慢性细菌性前列腺炎精液培养阳性结果分析

Pathogenic bacteria of sperm culture in chronic bacterial prostatitis and their resistance to antibiotics

目的 :研究慢性细菌性前列腺炎精液培养病原体及其对抗生素的耐药性。方法 :对 60例患者的精液进行细菌培养 ,共培养出 67株细菌 ,并应用 1 2种抗生素进行药敏试验。发现主要致病菌为金黄色葡萄球菌、表皮葡萄球菌、大肠杆菌、溶血性链球菌、溶血葡萄球菌。结果 :大多数致病菌对青霉毒、氨苄青霉素、红霉素、头孢菌素、三甲氧苄氨嘧啶耐药 ,而对万古霉素、丁胺卡那霉素、丙氟哌酸敏感。结论 :精液培养避免了采样污染及消除了因前列腺液少而得不到样本之虞 ,能准确反映前列腺炎的状态 ,值得临床推广。

Purpose:To study the relationship between pathogenic bacteria of sperm culture in chronic bacterial prostatitis and their resistance to antibiotics. Methods: 67 strains of pathogenic bacteria of sperm positive culture were collected from 60 patients with chronic bacterial prostatitis and were tested against 12 antimicrobial agents. Results: The pathogens consisted mainly of staphylococci aureus, staphylococci epidermidis, Escherichia coli, streptococci haemolyticus, staphylococci haemolyticus. Most of them were highly resistant to penicillin, ampicillin, erythromycin, cefazolin, trimethoprim, but most of them were sensitive to vancomycin, amikacin ciprofloxacin. Conclusions: The results suggested that sperm culture method in chronic bacterial prostatitis due to avoiding samples contaminate as well as acquiring samples difficulty would be recommended.