2123例男性泌尿生殖道标本的病原学分析

Pathogens Analysis of 2123 Male Genitourinary Specimens

目的了解男性泌尿生殖道感染的病原学分布,为男性泌尿生殖道感染的预防和治疗提供可靠依据。方法对2123例男性泌尿生殖道标本的微生物学检验进行回顾性总结。结果2123例男性泌尿生殖道标本中共检出病原菌1082株,检出率为50.96%,其中解脲支原体检出率最高,为24.30%。所有送检标本中,尿道拭子标本的病原菌检出率最高,为60.09%,混合感染率为12.74%;精液标本中无乳链球菌检出率明显高于前列腺液(P<0.05)。结论解脲支原体是男性泌尿生殖道感染的主要病原菌,男性泌尿道标本的病原学检查以尿道拭子为宜,男性不孕是否与无乳链球菌的感染有关还有待进一步研究。

Objective To investigate the distribution of pathogens which caused male genitourinary infection and provide reliable evidence for preventing and treating male urogenital infection. Methods 2 123 male genitourinary microbiological test specimens were retrospectively analyzed. Results A total of 1 082 pathogens were detected from 2 123 samples,with a detection rate of 50.96%. Ureaplasma urealyticum had the highest detection rate（24.30%）. The pathogenic bacteria detection rate （60.09%） was the highest among various types of male urogenital samples, and the mixed infection detection rate was 12.7%. The detection rate of Streptococcus agalactiae from the semen was significantly higher than that from prostatic secretion （P〈0.05）. Conclusion Ureaplasma urealyticum was the main pathogens in male genitourinary infection. Urethral swab specimens was the most appropriate male urogenital tract sampling for pathogens inspection. Further studies are necessary to determine the correlation between Streptococcus agalactiae infection and male infertility.