287例男性泌尿生殖道感染病原体分析

Analysis of pathogens in 287 male patients with genitourinary infection

为进一步了解目前我国男性泌尿生殖道感染的病因，利用细菌培养、解脲支原体培养、免疫荧光检测沙眼衣原体等方法，对２８７例男性泌尿生殖道感染患者进行病原体检测。结果２８２例检出病原体，其中淋球菌７８例（２７．６５％），解脲支原体４９例（１７．３７％）、沙眼衣原体４５例（１５．９５％），较国内其它报道少；而非特异性细菌感染特别是在慢性前列腺炎中增加，尤以金黄色葡萄球菌为甚，共９８例，占病例总数的３４．７５％。混合感染及条件致病菌也日益增多。药敏试验示细菌耐药株增多，尤其是对常用抗生素。提示目前国内男性泌尿生殖道感染日趋复杂，故进行病原体检测，对临床用药有十分重要的意义。

In order to investigate the pathogenicity of the male patients with genitourinary infection in our country currently, we determined the pathogens in 287 cases, and culture for bacteria, Ureaplasma urealyticm(Uu) and immunofluerence stain for Chlamydia trachomatis(Ct) were performed. The pathogens detected in 282 cases in result were gonococcus in 78 cases (27.65% ), Uu in 49 cases (17.37%), Ct in 45 cases (15.95%) Staphlococcus aureus in 98 cases (34.75%) and so on . We observed that the rate of non specific bacteria especially Staphlococcus aureus was increasing while those of gonococcus, Uu and Ct decreasing in comparison with other internnal reports. The mixed infection and the opportunistic bacteria were also increasing. Antibiotic susceptibility tests showed that the resistant antibiotic bacteria especially against the common antibiotic were growing. The results demonstrate that the pathogens in the male patients with genitourinary infection are becoming complicated in our country now and suggest that determination of the pathogens in the patients is important for the clinical treatment.