高湿高热地区427名女生尿路不适状况分析

Analysis of Urinary Tract Uncomfortable Symptoms of 427 Female Students in Hot and Wet Area

目的了解高热、高湿环境下某高校尿路不适女生尿液干化学检测、细菌培养与药敏鉴定分析结果,为临床提供诊断与治疗依据。方法采用尿液分析仪、显微镜、全自动微生物分析仪,对某高校427例尿路不适女生的尿液进行分析。结果该校427例女生尿液分析干化学法、镜检法红细胞阳性率分别为59.02%,44.50%,白细胞阳性率分别为58.31%,46.14%。尿液细菌培养阳性率为48.24%,其中大肠埃希菌、表皮葡萄球菌、腐生葡萄球菌、产碱杆菌、变形杆菌、肺炎克雷伯菌、真菌阳性率为58.25%,10.68%,0.97%,1.94%,13.11%,8.25%,6.80%。结论高热、高湿环境下女大学生尿路感染常见致病菌为大肠埃希菌,首选药物为菌必治;尿液干化学及镜检结果、细菌培养结果、临床症状在诊断上存在差异,需进一步探讨原因。

Objective To analyze the prevalence of urinary tract infection through chemical analysis method,bacterial culture and drug sensitivity testing among female students of a hot and wet area college in south China and to offer information for clinical diagnosis and treatment.Method By using microscopy,urine flow cytometer and automatic microorganism analyzer,427 female students with urinary uncomfortable symptoms were tested.Results In dry chemistry and microscopy method,59.02% and 44.50% representing red blood cell positive and 58.31% and 46.14% showing white blood cell positive respectively;while in bacterial culture method,48.24% being positive;and the positive rate of E.coli,S.epidermidis,S.saprophyticus,Bacillus alcaligenes,Proteus vulgaris,K.pneumoniae and fungus was 58.25%,10.68%,0.97%,1.94%,13.11%,8.25% and 6.80%.Conclusion E.coli is the most common pathogene for urinary tract infection of the college students in the hot and wet area and the best medication may be ceftriaxone.The reason for the difference between the results of dry chemistry,microscopy and bacterial culture methods and the clinical diagnose is remained unknown and in need of further study.