐药性，为指导临床合理用药提供依据。方法：收集我院2012年～2014年780例门诊及住院患者前列腺液进行细菌学及支原体的培养分离，对主要致病菌进行药敏试验。结果：780份前列腺液标本中分离到细菌280株，阳性率为35.9%，分离出支原体430例，阳性率55.1%。细菌和支原体同时阳性260例，阳性率为92.8%。其中细菌感染以葡萄球菌为主，共178例，占63.5%，其对喹诺酮类，万古霉素敏感率较高，分别为75%以上和100%，对红霉素等耐药，四环素和交沙霉素对支原体效果好。结论：葡萄球菌是慢性前列腺炎的主要致病菌，细菌及支原体同时的感染应引起临床注意。 关键词 慢性前列腺炎；细菌培养；支原体 Culture Results Analysis of Prostatic Fluid from 2012 to 2014 Yu Qin, Wang Xuechun, Zhu Qinfei（Clinical Laboratory of The First Hospital of Jiaxing, JiaXing , China） Abstract objective：To investigate the species and drug resistance of the pathogens in bacterial prostatitis, provide the basic information for clinical therapy. Method：Collect prostatic fluid from 780 cases of outpatients and inpatients in The Firstensp;Hospital ofensp;Jiaxing from 2012 to 2014, cultured and isolated bacterium and mycoplasma, test the drug susceptibility of the major pathogens. Results：In the 780 samples，280 are bacterial positive, the drug susceptibility positive rate is 35.9%, 430 are mycoplasma positive, the drug susceptibility positive rate is 55.1%. Among them, 260 are bacterial and mycoplasma co-positive, the drug susceptibility positive rate is 92.8%. Staphylococcus is isolated in 178 cases, accounting for 63.5%, in the bacterial infection cases. It is sensitive to quinolones and vancomycin, susceptibility rate are 75% and 100% respectively, but resistant to erythromycin. Mycoplasma is sensitive to tetracycline and josamycin. Conclusion：Staphylococcus is the major pathogen of chronic prostatitis, while bacterial and mycoplasma coinfection should lead to clinical attention. Keywords Chronic Prostatitis； Bacterial culture；Mycoplasma 慢性前列腺炎是泌尿外科的常见病，在泌尿外科男性患者50岁以下占首位，并有逐年上升趋势[1]。且慢性前列腺炎容易反复发作，不易治疗。故笔者对我院三年780例慢性前列腺炎前列腺液细菌及支原体培养进行回顾性分析，探讨其诊治意义。现报道如下。 1 材料和方法 1.1 标本来源 收集我院2012年2月至2014年10月送检的前列腺液标本，共780例，年龄