性病相关性慢性前列腺炎病原体分析

Pathogens in Patients with Chronic Prostatit following Sexually Transmitted Disease

目的:研究慢性前列腺炎与病原菌的关系,探讨前列腺液病原菌检测的诊断价值及其临床意义。方法:应用试剂盒进行检测,选择105例性病相关性慢性前列腺炎患者分析研究,同时检测沙眼衣原体和解脲脲原体。结果:105例中有83例分离出细菌,阳性率为79%,,以葡萄球菌、解脲支原体、沙眼衣原体为主。分离出的细菌对临床常用抗生素的耐药率较高,金黄色葡萄球菌对头孢曲松钠、头孢唑啉的敏感性较高;对罗红霉素的敏感性居中。淋病双球菌对头孢曲松钠敏感性较高;对头孢唑啉及罗红霉素的敏感性居中。解脲支原体对罗红霉素、红霉素敏感性较高;对阿奇霉素敏感性居中;对氧氟沙星敏感性较低。结论:进行病原体分析有助于性病相关性慢性前列腺炎患者的治疗。

Objective To investigate the relationship between chronic prostatitis and the pathogenic bacteria, and study the diagnostic value and clinic significance of pathogenic diagonosis in prostatic fluid. Methods Totally 105 cases with chronic prostatitis following sexually transmitted disease were analyzed by using of special agent kit and examined Chlamydia trachomatis and Ureaplasma urealyticum were detected. Results Bacteria were found in 105 patients out of 83 （79%） and the majority of them were Staphylococcus, chlamydia trachomatis, and ureaplasma urealyticum, Staphylococcus for Ceftriaxone and Cefazolin had relative higher sensitivity, for Rox-ithromin had moderate sensitivity. Gonococcus for Ceftriaxone had relative higher sensitivity ,for Rox-ithromin and Cefazolin had moderate sensitivity, ureaplasma urealyticum for Rox-ithromin and Erythromycin had relative higher sensitivity, for Azithromy-cin had moderate sensitivity, for Ofloxacin had lower sensitivity. Conclusion The results indicate that the pathogen examination plays an important role in treatment of chronic prostatitis following sexually transmitted disease.