前列腺炎患者前列腺液的病原微生物分析

Analysis of pathogenic microorganisms in prostate fluid of patients with prostatitis

目的分析研究引起前列腺炎的病原微生物。方法应用培养法和免疫金标法,对112例临床确诊为前列腺炎患者的前列腺液进行了细菌分离培养及药物敏感实验、支原体培养和衣原体的检测分析。结果112份前列腺液标本中分离出金黄色葡萄球菌18株,表皮葡萄球菌7株,链球菌20株,四联球菌10株,淋病奈瑟菌6株,肠杆菌科菌6株,白色念珠菌2株。单纯细菌感染40例,支原体感染7例,衣原体感染8例,细菌合并支原体、衣原体感染27例。对三种主要病原菌的药物敏感实验结果表明,环丙沙星的耐药率最高。结论引起前列腺炎的病原微生物比较复杂,除了致病菌外,条件致病菌、支原体、衣原体的感染率已呈上升趋势。因此,对于前列腺炎患者有必要进行全面的检查分析,以便进行综合治疗。

Objective To study the pathogenic microorganisms caused protatitis.Methods The prostate fluid was analysed in 112 patients with prostatitis confirmed by clinical diagnosis. The culture method was used for isolated of germs and UU(ureaplasma urelyticum) .Antibiotics sensitivity test was performed. The immunochromatographic assay was used for CT(Chlamydia trachomatis ) detection.Results The isolated microorganisms were S. aureus (Staphylococcus aureus) 18 strains, S. epidermidis 7, Streptococcus 20, Quadruple cocci 10, Neisseria gonorrhoeas 6, Enterbacteriaceae 6 and Candida albicans 2. There were forty patients infected by single germ . Seven and eight patients were infected by UU and CT, respectively. There were also 27 patients jointly infected by germs,UU and CT.The findings of sensitivity tests to three major germs showed that resistance rate of ciprofloxacin was the highest.Conclusion Pathogenic microorganisms caused prostatitis are complex. In addition to pathogen, the infection rate of opportunist,UU and CT tends to go up.